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Abstract
In this article, the authors provide clinical recommendations for addressing issues frequently encountered with gamblers during the course of cognitive treatment. The main clinical topics covered are ambivalence toward abstinence, denial of the gambling problem, lying, and relapse prevention strategies. The authors begin the article with a brief review of the gambling literature, after which they present the case of a 53-year-old gambler to illustrate clinical interventions. Clinical recommendations also are offered.
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Jiménez-Murcia S, Fernández-Aranda F, Granero R, Menchón JM. Gambling in Spain: update on experience, research and policy. Addiction 2014; 109:1595-601. [PMID: 23718704 DOI: 10.1111/add.12232] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2012] [Revised: 12/28/2012] [Accepted: 04/23/2013] [Indexed: 11/27/2022]
Abstract
AIMS To describe the current situation of gambling in Spain, sketching its history and discussing the regulations and legislation currently in force within the framework of the European Union (EU), and to review the epidemiology of gambling in Spain, the self-help groups and professional treatments available, and their potential effectiveness. METHODS A systematic computerized search was performed in three databases (EMBASE, PubMed and PsychINFO, including articles and chapters) and the reference lists from previous reviews to obtain some of the most relevant studies published up to now on the topic of pathologic gambling in Spain. RESULTS Similar to other EU countries, Spain has a high prevalence of pathologic gambling, focused on specific culturally bounded types of gambling. Expenditure in online gaming has risen significantly in the last few years, prompting the Spanish government to draft new legislation to regulate gaming. CONCLUSIONS The gaming industry is expected to be one of the fastest growing sectors in Spain in the coming years owing to the rise of new technologies and the development of online gaming.
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Affiliation(s)
- Susana Jiménez-Murcia
- Pathological Gambling Unit, Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Clinical Science Department, School of Medicine, University of Barcelona, Barcelona, Spain; CIBER Fisiopatologia Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Barcelona, Spain
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Prevalence surveys of problem and pathological gambling in Europe: The cases of Germany, Holland and Spain. J Gambl Stud 2013; 12:179-92. [PMID: 24233915 DOI: 10.1007/bf01539173] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In the 1960s and 1970s, many European countries legalized several forms of gambling, especially slot machines, lotteries, casinos and bingo, in order to control illegal gambling and to obtain tax revenues for government. In this paper, we examine the status of research on problem and pathological gambling in three European countries: Germany, Holland and Spain. The results of the studies as well as the relationship between these studies and the expanding gaming industries, attitudes toward gambling in the general population, and the regulation and control of gaming in each country are discussed.
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Anderson C, Cowlishaw S, Dowling N, Jackson A, Lorains F, Merkouris S, Misso ML, Radermacher H, Thomas S. Pharmacological interventions for the treatment of pathological and problem gambling. THE COCHRANE DATABASE OF SYSTEMATIC REVIEWS 2011. [DOI: 10.1002/14651858.cd008936] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Christopher Anderson
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
| | - Sean Cowlishaw
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
| | - Nicki Dowling
- University of Melbourne; Problem Gambling Research and Treatment Centre, Melbourne Graduate School of Education; Old Geology Building Parkville Victoria Australia 3010
| | - Alun Jackson
- University of Melbourne; Problem Gambling Research and Treatment Centre, Melbourne Graduate School of Education; Old Geology Building Parkville Victoria Australia 3010
| | - Felicity Lorains
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
| | - Stephanie Merkouris
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
| | - Marie L Misso
- Monash Unversity; School of Public Health & Preventive Medicine; Monash Medical Centre Locked Bag 29, Clayton Melbourne Victoria Australia 3168
| | - Harriet Radermacher
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
| | - Shane Thomas
- Monash University; Problem Gambling Research and Treatment Centre, Faculty of Medicine, Nursing and Health Sciences; Building 1 270 Ferntree Gully Rd, Notting Hill Melbourne Victoria Australia 3168
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Orford J, Griffiths M, Wardle H, Sproston K, Erens B. Negative public attitudes towards gambling: findings from the 2007 British Gambling Prevalence Survey using a new attitude scale. INTERNATIONAL GAMBLING STUDIES 2009. [DOI: 10.1080/14459790802652217] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Harrigan KA. Slot machine structural characteristics: Distorted player views of payback percentages. JOURNAL OF GAMBLING ISSUES 2007. [DOI: 10.4309/jgi.2007.20.7] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This paper presents a sample three-reel three-coin slot machine game with a bonus for three coins, and a true payback percentage of 85.6% when one or two coins are wagered and 92.5% when three coins are wagered. The player sees the winning or losing combination of three symbols on the payline as well as (a) the physical reels as they scroll by and (b) what is just above and just below the payline at the end of play. An analysis of this game shows that observing the physical reels and what is just above and just below the payline indicates that the slot machine would lose money, and thus the player would make money, as the game would have a payback percentage in the range of 192%-486% if this reflected reality. The paper concludes by discussing the results of the analysis in terms of gaming regulations and problem gambling.
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Fernández-Alba A, Labrador FJ. Sociodemographic, Psychopathological and Clinical Characteristics of Pathological Slot-Machine Gamblers in Treatment: A Descriptive Study of Spanish Male Gamblers. INTERNATIONAL GAMBLING STUDIES 2005. [DOI: 10.1080/14459790500098051] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
BACKGROUND There is a general view that electronic gaming is the most 'addictive' form of gambling, in that it contributes more to causing problem gambling than any other gambling activity. As such, electronic gaming machines have been referred to as the 'crack-cocaine' of gambling. While this analogy has popular appeal, it is only recently that the scientific community has begun to investigate its validity. In line with the belief that electronic gambling has a higher 'addictive' potential than other forms of gambling, research has also begun to focus on identifying the characteristics of gaming machines that may be associated with problem gambling behaviour. AIMS AND METHODS This paper will review the different types of modern electronic gaming machines, and will use the introduction of gaming machines to Australia to examine the association between electronic gaming and problem gambling, with particular reference to the characteristics of modern electronic gaming machines. FINDINGS AND CONCLUSIONS Despite overwhelming acceptance that gaming machines are associated with the highest level of problem gambling, the empirical literature provides inconclusive evidence to support the analogy linking electronic gaming to 'crack-cocaine'. Rigorous and systematic evaluation is required to establish definitively the absolute 'addictive' potential of gaming machines and the degree to which machine characteristics influence the development and maintenance of problem gambling behaviour.
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Affiliation(s)
- Nicki Dowling
- School of Health Sciences, RMIT University, Bundoora, Australia.
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Abstract
Due to recent changes of gambling laws, accessibility to gambling has become more widespread and thus, there has also been an increase in the prevalence of pathological gambling (PG). The wide range of social, economic, and psychological problems associated with PG are well known. There is a need for better understanding of PG and this review attempts to do so. Literature searches using the Medline and PsycINFO databases were used. Critical examining of the literature showed that familial/genetic, sociological, and individual factors (e.g., an individual's personality, biochemistry, psychological states, and cognitions) are implicated in the development and maintenance of PG, yet at present, the evidences are not solid. Similarly, there have been a lot of theories for PG but again, none of them are solid enough to provide a clear understanding of PG. Recent psychological-based theories seem to provide some solid ground for further research. We highlight four areas for future consideration for research. (1) Most studies have generalized findings from one form of gambling to another. It is suggested that it is now not tenable to consider gambling as a single phenomenon that can explain all forms of gambling. (2) Almost all of the studies in the gambling literature are Western-based and the results are often generalized to other ethnic and cultural groups. There is now an urgent need to close this gap. (3) Future studies need to address methodological problems in the current gambling/PG literature. (4) Almost all of the gambling literature has focused on the issue of why people start gambling. It is suggested that looking at variables as to why people stop gambling in a single episode may be a more fruitful area of research then why people start gambling. This is because what motivates one to continue gambling, despite losses in a session and across sessions, is a characteristic that distinguishes nonproblem gamblers from problem gamblers and pathological gamblers (PGs).
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Affiliation(s)
- Namrata Raylu
- School of Psychology, University of Queensland, Brisbane, Queensland, 4072, Australia
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Sanz J. The decade 1989-1998 in Spanish psychology: an analysis of research in personality, assessment, and psychological treatment (clinical and health psychology). THE SPANISH JOURNAL OF PSYCHOLOGY 2001; 4:151-81. [PMID: 11723640 DOI: 10.1017/s1138741600005734] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The aim of this study is to analyze Spanish research published between 1989 and 1998 in clinical psychology and its most directly related psychological disciplines: personality psychology, psychopathology, differential psychology, health psychology, and psychological assessment. A search was performed in the various databases of the works published in that decade by Spanish university professors who investigate in these areas. Their localization was verified by direct correspondence with the professors, to whom was also sent a questionnaire to evaluate their research field and preferred theoretical approach. The 2,079 works located allowed me to identify 85 different research trends. These research trends are characterized by the predominance of applied studies over basic studies, of empirical research over theoretical research, and of the cognitive-behavioral approach over the rest of the theoretical orientations. In addition, various bibliometrical indicators of production, dissemination, and impact were calculated. They revealed that productivity and dissemination of Spanish research in these areas grew considerably during this 1989-98 period.
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Affiliation(s)
- J Sanz
- Complutense University of Madrid.
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Abstract
Several studies have shown a high prevalence of pathological gamblers among adults in Spain (between 1.5% and 1.7%) of the population (18 years and older). In other countries the prevalence of pathological gambling in children and adolescents has been higher than in adults. Here some results of the first studies conducted in Spain concerning the prevalence of pathological gambling in school children and adolescents (11-16 years) are presented for two cities located in different northern regions of Spain, A Coruña (Galicia) and Gijon (Asturias), with representative samples of school children. The prevalence was 2.2% (n = 1,200) and 1.6% (n = 2,185), respectively, for the use of slot machines, using the 1993 DSM-IVJ Questionnaire of Fisher, and 2.4% in the first city with the South Oaks Gambling Screen-Revised Adolescent for all types of gambling. The analyses suggest there is an emerging problem among children and adolescents in Spain perhaps leading to an increased number of pathological gamblers as adults.
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Affiliation(s)
- E Becoña
- University of Santiago de Compostela, Faculty of Psychology, Department of Clinical Psychology & Psychobiology, Galicia, Spain
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BECONA ELISARDO. PATHOLOGICAL GAMBLING IN SPANISH CHILDREN AND ADOLESCENTS: AN EMERGING PROBLEM. Psychol Rep 1997. [DOI: 10.2466/pr0.81.5.275-287] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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