Gambling onset and progression in a sample of at-risk gamblers from the general population

Gambling onset and progression in a sample of at-risk gamblers from the general population

Author Carneiro, Elizabeth Google Scholar
Tavares, Hermano Google Scholar
Sanches, Marcos Google Scholar
Pinsky, Ilana Autor UNIFESP Google Scholar
Caetano, Raul Google Scholar
Zaleski, Marcos Google Scholar
Laranjeira, Ronaldo Autor UNIFESP Google Scholar
Institution Inst Nacl Ciencia & Tecnol Polit Alcool & Outras
Addict & Other Impulse Control Disorders Unit
Universidade de São Paulo (USP)
Ipsos Reid
Universidade Federal de São Paulo (UNIFESP)
Univ Texas Dallas
Universidade Federal de Santa Catarina (UFSC)
Abstract The goal of this study was to investigate gambling-related behavior, onset and progression in a sample of at-risk gamblers from the community. A national household survey was conducted in Brazil, covering individuals 14 years old or older. Subjects were screened for at-risk gambling, those testing positive answered a questionnaire about gambling progression, preferred games and DSM-IV pathological gambling criteria. Out of 3007 respondents, 118 were considered at-risk gamblers according to the Lie/Bet Questionnaire. According to the DSM-IV, 32.7% and 24.9% of those were considered problem and pathological gamblers, respectively. Early at-risk gamblers (onset prior to 20 years of age), were more likely to be male, to prefer non-commercially structured games, and to chase losses while gambling. Young pathological gamblers (under 35 years of age) progressed faster from regular to problem gambling (roughly 2 years) than mature pathological gamblers (12 years). Such findings had not been described before because previous reports focused mostly on clinical samples that lack young, male, early-onset gamblers. Gambling programs have not satisfactorily covered this segment of gamblers. Outreach strategies and early interventions should be provided to prevent these individuals from rapidly evolving into pathological gambling. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
Keywords Pathological gambling
Gambling trajectory
Community sample
Gambling sub-population
Language English
Sponsor Brazilian Secretaria Nacional Antidrogas (SENAD, National Agency on Drug Dependence)
Grant number Brazilian Secretaria Nacional Antidrogas (SENAD, National Agency on Drug Dependence): 017/2003
Date 2014-05-30
Published in Psychiatry Research. Clare: Elsevier B.V., v. 216, n. 3, p. 404-411, 2014.
ISSN 0165-1781 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 404-411
Origin http://dx.doi.org/10.1016/j.psychres.2014.01.035
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000336109800017
URI http://repositorio.unifesp.br/handle/11600/37786

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