![]() Researchers have sought to understand whether particular forms of gambling are more ‘risky’ or conducive of problem gambling behavior than others in an effort to inform gambling regulation and problem gambling prevention and treatment services. In Massachusetts, participating in casino gambling was more closely associated with problem gambling than other formats across all levels of involvement.Īs governments expand the availability of gambling options to their populations, there has been an increasing interest in problem gambling as a public health issue. ![]() Ultimately, the type of gambling format an individual partakes in does mediate the relationship between problem gambling and involvement. We also found that the level of involvement (and its relationship to intensity) may affect the likelihood that an individual will experience problematic gambling behavior. The gambling format an individual participates in is connected to whether an individual is likely to experience problem gambling. Specific gambling formats mediated the relationship between involvement and problem gambling. Therefore, intensity of gambling may be partly driving the relationship between involvement and problem gambling. Gambling involvement was also positively associated with intensity of gambling. High gambling involvement was also positively associated with problem gambling however, a large minority of gamblers experienced problems when engaging in only one or two forms of gambling. Groups of monthly gamblers participating in casino gambling, bingo, and sports betting contained a higher proportion of problem gamblers. We assessed: 1) whether some gambling formats are more related to problem gambling 2) whether problem gambling is positively related to high involvement in gambling 3) the relationship between involvement in gambling and intensity of gambling and 4) whether gambling formats mediate the relationship between gambling involvement and problem gambling. Within the sample, there were 446 problem gamblers. The Problem and Pathological Gambling Measure was used to classify gambling behavior. Only those who gambled regularly in the past 12 months ( n = 5852) were included. All participants were administered the same comprehensive survey of their past year gambling behavior and problem gambling symptomology. The BGPS contains a representative sample of 9523 Massachusetts adults and the BOPS contains a sample of 5046 Massachusetts adults. MethodĪnalyses utilized the Baseline General Population Survey (BGPS) and the Baseline Online Panel Survey (BOPS) of Massachusettscollected in 2013–2014. This debate has important implications for the regulation of gambling formats and for the allocation of problem gambling prevention and treatment services. Conflicting evidence, however, has emerged, suggesting that the most important consideration is involvement (i.e., number of gambling formats an individual participates in). Research has found that some formats of gambling are more closely linked to problem gambling than others. In summary, the NODS shows promise as an outcome measure of gambling problems.The recognition of problem gambling as a public health issue has increased as the availability of gambling expands. The NODS, as designed, provided a more strict definition of disordered gambling than the SOGS. ![]() ![]() The total score also correlated highly with the total score of the South Oaks Gambling Screen (SOGS) although the NODS and SOGS categorization of nonproblem, problem, and pathological gamblers showed poor agreement. The NODS total score correlated moderately with gambling behavior and outcome as predicted. Internal reliability was fair to good and the factor structure and item-total correlations supported the existence of a single construct with three subfactors, measuring negative behavioral consequences, preoccupation and impaired control over gambling and tolerance, and withdrawal and relief gambling. The NODS was administered to problem gamblers as part of a 1-year follow-up after a brief treatment. The National Opinion Research Center DSM Screen for Gambling Problems (NODS), a population-based telephone-screening tool to identify gambling problems according to DSM-IV criteria, was examined as a potential outcome measure for gambling treatment studies.
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