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Gambling Transitions among Adult Gamblers: A Multi-State Model Using a Markovian Approach Applied to the JEU Cohort

Abstract : INTRODUCTION: The aim of this paper is to study transitions between two states of gambling in adulthood (problem gambling and non-problem gambling) and to identify factors that might influence these transitions. METHODS: Data for this 2-year long longitudinal study were collected in a French Outpatient Addiction Treatment Center, in gambling establishments and through the press. Both problem gamblers and non-problem gamblers were evaluated using a structured interview and self-report questionnaires. The statistical analysis was carried out using a Markovian approach. RESULTS: The analyzed cohort consisted of 304 gamblers with 519 observed transitions. Participants with no past-year gambling problems (based on the DSM-IV) had a probability of about 90% of also having no past-year gambling problems at the following assessment, whereas the observed percentage of problem gamblers transitioning to non-problem gambling was of 48%. We reported (i) vulnerability factors of transitioning to problem gambling (such as an anxiety disorder or an Attention Deficit Hyperactivity Disorder (ADHD) during the childhood), (ii) protective factors for non-problem gamblers, (iii) recovery factors (such as ongoing treatment and younger age) and (iv) persistence factors of a gambling problem (such as a persistent ADHD). CONCLUSIONS: The status of problem gambler is unstable over time, whereas we found stability among non-problem gamblers. Our findings suggest the existence of vulnerability and protective factors in gambling. These results lead to think about preventive actions and adaptive care, such as cognitive-behavioral therapy or researching gambling problems in people with an anxiety disorder or ADHD.
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Submitted on : Friday, July 21, 2017 - 11:33:08 AM
Last modification on : Wednesday, October 14, 2020 - 4:15:50 AM

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Mélanie Bruneau, Marie Grall-Bronnec, Jean-Luc Vénisse, Lucia Romo, Marc Valleur, et al.. Gambling Transitions among Adult Gamblers: A Multi-State Model Using a Markovian Approach Applied to the JEU Cohort. Addictive Behaviors, Elsevier, 2016, 57, pp.13--20. ⟨10.1016/j.addbeh.2016.01.010⟩. ⟨hal-01566650⟩



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