NGAGE 2.0 and the 2021 MN State Lottery, Gambling Participation Rates of Minnesota Adults.
Presenting the most recent national and Minnesota data regarding gambling attitudes and experiences.: READ MORE
Where to Draw the Line
WAGER: What are the cognitive behavioral therapy (CBT) outcomes among women with Gambling Disorder?
The WAGER, Vol. 26(10)
Written By Taylor Lee
Read the original article on The Basis website Here.
Problem gambling occurs more frequently among men, but it is still present among women and is understudied in this population. Gambling Disorder (GD) refers to persistent and problematic gambling behavior leading to distress, and that causes financial, relationship, and psychological harm. The effectiveness of GD treatment has received limited attention in the scientific literature. Common factors that might influence treatment effectiveness include discontinuing treatment and relapse. This week, The WAGER reviews a study by Marta Baño and colleagues that examined the short-term therapy outcomes of group CBT among women with Gambling Disorder.
What were the research questions?
What is the short-term effectiveness of group standardized cognitive behavioral therapy (CBT) among women with GD? Also, what are the most important predictors of primary therapy outcomes (discontinuing treatment and relapse)?
What did the researchers do?
The researchers assigned 214 women seeking treatment for Gambling Disorder at the Pathological Gambling and Behavioral Addictions Unit at the Bellvitge University Hospital in Barcelona, Spain to a group CBT program. Participants attended weekly 90-minute sessions for 16 weeks and learned CBT strategies to recondition cognitive distortions and improve emotional regulation, with the ultimate goal of absolute and continued abstinence from all gambling behavior. These CBT strategies included education on vulnerability factors, ways to avoid possible triggers, and how to respond to urges with alternative healthier behaviors. The researchers used logistic regression, negative binomial regression, and survival analysis to assess predictors of discontinuing treatment and relapse.
What did they find?
During the course of treatment in the study, 90 women (42%) skipped three consecutive treatment sessions and 77 women (36%) had at least one relapse. Women with relatively less severe Gambling Disorder, and experiencing greater psychological distress, were more likely to discontinue treatment. On the other hand, relapse risk was higher among women with lower education levels, those without gambling-related debt, and divorced women. Drug use (other than smoking), placing more maximum bets per gambling-episode1, preferring gambling games that rely on chance alone such as bingo or slot machines2, and lower socioeconomic status were also associated with higher relapse rates during CBT (see Figure).
Figure. Statistically significant predictors of primary therapy outcomes—discontinuing treatment and relapses— among women in CBT treatment for Gambling Disorder (n = 214). Arrows indicate significant predictors of either discontinuing treatment or relapse. Click image to enlarge.
Why do these findings matter?
Learning more about female gambling behavior and identifying specific predictors of discontinuing treatment and relapse can help clinicians provide better GD treatment. For example, severe emotional distress may indicate a need for greater emphasis on emotional regulation techniques (e.g., through mindfulness meditation) or healthy coping mechanisms. CBT might also need to be adapted for those with lower education levels to be more engaging and comprehensible. These findings also demonstrate a clear need for future research on women with GD to understand their unique lived experiences.
Every study has limitations. What are the limitations of this study?
As a study with only female participants, the findings can not be generalized to men. Additionally, measures such as amount bet per gambling episode relied on self-reported data, in which participants may have over- or underestimated their actual gambling behavior.
For more information:
Do you think you or someone you know has a gambling problem? Visit the National Council on Problem Gambling for screening tools and resources.
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[1] In this context, “maximum bets per gambling-episode” refers to most bets placed during any single past gambling experience.
[2] As opposed to games like poker, which include both chance and skill.
Pandemic, technology and gambling expansion are perfect storm for problem gamblers — Opinion
By Susan Sheridan Tucker, Executive Director of Northstar Problem Gambling. As seen on Minnesota Reformer
We’re living in a perfect storm of an emerging gambling addiction problem. The COVID-19 pandemic left people trapped at home. Legal gambling is expanding at an unprecedented clip. And, technological advances are making games more attractive than ever.
A 2018 U.S. Supreme Court ruling allowing states to legalize sports betting set off a frenzy of legislative activity. States around the country pushed through legislation to permit sports gambling and online gaming as a way to compensate for economic losses created by COVID-19, as well as to claim revenues previously collected by unregulated, offshore betting sites.
Some states set some funding aside to help problem gamblers, but not all.
At the same time, electronic access to gambling is easier than ever. And, game and app designers are furiously creating ways to absorb participants into the digital world rather than being present in the physical world. The massive amounts of data being collected from each player helps to inform the next iteration of game design.
Designers want to figure out what will keep players playing just a bit longer, so that they’ll wage another bet or continue to engage in “microtransactions” (real money spent for virtual prizes).
We also know that during stressful times, people seek escape. A pandemic is a global stressor. When isolated, people may enjoy the easy access to thousands of sites. This can begin as a mere balm for stress or anxiety, but for more than 200,000 adults and over 10,000 children in Minnesota — according to a recent study — the use of gambling or gaming sites can evolve into problem gambling or even an addiction.
All of these developments set a trap for anyone who may have a family history of addiction or mental health issues. Three quarters of gamblers have a co-morbidity, which means the existence of one or more additional conditions that often co-occur with a primary condition. As it relates to gambling, this means that if someone is being treated for depression, anxiety or other addictions, treatment providers need to ask whether a gambling addiction may be also in the mix.
Surveys conducted by the National Council on Problem Gambling in November 2018 and April 2021 show there’s been a recent increase in gambling. Among the findings:
- The number of Americans who bet on sports grew by 30%. This represents an increase of 15.3 million bettors in 18 months.
- Online gambling on sporting events or internet games grew even more, with an additional 25.5 million adults who now gamble this way.
- There was an increase in problematic play among groups who were already at high risk — younger gamblers (those aged 18 to 44 years old), sports bettors and those who play daily fantasy sports.
- Those who gambled more during the pandemic also showed more problematic play.
Minnesota will likely pass some form of sports betting legislation in the near future. (Many of our midwestern neighbors — Wisconsin, Iowa, Illinois and Michigan — already have). Minnesota may enjoy increased revenue, but with more gambling options comes more risk. While increased playing doesn’t directly correlate to increased addiction, it is something that needs to be monitored. Early signs are not good.
As Minnesota likely pursues a path that brings in more gambling revenue, will we ensure that safeguards are in place to prevent gamblers from developing unhealthy addictions that wreak havoc on their lives and those close to them?
The vast majority of Minnesotans enjoy gambling without suffering repercussions beyond the possible loss of “entertainment” money. When the money they plan to spend on gambling is gone, they leave the game and do something else.
For roughly 5% of Minnesota adults who are problem or at-risk of gambling addiction, gambling doesn’t play out that way. These gamblers are unable to stop because gambling provides dopamine hits to their brains. At best, they blow through predetermined spending limits; at worst, they contemplate suicide because they’ve lost so much and lied so often. What may have started out as a fun diversion has evolved into a real addiction.
Gambling addiction is now recognized as a behavioral health disorder, akin to alcohol and substance use disorder. Despite this recognition, however, the amount of money set aside to treat, prevent and research gambling addiction is far less than funding provided for alcohol and substance use addiction.
Northstar Problem Gambling Alliance will continue to advocate for strong consumer protections for all players. Any expansion in gambling must include increased funding for treatment, prevention and research.
We all have a role to play. Policymakers must assess the risks and apply best practices to their regulatory framework. Operators need to do more to minimize harm to vulnerable players. And all of us can benefit from learning more about gambling addiction, knowing how to play responsibly, and learning about available resources for the gambler and their families.
Facebook Enters The Fantasy Games Market
Date Published 02 September 2021 by Chris Sieroty
Facebook is expanding its offerings to include free predictor fantasy sports and other types of fantasy games, a move that troubles problem gambling advocates who see such games acting as a primer to sports betting.
The company on Wednesday launched Facebook Fantasy Games on the Facebook app in the U.S. and Canada, allowing users to make predictions on sporting events and TV shows. As part of the new daily sports prediction games, users will have be able to set their own leagues.
Facebook also announced partnerships with Whistle Sports, Major League Baseball and LaLiga Santander, Spain’s top soccer league.
The first game to launch is Pick & Play Sports, in which users score points for correctly predicting the winner of a game, the points scored by a top player or specific events that unfold during a game. Players can earn bonus points for building a streak of correct predictions over a series of days.
In a blog post announcing the new free-to-play games, Facebook did not address whether players would be able to redeem their points for prizes, including cash.
If the company were to offer cash prizes, Facebook’s predictor games would be in the same category as Fox Bet’s Super 6 game, where players try to choose the winners of six weekly National Football League games, and PointsBet’s Premier League predictor game in partnership with NBC Sports, in which viewers try to pick the outcome of five soccer games.
Daniel Fletcher, project manager of entertainment with Facebook, said the company will release additional games in the fall linked to popular television shows, such as CBS’ Survivor and ABC’s The Bachelorette, as well as contests for Major League Baseball and LaLiga.
For each slate of games during the LaLiga season, fans will predict a single team that will win on that day. Fans will try to build the longest streak possible of correct predictions, but they cannot pick the same team twice during a streak.
“These games bring the social fun of traditional fantasy sports to simpler formats that are easy to play for people new to prediction games, while still engaging enough for more seasoned players,” Fletcher said in a blog post.
Facebook’s decision to launch free-to-play predictor fantasy games was met with some concern from problem gambling advocates.
Keith Whyte, executive director of the National Council on Problem Gambling, said he believes there is some risk of future problems with free-to-play and predictor games.
“I imagine they are targeting a younger audience, but this could be a case that because there is no money exchanged, they don’t understand or appreciate the potential harm that it could be creating,” said Brianne Doura-Schawohl, vice president U.S. policy and strategic development with EPIC Risk Management.
Susan Sheridan Tucker, executive director with the Minneapolis-based Northstar Problem Gambling Alliance, said the group would be looking at Facebook’s new product “with a careful eye.” “
At first glance, it looks like they are trying to bring friends together to compete amongst themselves,” Tucker said. “For most this could be considered harmless fun and a way to connect.”
However, Tucker said these games are designed to keep the player engaged for as long as possible.
“There may not be gambling involved at first, but the loss of time engaging in the physical world as opposed to the virtual world is troubling,” she said. “These games can act as primer to sports betting later on.”
“I didn’t notice any age limitations set for this platform. By making the games less complicated, it will likely attract a new base of players. Again, this could act as a primer for future sports betting.” “
Yes, there is reason to keep watch on these apps,” Tucker said.
The addition of fantasy games is expected to help Facebook increase the time users spend on its platform as the company faces increasing competition from TikTok and Twitch.
Currently, TikTok bans the promotion of gambling-related content and earlier this month, Amazon-owned streaming website Twitch banned the sharing of promotional links and referrals to gambling sites.
In January, Twitch launched a virtual currency betting system for its users worldwide, allowing viewers to place bets on in-stream events, including online casino games.
The feature, Channel Points Predictions, gives streamers the ability to “let viewers guess your destiny” by designating an event in-game and defining two possible outcomes.
Viewers wager their virtual currency — known as Channel Points — on these outcomes, up to a cap of 250,000. Viewers who predict correctly win a proportionate share of Channel Points from the total pool.
Predictions are disabled in several jurisdictions globally, however.
According to Twitch, the feature is not available to viewers in Denmark, Luxembourg, Netherlands, Philippines, Poland, Quebec, Singapore, Sweden, South Korea and Turkey due to “legal restrictions.”
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