Titre : | Gambling transitions among adult gamblers: A multi-state model using a Markovian approach applied to the JEU cohort |
Auteurs : | BRUNEAU M ; GRALL BRONNEC M ; J.L. VENISSE ; L. Romo ; M. VALLEUR ; D. MAGALON ; FATSEAS M ; I. CHEREAU ; Amandine Luquiens ; BOUJU G ; J-B. HARDOUIN |
Année de publication : | 2016 |
Note générale : | Addictive Behaviors 57 (2016) 13-20 |
Langues: | Anglais |
Mots-clés : |
SANTEPSY ADULTE ; ANXIETE ; JEU PATHOLOGIQUE ; TROUBLE DE L'ATTENTION ; VULNERABILITE |
Résumé : |
Introduction: The aimof this paper is to study transitions between two states of gambling in adulthood (problem gambling and non-problem gambling) and to identify factors that might influence these transitions. Methods: Data for this 2-year long longitudinal study were collected in a French Outpatient Addiction Treatment Center, in gambling establishments and through the press. Both problem gamblers and non-problem gamblers were evaluated using a structured interview and self-report questionnaires. The statistical analysis was carried out using a Markovian approach. Results: The analyzed cohort consisted of 304 gamblers with 519 observed transitions. Participants with no past year gambling problems (based on the DSM-IV) had a probability of about 90% of also having no past-year gambling problems at the following assessment, whereas the observed percentage of problemgamblers transitioning to non-problemgambling was of 48%. We reported (i) vulnerability factors of transitioning to problem gambling (such as an anxiety disorder or an Attention Deficit Hyperactivity Disorder (ADHD) during the childhood), (ii) protective factors for non-problem gamblers, (iii) recovery factors (such as ongoing treatment and younger age) and (iv) persistence factors of a gambling problem (such as a persistent ADHD). Conclusions: The status of problem gambler is unstable over time, whereas we found stability among non problem gamblers. Our findings suggest the existence of vulnerability and protective factors in gambling. These results lead to think about preventive actions and adaptive care, such as cognitive-behavioral therapy or researching gambling problems in people with an anxiety disorder or ADHD. |
Exemplaires (1)
Localisation | Cote | Emplacement | Support | Section | Disponibilité |
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Hôpital Marmottan | Bibliothèque virtuelle 1080 | Hôpital Marmottan | Périodique | Jeu pathologique | Disponible |