Daniel T. Olason

An international perspective on youth gambling prevalence studies.

In the wake of rapid expansion of legal gambling internationally, studies of adolescent gambling involvement and problem gambling prevalence have been carried out in numerous jurisdictions. This paper reviews adolescent gambling prevalence studies that have been carried out in North America, Europe, and Oceania. Based on this review, work is clearly needed to assess the impact of survey methods on identified prevalence rates and to improve the measurement of problem gambling among adolescents. From a substantive perspective, several clear demographic and behavioral characteristics are associated with gambling involvement and problem gambling among youth. However, early assumptions about youth gambling and problem gambling must give way to more nuanced understandings of how these phenomena change in response to changes in the social and cultural environment. We may have traveled some distance down the road toward understanding the determinants as well as the distribution of youth gambling and problem gambling, but we still have a long way to go.

Prevalence Estimates of Gambling Participation and Problem Gambling among 16-18-year-old Students in Iceland: A Comparison of the SOGS-RA and DSM-IV-MR-J

The aim of this study was to estimate gambling participation and problem gambling among Icelandic adolescents. Participants were 750 16–18-year-old students, 371 girls and 379 boys. The rate of problem gambling was estimated with the SOGS-RA and DSM-IV-MR-J. Results indicated that 96% of adolescents had gambled in their lifetime, 79% at least once in the preceding year and about 10% gamble at least once a week. A psychometric evaluation of the two screening scales revealed satisfactory reliabilities and factor structures for both scales. The DSM-IV-MR-J identified 2% of the participants as problem gamblers while SOGS-RA identified 2.7%, and problem gambling was more common among boys than girls. It was concluded that problem gambling among adolescents is an area of concern for the Icelandic community that needs to be further investigated.

Validity of Type D personality in Iceland: association with disease severity and risk markers in cardiac patients

Type D personality has been associated with poor prognosis in cardiac patients. This study investigated the validity of the Type D construct in Iceland and its association with disease severity and health-related risk markers in cardiac patients. A sample of 1,452 cardiac patients completed the Type D scale (DS14), and a subgroup of 161 patients completed measurements for the five-factor model of personality, emotional control, anxiety, depression, stress and lifestyle factors. The Icelandic DS14 had good psychometric properties and its construct validity was confirmed. Prevalence of Type D was 26–29%, and assessment of Type D personality was not confounded by severity of underlying coronary artery disease. Regarding risk markers, Type D patients reported more psychopharmacological medication use and smoking, but frequency of previous mental problems was similar across groups. Type D is a valid personality construct in Iceland, and is associated with health-related risk markers, but not cardiac disease severity.

A new psychometric instrument assessing vulnerability to risk of suicide and self-harm behaviour in offenders: Suicide Concerns for Offenders in Prison Environment (SCOPE).

This study aimed to develop a new psychometric instrument to assess vulnerability to risk of suicide and nonfatal self-harm behaviour in young adult male and female offenders. In total three studies were conducted to assess the psychometric properties of the new instrument using both exploratory and confirmatory factor analysis in different samples. Participants in all three studies included a total of 1,166 young adult offenders across six Her Majestys Prisons. The new instrument, Suicide Concerns for Offenders in Prison Environment (SCOPE), contained 28 items scoring on two subscales. The factorial structure of the new instrument initially obtained with exploratory factor analysis was subsequently confirmed in a new sample. The internal consistency of the two subscales were acceptable but the test—retest reliability coefficients were moderate. Concurrent validation with the Beck Hopelessness Scale was acceptable and SCOPE showed the ability to discriminate between those at risk and those with no known history of attempted suicide and nonfatal self-harm behaviour ( p < 0.01).

Evaluation of the Psychometric Properties of the Icelandic Version of the Clinical Outcomes in Routine Evaluation–Outcome Measure, its Transdiagnostic Utility and Cross-Cultural Validation

BACKGROUND The development of transdiagnostic standardized measures of psychological distress have contributed to the development of practice-based evidence networks. The translation and validation of such measures cross culturally is important if such research is to be generalized across health care systems in different countries. METHOD Translation of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) from English into Icelandic was undertaken according to recommended protocols. The resulting instrument was evaluated for reliability and validity in three groups: patients undergoing psychological treatment in general practice (n = 289), psychiatric outpatients (n = 98) and student controls (n = 207). The Mini-International Neuropsychiatric Interview was administered to the clinical participants. They also completed the CORE-OM and the Beck depression and anxiety inventories before and after treatment. The transdiagnostic relationship between CORE-OM scores and scores on those diagnostic measures was assessed. RESULTS Good levels of validity, reliability and internal consistency were found for the CORE-OM and its domains and sensitivity to change over treatment shown. As anticipated, the risk domain had different characteristics than other domains. CORE-OM scores correlated strongly with both Beck Depression Inventory-Second edition and Beck Anxiety Inventory, particularly the problem domain. CONCLUSION The Icelandic translation of the CORE-OM is psychometrically sound and can be applied in Icelandic mental health studies as it has been in English speaking settings. Nevertheless, the validity of the Icelandic version of the CORE-OM needs to be further investigated in larger and more diverse samples. KEY PRACTITIONER MESSAGE The psychometric properties of the Icelandic version of the CORE-OM are comparable with the original English version. The results indicate transdiagnostic utility of the CORE-OM. The CORE-OM is a valuable instrument in outcome research on psychological treatment, specifically transdiagnostic treatment.

A new approach to assessing optimism: the development of a german version of the positive and negative expectancies questionnaire (paneq-g)

This study describes the construction and validation of a German version of the Positive and Negative Expectancies Scale, PANEQ-G, which is based on the original English version of the PANEQ. The German version showed the same factor structure as the original, comprising the three subscales of Negative Affectivity/Pessimism, Positive Affectivity/Optimism, and Fighting Spirit. The reliability data for the new scale were acceptable, and the factor structure was confirmed by means of a confirmatory factor analysis in an independent sample. As expected, concurrent validation uncovered substantial correlations of the three established scales. Negative Affectivity/Pessimism was related to Neuroticism and Positive Affectivity/Optimism was related to Extraversion. Fighting Spirit, the third scale, was related to Self-Efficacy and Conscientiousness. The PANEQ-G provides a reliable and valid instrument that can be used in conjunction with the original PANEQ for cross-cultural studies on Optimism and Pessimism. It also offers a new third component, Fighting Spirit, which can enrich research in this area.

Economic Recession Affects Gambling Participation But Not Problematic Gambling: Results from a Population-Based Follow-up Study

In October 2008, Iceland experienced the fastest and deepest financial crisis recorded in modern times when all three major banks went bankrupt in less than 2 weeks. The purpose of this follow-up study is to examine potential changes in participation in 12 different gambling types and in problem gambling before (time 1; year 2007) and after (time 2; year 2011) the economic collapse in 2008. The time between the first and second wave of data collection was 3.5 years. In total, 1,531 participants took part in the study, 688 males and 843 females. There was a considerable increase in past year gambling behavior from 2007 to 2011, mostly due to increased participation in lotto (National lotto and Viking lotto) but also in bingo, monthly lotteries (class lotteries with at least monthly draw) and scratch tickets. Only EGMs (electronic gaming machines) participation declined significantly between the two timepoints. Examining past year problematic gambling figures revealed that there were no changes in the prevalence figures between the year 2007 (1.2%) and 2011 (1.1%). Further examination revealed that those who reported financial difficulties due to the recession were more likely to buy lotto- or scratch tickets during the recession than those who were not financially affected by the crisis. These findings remained after controlling for background variables and baseline gambling activity (gambling in 2007). Overall, the findings of the follow-up study suggest that when people are experiencing financial difficulties during economic recessions, the possibility to improve their financial situation by winning large jackpots with low initial stakes becomes more enticing.

Subjective experiences following a diagnosis of Alzheimer's disease

accurately predicts driving safety. Methods: 45 patients at the Banner Alzheimer’s Institute received a driving test, either an on-road test or driving simulator. Analyses were conducted on the following variables to assess possible relationship of Passing, Failing, or Passing with Restrictions (PwR): age, sex, years of education, cognitive diagnosis, MMSE (total score and pentagons), MoCA (total score, trails, cube copy, and clock), informant concerns about driving, and location of driving test. Results: Univariate analyses demonstrate that patients in Pass, Fail, and PwR groups differed in terms of patient age (KW ANOVA p1⁄40.0312), MMSE-pentagon score (KW ANOVA p1⁄40.0279) and informant concerns about driving (Fisher’s exact p1⁄40.009). All other variables showed no significant difference (KWANOVA or Fisher’s exact p>0.05). In the pair-wise multiple comparison tests, patients in the Pass group showed a trend of having lower age than those in the Fail group (72.964.1 compared to 76.867.3, Multiple comparisons p1⁄40.061). MMSE-Pentagon score did not survive the multiple comparison tests (p>0.05). 91% of the patients who failed the driving test had informants with concerns for safety, compared to 38% of patients who passed (p1⁄40.000434, unadjusted for multiple comparison) and 38% who passed with restriction (p1⁄40.0407, unadjusted). Multivariate analysis with the General Classification and Regression Tree (GC&RT) created an algorithm (see figure) demonstrating that age, MMSE total score, MOCA-total score, MMSE-pentagon, MOCA-clock, and informant concerns with driving are useful in predicting outcome of the driving test. Conclusions: Further studies with larger population size are needed to help validate and improve the proposed algorithm to guide clinicians in determining driving safety in patients with dementia. Preliminary data suggest that age, MMSE total score, MOCA-total score, MMSE-pentagon, MOCA-Clock, and, informant concerns with driving may be associated with the driving test outcome.

Editorial: Problem Gambling: Summarizing Research Findings and Defining New Horizons

More than a decade ago, Shaffer et al. (2006) reported that gambling-related research was growing at an exponential rate. Since that time, this trend appears to have continued, and muchmore is now known about this particular form of risky behavior. Nevertheless, there is still a general tendency to not perceive gambling as a potential danger for youth and other vulnerable populations. The latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) included “gambling disorder” as the only condition in the section “non-substance-related disorders.” Moreover, it was specified that this disorder can indeed occur in adolescence, young adulthood or even late adulthood. Despite this fact, theoretical and applied research on problem gambling especially with regard to adolescence and other risk groups still remains fragmentary. For this reason, we felt it to be important to organize a special research topic on gambling. The primary goals were to highlight the necessity of considering excessive gambling as a potential harmful activity, to summarize the state-of-art of international research on different aspects of the topic and to offer important novel findings relevant for advancing knowledge in the field of gambling. Taken together, the contributions can be classified into four broad categories: (1) youth gambling, (2) risk factors in adulthood, (3) measurement issues, and (4) clinical research.