Nov 29, 2023 | RESEARCH
Read the original article on The BASIS here.
By John Slabczynski
Editor’s Note: Today’s review is part of our month-long Special Series on Addiction Myths and Misinformation. Throughout November, The BASIS is showcasing the dangers of myths and misinformation related to addiction.
People who experience gambling problems often hold irrational beliefs around gambling that encourage further involvement. For example, people who are on a losing streak may continue to gamble due to the belief that they are due for a win after so many losses (the gambler’s fallacy), while the hot hand fallacy can make someone think that wins will continue after a winning streak. Cognitive distortions like these can be rooted in misinterpretations of mathematics and are sometimes part of the constellation of factors that lead to gambling problems. Other factors related to the development of gambling problems, such as experiencing big wins and loss chasing, are closely related to these cognitive distortions. Therefore, understanding how these factors relate to one another is important for intervention and treatment efforts. This week, as part of our Special Series on Addiction Myths and Misinformation, The WAGER reviews a study by Róbert Krébesz and colleagues that examined how people experience cognitive distortions following a big win on a simulated slot machine.
What were the research questions?
(1) How do people experience cognitive distortions while gambling? (2) How do big wins influence the experience of cognitive distortions, and does this influence depend on when the big win occurs?
What did the researchers do?
Fourteen participants aged 18+ who reported that they did not gamble participated in a simulated slot machine experiment. The researchers preprogrammed the first 90 spins on the slot machine to award a big win in either the first 30 spins or between the 30th and 60th spins1. Participants who experienced a big win in their first 30 spins constituted the first group, early big winners, while participants who experienced a big win between their 30th and 60th spins made up the second group, late big winners. Throughout the experiment, participants continuously vocalized their thoughts and emotions out loud. These vocalizations were recorded and transcribed, and made up the primary data for the study. The research team coded these transcripts using a content analysis approach to indicate whether they contained cognitive distortions and if so, which ones.
What did they find?
This sample of non-gamblers displayed several cognitive distortions, including anthropomorphism, the gambler’s fallacy, illusion of control, over-interpretation of cues, illusory correlations, selective recall, near miss effect, and loss-chasing2. Of these, the most common were the gambler’s fallacy (57 occurrences), illusion of control (46 occurrences), and near miss effect (47 occurrences). Notably, cognitive distortions occurred most frequently in the phases where big wins occurred (i.e., the first 60 spins), yet were relatively rare in the final phase where no big win occurred (i.e., the last 30 spins). In terms of the timing of the big win, participants showed some differences in the types of cognitive distortions they experienced depending on when the win occurred (see Figure).
Cognitive distortions emerge following a big win on a simulated slot machine.
Nov 3, 2023 | RESEARCH
Read the original article on The BASIS here.
By Kira Landauer, MPH
The prevalence of gambling problems is higher among U.S. military veterans when compared to the general civilian population. Aspects of military service — experiences of trauma, difficulty adjusting to life post-deployment, and low social support after returning from deployment — may contribute to the risk of problem gambling among veterans. This week, The WAGER reviews a study by Elina A. Stefanovics and colleagues that examined the associations between recreational gambling and at-risk/problem gambling, and homelessness and mental health/substance use disorders among low-income U.S. military veterans.
What were the research questions?
What is the prevalence of recreational gambling and at-risk/problem gambling among low-income U.S. military veterans? What are the associations between gambling status and physical health, mental health and substance use disorders, and homelessness?
What did the researchers do?
The researchers analyzed survey data from a subset of 781 veterans who completed the National Veteran Homeless and Other Poverty Experiences study. Eligible participants served on active duty in the U.S. Armed Forces and lived in a household under 300% of the federal poverty level in 2021. Study participants reported past-year gambling and were screened for at-risk/problem gambling (i.e., ARPG). They were then categorized into three groups: non-gambling; recreational gambling (i.e., past-year gambling with a negative gambling screen); and ARPG (i.e., past-year gambling with a positive gambling screen).
Participants were also asked about their experiences with homelessness, their income and other financial measures (e.g., debt), their physical health, and their history of mental health and substance use (including treatment). The researchers examined how these measures were associated with gambling group membership.
What did they find?
Nearly one-quarter of the low-income veterans surveyed gambled recreationally, and 6.7% screened positive for ARPG. Individuals in the ARPG group were more likely to be younger and less likely to be White. Compared to non-gambling, ARPG was associated with poorer physical health and current and lifetime mental health and substance use disorders (see Figure). Veterans in the recreational gambling group were more likely to have a current drug use disorder compared to the non-gambling group. ARPG group members were five times as likely to have ever received mental health or substance use treatment and three times as likely to report current psychiatric medication use relative to the non-gambling group. They were also more likely to report shame and perceived stigma as reasons for not seeking mental health treatment. Finally, members of the ARPG group were six times as likely to have a lifetime history of homelessness and five times as likely to report having student loans when compared to non-gambling participants.
Increased odds of lifetime mental health and substance use disorders among U.S military veterans experiencing at risk/problem gambling
Aug 15, 2023 | RESEARCH, YOUTH GAMBLING
By Kira Landauer, MPH
See original article on The BASIS HERE.
Gambling is a common activity among adolescents. Most adolescents gamble without consequences but some experience gambling-related problems and associated harms, including disrupted social relationships, academic challenges, delinquency, and criminal behavior. Their gambling behavior might be influenced by the gambling attitudes and behaviors of their family and friends. This week, The WAGER reviews a study by Megan Freund and colleagues that investigated whether exposure to other people’s gambling is associated with the gambling behavior of Australian secondary students.
What was the research question?
Is exposure to other people’s gambling associated with past-month gambling, types of gambling activities, and at-risk or problem gambling among a sample of Australian adolescents?
What did the researchers do?
Students (n = 6,377) from 93 secondary schools in the Australian states of Victoria and Queensland participated in the Australian Secondary Students’ Alcohol and Drug Survey. Participants reported whether they had ever gambled and their past-month gambling behaviors, including the types of gambling activities they engaged in (i.e., hard or soft1). Students who reported ever gambling were screened for problem gambling. Participants were also asked whether their parent/caregiver, brother/sister, best friend, or other relative had gambled in the past month. The researchers assessed the associations between other people’s gambling and students’ past-month gambling, types of gambling activities, and at-risk or problem gambling.
What did they find?
Thirty-one percent of students in the sample reported ever gambling and six percent had gambled in the past month. Ten percent of students who ever gambled were classified as either experiencing at-risk (8%) or problem gambling (2%). One in five students reported that someone in their household gambled in the past month. Most frequently, students reported past-month gambling among fathers (16%), followed by other relatives (14%). Students were more likely to have gambled in the past month, played any hard gambling activity, and be classified as an at-risk or problem gambler if they had a parent/caregiver, brother/sister, best friend, or other relative who had gambled in the past month. Past-month gambling and at-risk/problem gambling were most likely among students whose parent/caregiver or best friend had gambled (see Figure).
Figure. Odds ratios of the association between other people’s gambling (parent/caregiver, brother/sister, best friend, other relative/someone else) and past-month gambling and at-risk/problem gambling among a sample of Australian secondary students (n = 6,377).
Why do these findings matter?
These findings confirm the association between exposure to gambling in family and friends and gambling behaviors among adolescents. Young people with a parent/caregiver or close friend who gambled were most likely to have gambled recently, engaged in hard gambling activities, and to have experienced at-risk or problem gambling. These findings should inform future problem gambling prevention and education initiatives for young people, such as family-focused initiatives. Successful initiatives might also include skill development for young people, such as how to resist peer pressure to gamble.
Every study has limitations. What are the limitations of this study?
Data were self-reported, so the results might be subject to recall bias and social desirability bias. Because the study was based on a sample of adolescents and was conducted in Australia, the findings might not be generalizable to people in other places with different gambling landscapes.
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. For additional resources, including gambling and self-help tools, visit our Addiction Resources page.
— Kira Landauer, MPH
1. Hard gambling activities are generally defined as having higher stakes or a more rapid pace of play (e.g., poker, casino games, sports betting) compared to soft gambling activities (e.g., lottery tickets, scratch cards).
Aug 14, 2023 | RESEARCH
For the past three years, since the start of the pandemic, NCPG has offered virtual workshops prior to its regularly scheduled annual conference. This year NCPG presented a range of speakers and topics over the course of two afternoons. One advantage of online workshops is the ability to host international speakers, who might not ordinarily be able to travel. It’s also helpful for those who cannot travel to the NCPG annual conference, providing access to excellent resources from the comfort of their computers.
Several of the presenters were from the United Kingdom, where they have been dealing with the backlash from the 2005 policies that blew the door open on gambling accessibility and are now feverishly working to increase treatment services, prevention and research. Attendees benefited from listening to the lessons learned and hopefully can apply those lessons in their own backyards.
Several researchers presented on their most recent studies looking at the effectiveness of self-exclusion programs, the links between gambling and problem debt, the ever-evolving changes in gambling and responsible gambling language, and the value of providing peer support groups for women. We heard from clinicians and their experiences treating gambling as a co-occurring disorder and about a fairly new integrative treatment model called Congruence Couple Therapy (CCT), which has been shown to have a relative advantage over individual treatment for reducing addictive and mental health symptoms and improving emotional regulation among couples. There was also a panel discussion advocating for gambling policies to move into the national spotlight. With no federal funding, and the increased opportunities to gamble, the field of gambling disorder is behind in workforce development, research and programs regulating gambling harm.
See the full Summer 2023 Northern Light Newsletter (PDF).
Figure. This figure displays the proportions of regular gambling, occasional gambling, and no gambling among boys and girls in Finland who reported using alcohol at least once a month from 2009 to 2019.
Why do these findings matter?
Although the prevalence of adolescent gambling decreased over time between 2009 and 2019, there was still a significant proportion of underage adolescents who reported gambling. Additionally, those who used alcohol were also more likely to gamble, which suggests that there is a potential clustering of problems among adolescents. To decrease risky behaviors among adolescents, it is important to address social determinants of health through preventive interventions at the individual, community, and societal levels. Potential interventions include stricter enforcement of gambling policies, increasing 
Figure: Number of crypto-based online casinos with each of the seven RG features.
*One operator was not rated because they did not require an email at registration.
**Two operators were not rated on this criteria.
Why do these findings matter?
These findings could help regulators, researchers, and policymakers understand the current landscape of crypto-based gambling. For example, it’s possible that youth might be engaging with these sites, leading to potential current and future gambling-harm. Other findings suggest that these operators’ RG practices often involve harmful or incorrect information regarding gambling safety, which might increase gambling-related harm instead of reducing or preventing it.
Every study has limitations. What are the limitations in this study?
The researchers did not make deposits or otherwise gamble on any of the crypto-based gambling sites, so they did not get the full customer experience. As such, it is possible that the researchers missed some of the sites’ features or that their records of the sites’ features contain inaccuracies. For example, though the study found that 39 sites offered access to an accounts gambling history, it is unknown whether these were accurate reports or how frequently they were updated. Additionally, despite reviewing 40 sites, this