Annie Goulet

‘How Much Do You Spend Gambling?’: Ambiguities in Questionnaire Items Assessing Expenditure

Expenditure is a dependent variable frequently used in gambling research to index involvement and intensity. However, as a previous study found, self-reported expenditure estimates are ambiguous and imprecise. This paper attempts to (a) replicate the original study, and (b) investigate if specific instructions on methods used to calculate expenditure lead to differences in reported estimates in response to the question, ‘How much money do you spend gambling?’ A total of 637 participants were randomly assigned to one of three groups: Group 1 with no instructions; Groups 2 and 3 with instructions on calculating net and turnover. Results revealed that when heuristics were not specified, half the sample used net expenditure and the remainder used turnover. When heuristics were clearly specified, 30% failed to comply with instructions in calculating estimates. Results undermine the validity of reported gambling expenditure data and support the need for clear instructions on methods used to calculate expenditure.

Prevention programmes for youth gambling: a review of the empirical evidence

This paper critically reviews the existing literature on the effectiveness of gambling prevention programmes for youth. Two categories of preventive strategies, all universal and most school-based, are presented: gambling-specific prevention programmes and gambling and related skills workshops. The age of the participants across the different studies varied from 9 to 20 years. Results show that programmes in both categories are generally effective in reducing misconceptions and increasing knowledge about gambling. However, a lack of long-term follow-ups and of behavioural measures makes it difficult to draw any clear conclusions about the effectiveness of such programmes. Recommendations are presented to improve the development and evaluation of future prevention programmes for youth gambling.

Using Virtual Reality in the Treatment of Gambling Disorder: The Development of a New Tool for Cognitive Behavior Therapy

Virtual reality (VR) can be used in the treatment of gambling disorder to provide emotionally charged contexts (e.g., induce cravings) where patients can practice cognitive behavior therapy (CBT) techniques in the safety of the therapist’s office. This raises practical questions, such as whether the cravings are sufficient to be clinically useful but also manageable enough to remain clinically safe. Pilot data are also needed to test the development of a treatment manual and prepare large randomized control trials. This paper reports on three studies describing (a) cravings induced in VR compared to real gambling and a control game of skill with no money involved (N = 28 frequent gamblers and 36 infrequent gamblers); (b) the usefulness of a treatment protocol with only two CBT sessions using VR (N = 34 pathological gamblers); and (c) the safety of a four-session treatment program of CBT in VR (N = 25 pathological gamblers). Study 1 reveals that immersions in VR can elicit desire and a positive anticipation to gamble in frequent gamblers that are (a) significantly stronger than for infrequent gamblers and for playing a control game of skill and (b) as strong as for gambling on a real video lottery terminal. Study 2 documents the feasibility of integrating VR in CBT, its usefulness in identifying more high-risk situations and dysfunctional thoughts, how inducing cravings during relapse prevention exercises significantly relates to treatment outcome, and the safety of the procedure in terms of cybersickness. Results from Study 3 confirm that, compared to inducing urges to gamble in imagination, using VR does not lead to urges that are stronger, last longer, or feel more out of control. Outcome data and effect sizes are reported for both randomized control pilot trials conducted in inpatient settings. Suggestions for future research are provided, including on increasing the number of VR sessions in the treatment program.

Electronic gambling machine gamblers’ characteristics vary according to the type of gambling venue: a Canadian study

Abstract The goal of this study was to improve the common knowledge on the connections between problem gambling and environmental settings. A cross-sectional design was used to compare two types of electronic gambling machine (EGM) users in terms of gamblers’ self-reported behaviours, perceptions, motivations and preferences according to the type of venue they gambled in. Sixty-six volunteers who gambled in a gambling hall containing 335 EGMs were compared to volunteers (n = 143) who gambled in small venues containing either 5 or 10 EGMs. All venues were located in areas with similar socio-economic status. Face-to-face survey-like interviews were conducted on site by trained assistants. Interviews comprised 83 items (fixed response and short open-ended questions). Gamblers’ varied according to the type of venue on (a) socio-demographic variables; (b) correlates of gambling problems; (c) self-reported gambling behaviours, perceptions and motivations; and (d) venue characteristics influencing their choice of venue. Small venue gamblers reported more characteristics associated with problem gambling and are about four times more likely to be associated with problem gambling than gambling hall patrons. Decision-makers should consider the venue specific players’ profiles outlined in this manuscript, and appreciate their possible use in appropriate responsible gambling measures and prevention/treatment programmes.

Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review

Online interventions for gambling, alcohol, and illegal drug related problems have been developing at a fast pace over the past decade. Yet, little is known about the content and efficacy of interventions provided entirely online for reducing drug/alcohol use and gambling, or about the characteristics of those who use these interventions. This systematic review aims to describe the characteristics of online interventions, their efficacy, and the profile of their clientele. Documentation was mainly obtained through four scientific databases in psychology, technology, and medical research (PsychINFO, MedLine, Francis, and INSPEC) using three keywords (substances or gambling, intervention, Internet). Of the 4,708 documents initially identified, 18 studies meeting admissibility criteria were retained and analyzed after exclusion of duplicates and non-relevant documents. No study in the review related to problem gambling. The majority of interventions were based upon motivational or cognitive-behavioral theoretical approaches and called upon well-established therapeutic components in the field of addictions. The participants in these studies were generally adults between 30 and 46 years old with a high school education and presenting a high risk or problematic use. More than three quarters of the studies showed a short-term decrease in use that was maintained 6 months later, but only two studies included a 12 months follow-up. Online interventions seem promising and appear to meet the needs of participants who are in the workforce and seeking help for the first time. Long-term efficacy studies should nonetheless be conducted.