Gambling-related Attitudes and Dimensional Structure of the GABS-15 in Outpatient Addiction Care Patients: Associations with Gambling Disorder

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2024 Nov 5

PMID 39497897

Authors

Andreas M Bickl

Johanna K Loy

Ludwig Kraus

Bettina Grune

Eva Hoch

Larissa Schwarzkopf

Affiliations

Soon will be listed here.

Abstract

Introduction: Individuals with gambling disorder (GD) harbor cognitive distortions and dysfunctional beliefs about gambling that may foster problematic gambling behaviour. Evidence on particularly detrimental attitudes and beliefs is however lacking. To close this knowledge gap, we analysed associations between gambling attitudes and beliefs (Gambling Attitudes and Beliefs Survey (GABS-15)) and severity of gambling disorder (DSM-5 criteria met) in a German cohort of 123 individuals receiving outpatient gambling treatment.

Methods: Data from the "Katamnese-Study" covering a 36-months timeframe with 5 assessment points was pooled. The multidimensional structure of the GABS-15 was examined using explorative and confirmatory factor analyses, followed by mixed-effect regression models using different operationalizations of the GABS-15.

Results: A three-factorial structure comprising "attitudes while gambling", "sensation-seeking / excitement", and "gambling fallacies" demonstrated better fit indices than the GABS-15 sum score. Only the "gambling fallacies " factor (1.00, p<0.05; 15.36, p < 0.01) was significantly associated with increased severity of GD.

Discussion: As a one-dimensional conceptualization of gambling-related attitudes and beliefs might not sufficiently guide staff of outpatient treatment facilities regarding priority setting in gambling care, evidence on attitudes with particularly detrimental associations is highly warranted. Here, focussing on mitigating "gambling' fallacies" by tailored treatment strategies appears promising.

References

Bickl A, Schwarzkopf L, Loy J, Grune B, Braun-Michl B, Sleczka P . Changes in gambling behaviour and related problems in clients seeking help in outpatient addiction care: Results from a 36-month follow-up study in Bavaria. J Behav Addict. 2021; 10(3):690-700. PMC: 8997214. DOI: 10.1556/2006.2021.00043. View

Toneatto T, Blitz-Miller T, Calderwood K, DRAGONETTI R, Tsanos A . Cognitive distortions in heavy gambling. J Gambl Stud. 2003; 13(3):253-66. DOI: 10.1023/a:1024983300428. View

Leonard C, Williams R, McGrath D . Gambling fallacies: Predicting problem gambling in a national sample. Psychol Addict Behav. 2021; 35(8):939-947. DOI: 10.1037/adb0000673. View

Muller K, Dreier M, Beutel M, Wolfling K . Is Sensation Seeking a correlate of excessive behaviors and behavioral addictions? A detailed examination of patients with Gambling Disorder and Internet Addiction. Psychiatry Res. 2016; 242:319-325. DOI: 10.1016/j.psychres.2016.06.004. View

Kim H, Ku B, Kim J, Park Y, Park Y . Confirmatory and Exploratory Factor Analysis for Validating the Phlegm Pattern Questionnaire for Healthy Subjects. Evid Based Complement Alternat Med. 2016; 2016:2696019. PMC: 4804052. DOI: 10.1155/2016/2696019. View

Oei T, Gordon L . Psychosocial factors related to gambling abstinence and relapse in members of gamblers anonymous. J Gambl Stud. 2007; 24(1):91-105. DOI: 10.1007/s10899-007-9071-7. View

Stinchfield R . Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. Am J Psychiatry. 2002; 160(1):180-2. DOI: 10.1176/appi.ajp.160.1.180. View

Leonard C, Williams R . The relationship between gambling fallacies and problem gambling. Psychol Addict Behav. 2016; 30(6):694-704. DOI: 10.1037/adb0000189. View

Strong D, Daughters S, Lejuez C, Breen R . Using the Rasch model to develop a revised Gambling Attitudes and Beliefs Scale (GABS) for use with male college student gamblers. Subst Use Misuse. 2004; 39(6):1013-24. DOI: 10.1081/ja-120030897. View

10.

Fortune E, Goodie A . Cognitive distortions as a component and treatment focus of pathological gambling: a review. Psychol Addict Behav. 2011; 26(2):298-310. DOI: 10.1037/a0026422. View

11.

Joukhador J, Blaszczynski A, Maccallum F . Superstitious beliefs in gambling among problem and non-problem gamblers: preliminary data. J Gambl Stud. 2004; 20(2):171-80. DOI: 10.1023/B:JOGS.0000022308.27774.2b. View

12.

Kallmen H, Andersson P, Andren A . Are irrational beliefs and depressive mood more common among problem gamblers than non-gamblers? A survey study of Swedish problem gamblers and controls. J Gambl Stud. 2008; 24(4):441-50. DOI: 10.1007/s10899-008-9101-0. View

13.

Thai H, Mentre F, Holford N, Veyrat-Follet C, Comets E . A comparison of bootstrap approaches for estimating uncertainty of parameters in linear mixed-effects models. Pharm Stat. 2013; 12(3):129-40. DOI: 10.1002/pst.1561. View

14.

Ladouceur R . Perceptions among pathological and nonpathological gamblers. Addict Behav. 2004; 29(3):555-65. DOI: 10.1016/j.addbeh.2003.08.025. View

15.

Rockloff M, Hing N . The impact of jackpots on EGM gambling behavior: a review. J Gambl Stud. 2012; 29(4):775-90. DOI: 10.1007/s10899-012-9336-7. View

16.

Goodie A, Fortune E . Measuring cognitive distortions in pathological gambling: review and meta-analyses. Psychol Addict Behav. 2013; 27(3):730-43. DOI: 10.1037/a0031892. View

17.

Gehlenborg J, Moritz S, Bucker L . The Dimensional Structure of the Gambling Attitudes and Beliefs Survey: Challenging the Assumption of the Unidimensionality of Gambling-Specific Cognitive Distortions. J Gambl Stud. 2022; 39(1):75-86. PMC: 9981534. DOI: 10.1007/s10899-022-10133-7. View

18.

Abbott M . The changing epidemiology of gambling disorder and gambling-related harm: public health implications. Public Health. 2020; 184:41-45. DOI: 10.1016/j.puhe.2020.04.003. View

19.

Sulkunen P, Babor T, Cisneros Ornberg J, Egerer M, Hellman M, Livingstone C . Setting Limits: Gambling, Science and Public Policy-summary of results. Addiction. 2020; 116(1):32-40. DOI: 10.1111/add.15241. View

20.

Chiu J, Storm L . Personality, perceived luck and gambling attitudes as predictors of gambling involvement. J Gambl Stud. 2009; 26(2):205-27. DOI: 10.1007/s10899-009-9160-x. View