Impulsivity and Gambling Type Among Treatment-Seeking Disordered Gamblers: An Explorative Study

Several studies have found that certain traits of impulsivity are associated with gambling disorder, and influence its severity. Furthermore, it has been suggested that some forms of gambling, particularly electronic gambling machines, are particularly widespread among pathological gamblers. In the present, exploratory study, we aim to clarify the role played by impulsivity in influencing the choice of specific gambling activities, by examining the relation between individual dimensions of impulsivity, and the choice of specific gambling activities in a clinical population. 100 consecutively admitted pathological gamblers at the National Problem Gambling Clinic in London (UK) in 2014 were administered the UPPS-P and BIS-11 impulsivity questionnaires, the Problem Gambling Severity Index, and underwent a structured interview concerning their gambling activities in the month and year prior to assessment. The correlation between individual gambling activities and impulsivity dimensions was analyzed both at a bivariate level, and using logistic regression. We found a significant correlation between Negative Urgency, Motor impulsivity and low-stakes machine gambling on multivariate analysis. Negative urgency (i.e. the tendency to act impulsively in response to negative affect), and Motor impulsivity (a tendency to rash action and restlessness) might be mediating factors in the choice of electronic gambling machines, particularly among patients whose gambling is escape-oriented. Structural and situational characteristics of gambling machines, particularly the widespread availability of low-stakes-rather than high-stakes-gaming machines, might concur to the choice of this form of gambling among individuals who present higher negative urgency and restlessness.

Gambling machine annexes as enabling spaces for addictive engagement

The widespread proliferation of electronic gambling machines and improvements to their design have contributed to rising levels of gambling-related harm including harms associated with addictive behaviour and other impacts on health and wellbeing. Research into their addictive potential has focused mainly on the interface between gamblers and the machines themselves. We shift the focus onto the spatial contexts, the rooms and the venues, in which gambling machines are positioned. By examining a series of common layouts we identify the division of venues into two main areas: one for the main social activities of the venue (the "main hall") and the other a partitioned area (the "annex") in which gambling machines are tightly clumped in ways that discourage social interaction. Other features of the annex that encourage uninterrupted and solitary play include the absence of tables to socialize around, dimmed lighting and entry pathways that minimize scrutiny. We argue that these features promote a style of play more oriented towards heavy and problematic gambling. We also explore explanations for the nature of these annexes and discuss implications for public health.