1
|
Sacco P, Jeong J. Assessing the risk of problem gambling among lottery loyalty program members: A machine learning approach. Addict Behav 2025; 168:108372. [PMID: 40367680 DOI: 10.1016/j.addbeh.2025.108372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2024] [Revised: 04/09/2025] [Accepted: 04/23/2025] [Indexed: 05/16/2025]
Abstract
BACKGROUND AND AIMS Lottery gambling is a relatively benign form of gambling. Nonetheless, individuals with gambling problems may engage in lottery play and/or play the lottery exclusively. Lottery loyalty programs have data that could be used to screen for problem gambling, as they collect information on demographics and ticket purchases from players who sign up to receive incentives. The current study evaluates the feasibility of machine learning to identify individuals who have gambling problems using data collected from a state lottery loyalty program. METHODS Data from ticket uploads was merged with an online survey sent to loyalty program participants (N = 5903). The Problem Gambling Severity Index (PGSI) was used to screen for problem gambling, with a five or greater denoting problem gambling (n = 809; 14%). Other survey items queried frequency of other gambling (e.g., casino slot machine) as well as amounts spent. Random forests analysis, a predictive modeling technique, was used to predict individuals who have gambling problems. DISCUSSION AND CONCLUSIONS Problem gambling was more common among loyalty program players than typical in population samples. The random forest algorithm performed fairly well overall, but sensitivity was poor, indicating that the model did not identify individuals with problem gambling effectively. Lottery loyalty programs may be a promising setting for screening and secondary prevention efforts because of relatively high prevalence of problem gambling, but random forests may not be the best approach for detecting those at risk.
Collapse
Affiliation(s)
- Paul Sacco
- University of Maryland, 525 West Redwood Street, Baltimore, MD 21201, United States.
| | - Jihyeong Jeong
- University of Maryland, 525 West Redwood Street, Baltimore, MD 21201, United States.
| |
Collapse
|
2
|
Delfabbro P, Parke J, Catania M. Assessing the Risk of Online Gambling Products: A Replication and Validation of Behavioural Markers of Harm Using the Problem Gambling Severity Index. J Gambl Stud 2024:10.1007/s10899-024-10363-x. [PMID: 39535585 DOI: 10.1007/s10899-024-10363-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2024] [Indexed: 11/16/2024]
Abstract
In this paper, we investigate the validity of objective operator data as proxy indicators for riskier gambling as based upon an independent self-report measure. Such work is important to strengthen the validity of gambling research involving objective behavioral indicators of harm used to detect higher risk gambling or product choices. To address these aims, a total of 21,464 individual customers from a single international operator completed the Problem Gambling Severity Index (PGSI). These data were then mapped to measures of player gambling activity and a range of objective behavioural markers of harm. The results confirmed that people scoring 8 + on the PGSI were found to have higher levels of gambling involvement (participation, days active and expenditure) on a range of gambling products, with differences generally larger for casino than wagering activities. Importantly, this group was also more likely to have a higher incidence of behavioural markers of harm (e.g., declined deposits). The data allowed for the replication of a previous study using such markers to detect differences in product risk, but further validated their use in a variety of analytical contexts by showing a concordance between self-reported and objective risk measures.
Collapse
Affiliation(s)
- Paul Delfabbro
- School of Psychology, University of Adelaide, Adelaide, Australia.
| | | | | |
Collapse
|
3
|
Dodig Hundric D, Lotar Rihtaric M, Mandić S, Ricijaš N. The Mediating Effect of Danger Invulnerability in the Relationship Between Sensation Seeking and Gambling Among University Students. J Gambl Stud 2024; 40:219-235. [PMID: 36593423 DOI: 10.1007/s10899-022-10179-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2022] [Indexed: 01/04/2023]
Abstract
The association between sensation-seeking and gambling is well established, yet the research on mediators of this relationship is limited. The proposed model of the present study includes sensation seeking as an antecedent variable, danger invulnerability as a mediator, and gambling frequency as an outcome variable.Self-report data obtained from a convenient sample of 641 university students aged 18-40 years (Mage = 21.25; F = 52.7%, M = 47.3%) were analysed. This study supported proposed hypothesis that both sensation seeking and danger invulnerability are in significant positive relation with the frequency of gambling. Moreover, the results show that tested mediation model fit the data well, and that danger invulnerability completely mediates the relationship between sensation seeking and gambling frequency, such that higher sensation seeking is related to higher danger invulnerability and higher danger invulnerability is related to higher gambling frequency. The model explained 42.4% of the variance in danger invulnerability and 32.7% of the variance in gambling frequency. This study underscores the importance of examining both the direct and indirect effects of different variables on gambling behaviour.
Collapse
Affiliation(s)
- Dora Dodig Hundric
- Department of Behavioural Disorders, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia.
| | - Martina Lotar Rihtaric
- Department of Criminology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
| | - Sabina Mandić
- Department of Behavioural Disorders, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
| | - Neven Ricijaš
- Department of Behavioural Disorders, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
| |
Collapse
|
4
|
Sohn YS, Son H. Online Gambling Patterns and Predictors of Problem Gambling Among Korean Adolescents During the COVID-19 Pandemic: A Cross-sectional Study. Asian Nurs Res (Korean Soc Nurs Sci) 2024; 18:20-27. [PMID: 38244980 DOI: 10.1016/j.anr.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 01/10/2024] [Accepted: 01/14/2024] [Indexed: 01/22/2024] Open
Abstract
PURPOSE This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model. METHODS It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13-18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis. RESULTS The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling. CONCLUSIONS The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.
Collapse
Affiliation(s)
- Young-Sil Sohn
- College of Nursing, Pusan National University, Republic of Korea
| | - Hyunmi Son
- College of Nursing, Research Institute of Nursing Science, Pusan National University, Republic of Korea.
| |
Collapse
|
5
|
Parental gambling frequency and adolescent gambling: A cross-sectional path model involving adolescents and parents. PLoS One 2023; 18:e0280996. [PMID: 36780466 PMCID: PMC9925005 DOI: 10.1371/journal.pone.0280996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 01/12/2023] [Indexed: 02/15/2023] Open
Abstract
INTRODUCTION Nowadays, most of the research studies in the field of adolescent gambling are focused on individual factors related to problem gambling. The aim of this study was to test an integrated model to explain adolescent problem gambling involving both individual (i.e., correct gambling knowledge, superstitious thinking, and gambling-related cognitive distortions) and environmental factors (i.e., parental gambling frequency). In detail, the aim was to better understand the role of parental gambling behavior on adolescents' gambling frequency and problem gambling severity, to draw indications for prevention. METHODS Participants were 680 parents (36% men; Mage = 48.32, SD = 6.14 years) of 680 high school students (51% boys; Mage = 15.51, SD = .55 years) attending the second year of different high schools in Tuscany (Italy). Data collection occurred within the school prevention program PRIZE (Prevention of gambling risk among adolescents). RESULTS A path model showed was conducted to detect direct and indirect effects from individual and environmental factors to gambling problem severity. Analyses showed that correct gambling knowledge and superstitious thinking were directly related-respectively in a negative and a positive direction-both to gambling-related cognitive distortions and adolescents' gambling frequency. Parental gambling frequency was directly associated with adolescents' gambling frequency. Correct gambling knowledge and superstitious thinking were indirectly related to adolescents' gambling problem severity through the mediational role of gambling-related cognitive distortions and gambling frequency. Parental gambling frequency was indirectly linked to gambling problem severity by passing through adolescents' gambling frequency. CONCLUSIONS The current cross-sectional results confirm that parental gambling behavior has an important role for adolescents' gambling behavior and severity. Thus, results highlight the need for innovative prevention programs which involve adolescents' adult reference figures and integrate the individual risk and protective factors with the environmental ones.
Collapse
|
6
|
Primi C, Donati M, Casciani O, De Luca O, Capitanucci D, Smaniotto R, Cabrini S, Avanzi M, Fiorin A, Bellio G, Giachero L, Baselice A, Iozzi A, Iraci Sareri G, Nower L. Measuring the pathways model through the gambling pathways questionnaire: the psychometric properties of the Italian version. INTERNATIONAL GAMBLING STUDIES 2022. [DOI: 10.1080/14459795.2022.2077975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- C. Primi
- NEUROFARBA, University of Florence, Florence, Italy
| | - M.A. Donati
- NEUROFARBA, University of Florence, Florence, Italy
| | - O. Casciani
- ASL Roma 1, Mental Health Department, Addiction Unit, Rome, Italy
| | - O. De Luca
- ASL Roma 1, Mental Health Department, Addiction Unit, Rome, Italy
| | - D. Capitanucci
- No Profit Association AND-Gambling and New Addictions, Gallarate, Italy
| | - R. Smaniotto
- No Profit Association AND-Gambling and New Addictions, Gallarate, Italy
| | - S. Cabrini
- Mental Health and Addiction Department (SER.DP) AUSL, National Health Service, Piacenza, Italy
| | - M. Avanzi
- Mental Health and Addiction Department (SER.DP) AUSL, National Health Service, Piacenza, Italy
| | - A. Fiorin
- National Health System Addictions Clinic, AULSS2, Treviso, Italy
| | - G. Bellio
- ALEA - Association for the study of gambling and risky behaviours, Italy
| | - L. Giachero
- S.S.D Behavioral Addiction, Department of Addictions, ASL città di Torino, Italy
| | | | - A. Iozzi
- UFC SerD Zona 1 Firenze, Azienda USL Toscana Centro, Florence, Italy
| | | | - L. Nower
- Center for Gambling Studies, Rutgers University, New Brunswick, New Jersey, USA
| |
Collapse
|
7
|
Giordano R, Donati MA, Zamboni L, Fusina F, Primi C, Lugoboni F. Alter Game: A Study Protocol on a Virtual "Serious Game" for Relapse Prevention in Patients With Gambling Disorder. Front Psychiatry 2022; 13:854088. [PMID: 35432033 PMCID: PMC9010883 DOI: 10.3389/fpsyt.2022.854088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 03/01/2022] [Indexed: 11/13/2022] Open
Abstract
Cognitive behavioral therapy (CBT) is the most successful protocol in gambling disorder (GD) treatment. However, it presents some weaknesses, especially concerning relapse prevention (RP). RP is one of the most important therapeutic steps, aiming at managing cravings and to avoid future relapse increasing perceived self-efficacy. Encouraging results come from the blending of psychotherapy and virtual reality (VR), containing gambling cues. The goal of Alter Game (approved by the Ethical Commission, Prot. No. 69346) is verifying the efficacy of an innovative psychological treatment for GD based on the integration of traditional CBT therapy and an immersive VR cue exposure therapy using a serious virtual game, which is a game designed for purposes other than entertainment. RP in virtual cue-exposure therapy allows pathological gamblers to manage the urge to gamble and to avoid relapse by becoming aware of which internal and external triggers are related to craving. We hypothesize that the integrated intervention will be more effective than simple CBT with regard to self-efficacy, craving, and gambling-related distortions. Four virtual ecological environments were developed, and a virtual app, Exludo, interfaced with a computerized multiparametric acquisition system for biofeedback, was created. A sample of about 60 patients aged between 18 and 65 with GD referring to the Addiction Medicine Unit of Verona (Rossi Hospital) will be recruited. Patients will be randomly assigned to the CBT group (16 CBT sessions) or the CBT + VR group (8 CBT sessions + 8 VR cue-exposure therapy sessions). The MCMI-III, the BIS-11, and the SOGS will be used to evaluate inclusion and exclusion criteria, while the Gambling Related Cognitions Scale and the Multidimensional Gambling Self-Efficacy Scale will be used to verify changes as a function of the treatment. Craving will be evaluated through VAS, and psychophysiological variables will be assessed through biofeedback. A pre-test/post-test experimental design with a 1-month follow-up will be conducted. This study will examine an innovative psychotherapeutic protocol for GD treatment, and it will help in identifying new virtual tools to increase the efficacy of traditional therapeutic approaches that could also be applied to treat other addictions.
Collapse
Affiliation(s)
- Rosaria Giordano
- Department of Internal Medicine, Unit of Addiction Medicine, G.B. Rossi Hospital, Verona, Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy
| | - Maria Anna Donati
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy
| | - Lorenzo Zamboni
- Department of Internal Medicine, Unit of Addiction Medicine, G.B. Rossi Hospital, Verona, Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy
| | - Francesca Fusina
- Department of General Psychology, University of Padova, Padua, Italy
- Padova Neuroscience Center, University of Padova, Padua, Italy
| | - Caterina Primi
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy
| | - Fabio Lugoboni
- Department of Internal Medicine, Unit of Addiction Medicine, G.B. Rossi Hospital, Verona, Italy
| |
Collapse
|
8
|
Torrance J, Roderique-Davies G, Greville J, O’Hanrahan M, Davies N, Sabolova K, John B. Conceptualising emotional and cognitive dysregulation amongst sports bettors; an exploratory study of ‘tilting’ in a new context. PLoS One 2022; 17:e0264000. [PMID: 35176068 PMCID: PMC8853566 DOI: 10.1371/journal.pone.0264000] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 02/02/2022] [Indexed: 11/18/2022] Open
Abstract
Tilting is a poker-related phenomenon that involves cognitive and emotional dysregulation in response to unfavourable gambling outcomes. Tilting is characterised by an increase in irrational, impulsive and strategically weak betting decisions. This study aimed to adapt and investigate the concept of tilting amongst sport bettors in order to provide preliminary insight regarding previously unexplored instances of maladaptive sports betting. The sample consisted of 225 sports bettors who completed an online questionnaire that investigated their reported tilting episodes, awareness of tilting, impulsivity, perceived skill, gambling severity, gambling frequency, and product preferences. Cluster analyses revealed three distinct groups of sports bettors based on their reported tilting episodes and their awareness of this phenomenon. The first group were labelled ‘Conscious tilters’ due to being cognizant of their own tilting occurrence which was significantly higher than the other two groups. These ‘Conscious tilters’ had the highest mean problem gambling severity that was indicative of the ‘problem gambler’ categorisation. The second group were labelled ‘Unconscious tilters’ due to their underestimation of their own tilting occurrence and were categorised as ‘moderate risk gamblers’. The third group were labelled ‘Non-tilters’ due to a relatively accurate perception of their low to non-existent tilting occurrence and were categorised as ‘low-risk gamblers’. Additionally, there were significant differences between these groups in relation to reported gambling frequency, impulsivity, and product preferences. There is evidence of various classifications of ‘tilters’ within sports betting. Specific sports betting product features may also facilitate tilting and therefore require further research in this context. It is important for this research area to develop in order to mitigate harms associated with the rapidly changing sport betting environment.
Collapse
Affiliation(s)
- Jamie Torrance
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
- * E-mail:
| | - Gareth Roderique-Davies
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| | - James Greville
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| | - Marie O’Hanrahan
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| | - Nyle Davies
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| | - Klara Sabolova
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| | - Bev John
- Addictions Research Group, School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, United Kingdom
| |
Collapse
|