Problem Gambling, Gambling Correlates, and Help-Seeking Attitudes in a Chinese Sample: An Empirical Evaluation

Jasmine M. Y. Loo, Tian Po Oei, Namrata Raylu

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DOI: 10.4236/psych.2011.24054                

Abstract

There is an increasing consensus that problem gambling (PG) is a serious social issue among the Chinese, but little is known of the factors associated with PG among the Chinese using validated and improved PG measurements. This study examined the patterns of PG and the PG predictive ability of variables such as gambling-related cognitions, gambling urge, depression, anxiety, stress, and help-seeking attitudes among Chinese individuals living in Taiwan. The participants consisted of 801 Taiwanese Chinese student and community individuals (Mean age = 25.36 years). The prevalence of PG (Problem Gambling Severity Index; PGSI) and pathological gambling (South Oaks Gambling Screen; SOGS) are higher in this Taiwanese Chinese sample as compared with past prevalence research. Significant differences were found between PGSI groups (i.e., non-PG, low-risk, moderate-risk, and PG) in socio-demographic variables. Erroneous gambling-related cognitions and overall negative psychological states significantly predicted PG. In addition, interaction effects of gender, mediation effects, and the predictive ability of help-seeking attitudes were discussed. The findings of this study have important implications in the understanding of PG among the Chinese. Gambling-related cognitions and negative psychological states are important factors that should be addressed in intervention programs.

Keywords

Chinese, Gambling, Problem Gambling, Help-Seeking, Cognitions, Psychological States

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th, ed.). Washington, DC: American Psychiatric Association.
[2]	Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10, 176-181. doi:10.1037/1040-3590.10.2.176
[3]	Arthur, D., Tong, W. L., Chen, C. P., Hing, A. Y., Sagara-Rosemeyer, M., Kua, E. H., & Ignacio, J. (2008). The validity and reliability of four measures of gambling behaviour in a sample of Singapore university students. Journal of Gambling Studies, 24, 451-462. doi:10.1007/s10899-008-9103-y
[4]	Atkinson, N. W. (2007). Chinese and North American college students’ attitudes toward seeking professional psychological help: Gender and ethnic comparisons. Master’s Thesis, Arcata, California: Humboldt State University,.
[5]	Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182. doi:10.1037/0022-3514.51.6.1173
[6]	Basu, E. O. (1991). Profit, loss, and fate: The entrepreneurial ethic and the practice of gambling in an overseas Chinese community. Modern China, 17, 227. doi:10.1177/009770049101700203
[7]	Becona, E., Lorenzo, M. D. C., & Fuentes, M. J. (1996). Pathological gambling and depression. Psychological Reports, 78, 635-640.
[8]	Blaszczynski, A., Huynh, S., Dumlao, V. J., & Farrell, E. (1998). Problem gambling within a Chinese speaking community. Journal of Gambling Studies, 14, 359-380. doi:10.1023/A:1023073026236
[9]	Blaszczynski, A., & McConaghy, N. (1989). Anxiety and/or depression in the pathogenesis of addictive gambling. International Journal of the Addictions, 24, 337-350.
[10]	Blaszczynski, A., McConaghy, N., & Frankova, A. (1991). A comparison of relapsed and non-relapsed abstinent pathological gamblers following behavioural treatment. British Journal of Addiction, 86, 1485-1489. doi:10.1111/j.1360-0443.1991.tb01734.x
[11]	Brooker, I. S., Clara, I. P., & Cox, B. J. (2009). The Canadian Problem Gambling Index: Factor structure and associations with psychopathology in a nationally representative sample. Canadian Journal of Behavioural Science, 41, 109-114. doi:10.1037/a0014841
[12]	Chen, C. N., Wong, J., Lee, N., Chan-Ho, M. W., Lau, J. T. F., & Fung, M. (1993). The Shatin community mental health survey in Hong Kong: II. Major findings. Archives of General Psychiatry, 50, 125-133.
[13]	Clarke, D., Abbott, M., Tse, S., Townsend, S., Kingi, P., & Manaia, W. (2006). Gender, age, ethnic and occupational associations with pathological gambling in a New Zealand urban sample. New Zealand Journal of Psychology, 35, 84-91.
[14]	Clarke, D., Tse, S., Abbott, M., Townsend, S., Kingi, P., & Manaia, W. (2006). Key indicators of the transition from social to problem gambling. International Journal of Mental Health and Addiction, 4, 247-264. doi:10.1007/s11469-006-9024-x
[15]	Coman, G. J., Burrows, G. D., & Evans, B. J. (1997). Stress and anxiety as factors in the onset of problem gambling: Implications for treatment. Stress Medicine, 13, 235-244. doi:10.1002/(SICI)1099-1700(199710)13:4<235::AID-SMI748>3.0.CO;2-4
[16]	El-Guebaly, N., Patten, S. B., Currie, S., Williams, J. V. A., Beck, C. A., Maxwell, C. J., & Li Wang, J. (2006). Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders. Journal of Gambling Studies, 22, 275-287. doi:10.1007/s10899-006-9016-6
[17]	Ferris, J., & Wynne, H. (2001). The Canadian Problem Gambling Index: Final report. Ottawa: Canadian Centre on Substance Abuse.
[18]	Field, A. (2000). Discovering statistics using SPSS (3rd ed.). London: Sage.
[19]	Fong, D. K., & Ozorio, B. (2005). Gambling participation and prevalence estimates of pathological gambling in a far-east city: Macao. UNLV Gaming Research & Review Journal, 9, 15-28.
[20]	Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115-134. doi:10.1037/0022-0167.51.1.115
[21]	GAMECS Project. (1999). Gambling among members of ethnic communities in Sydney: Report on “Problem gambling and ethnic communities” (Part 3). Sydney: Ethnic Communities’ Council of NSW.
[22]	Griffiths, M. D. (1994). The role of cognitive bias and skill in fruit machine gambling. British Journal of Psychology, 85, 351-369. doi:10.1111/j.2044-8295.1994.tb02529.x
[23]	Hobson, J. S. P. (1995). Macao: Gambling on its future. Tourism Management, 16, 237-243. doi:10.1016/0261-5177(95)91465-T
[24]	Jaccard, J., Wan, C. K., & Turrisi, R. (1990). The detection and interpretation of interaction effects between continuous variables in multiple regression. Multivariate Behavioral Research, 25, 467-478. doi:10.1207/s15327906mbr2504_4
[25]	Lai, D. W. L. (2006). Gambling and the older Chinese in Canada. Journal of Gambling Studies, 22, 121-141. doi:10.1007/s10899-005-9006-0
[26]	Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184-1188.
[27]	Liao, M. S. (2008). Intimate partner violence within the Chinese community in San Francisco: Problem gambling as a risk factor. Journal of Family Violence, 23, 671-678. doi:10.1007/s10896-008-9190-7
[28]	Loo, J. M. Y., Oei, T. P. S., & Raylu, N. (under review). Psychometric evaluation of the Problem Gambling Severity Index (PGSI-C). Journal of Gambling Studies.
[29]	Loo, J. M. Y., Raylu, N., & Oei, T. P. S. (2008). Gambling among the Chinese: A comprehensive review. Clinical Psychology Review, 28, 1152-1166. doi:10.1016/j.cpr.2008.04.001
[30]	Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335-343. doi:10.1016/0005-7967(94)00075-U
[31]	Mackenzie, C. S., Knox, V. J., Gekoski, W. L., & Macaulay, H. L. (2004). An adaptation and extension of the attitudes toward seeking professional psychological help scale. Journal of Applied Social Psychology, 34, 2410-2435. doi:10.1111/j.1559-1816.2004.tb01984.x
[32]	McMillen, J., & Wenzel, M. (2006). Measuring problem gambling: Assessment of three prevalence screens. International Gambling Studies, 6, 147-174. doi:10.1080/14459790600927845
[33]	Miu, A. C., Heilman, R. M., & Houser, D. (2008). Anxiety impairs decision-making: Psychophysiological evidence from an Iowa Gambling Task. Biological Psychology, 77, 353-358. doi:10.1016/j.biopsycho.2007.11.010
[34]	Moodie, C., & Finnigan, F. (2006a). Association of pathological gambling with depression in Scotland. Psychological Reports, 99, 407-417. doi:10.2466/pr0.99.2.407-417
[35]	Moodie, C., & Finnigan, F. (2006b). Prevalence and correlates of youth gambling in Scotland. Addiction Research & Theory, 14, 365-385. doi:10.1080/16066350500498015
[36]	National Policy Toward Gambling. (1974). Gambling in perspective: A review of the written history of gambling and an assessment of its effect on modern American society. Washington, DC: National Technical Information Service.
[37]	Niaura, R. (2000). Cognitive social learning and related perspectives on drug craving. Addiction, 95, 155-163. doi:10.1046/j.1360-0443.95.8s2.4.x
[38]	Ocean, G., & Smith, G. J. (1993). Social reward, conflict, and commitment: A theoretical model of gambling behavior. Journal of Gambling Studies, 9, 321-339. doi:10.1007/BF01014625
[39]	Oei, T. P. S., Lin, J., & Raylu, N. (2007a). Validation of the Chinese version of the Gambling Related Cognitions Scale (GRCS-C). Journal of Gambling Studies, 23, 309-322. doi:10.1007/s10899-006-9040-6
[40]	Oei, T. P. S., Lin, J., & Raylu, N. (2007b). Validation of the Chinese version of the Gambling Urges Scale (GUS-C). International Gambling Studies, 7, 101-111. doi:10.1080/14459790601157970
[41]	Oei, T. P. S., Lin, J., & Raylu, N. (2008). The relationship between gambling cognitions, psychological states, and gambling: A cross-cultural study of Chinese and Caucasians in Australia. Journal of Cross-Cultural Psychology, 39, 147-161. doi:10.1177/0022022107312587
[42]	Oei, T. P. S., & Raylu, N. (2010). Gambling behaviours and motivations: A cross-cultural study of Chinese and Caucasians in Australia. International Journal of Social Psychiatry, 56, 23-34. doi:10.1177/0020764008095692
[43]	Pagura, J., Fotti, S., Katz, L. Y., & Sareen, J. (2009). Help seeking and perceived need for mental health care among individuals in Canada with suicidal behaviors. Psychiatric Services, 60, 943-949. doi:10.1176/appi.ps.60.7.943
[44]	Papineau, E. (2001). Pathological gambling in the Chinese community, an anthropological viewpoint. Loisir & Societe-Society and Leisure, 24, 557-582.
[45]	Petry, N. M. (2005). Pathological gambling: Etiology, comorbidity, and treatment. Washington, DC: American Psychological Association. doi:10.1037/10894-000
[46]	Raylu, N., & Oei, T. P. S. (2002). Pathological gambling: A comprehensive review. Clinical Psychology Review, 22, 1009-1061. doi:10.1016/S0272-7358(02)00101-0
[47]	Raylu, N., & Oei, T. P. S. (2004). The Gambling Urge Scale: Development, confirmatory factor validation, and psychometric properties. Psychology of Addictive Behaviors, 18, 100-105. doi:10.1037/0893-164X.18.2.100
[48]	Raylu, N., & Oei, T. P. S. (2004a). Role of culture in gambling and problem gambling. Clinical Psychology Review, 23, 1087-1114. doi:10.1016/j.cpr.2003.09.005
[49]	Raylu, N., & Oei, T. P. S. (2004b). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99, 757-769. doi:10.1111/j.1360-0443.2004.00753.x
[50]	Scull, S., & Woolcock, G. (2005). Problem gambling in non-English speaking background communities in Queensland, Australia: A qualitative exploration. International Gambling Studies, 5, 29-44. doi:10.1080/14459790500097939
[51]	Sharpe, L. (2002). A reformulated cognitive-behavioral model of problem gambling: A biopsychosocial perspective. Clinical Psychology Review, 22, 1-25. doi:10.1016/S0272-7358(00)00087-8
[52]	Sin, R. (1997). Gambling and problem gambling among the Chinese in Quebec: An exploratory study. Quebec: Chinese Family Service of Greater Montreal.
[53]	Skinner, M. D., & Aubin, H.-J. (2010). Craving’s place in addiction theory: Contributions of the major models. Neuroscience and Biobehavioral Reviews, 34, 606-623. doi:10.1016/j.neubiorev.2009.11.024
[54]	Stinchfield, R. (2002). Reliability, validity, and classification accuracy of the South Oaks Gambling Screen (SOGS). Addictive Behaviors, 27, 1-19. doi:10.1016/S0306-4603(00)00158-1
[55]	Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Pearson.
[56]	Tan, A. K. G., Yen, S. T., & Nayga, R. M. Jr. (2010). Socio-demographic determinants of gambling participation and expenditures: Evidence from Malaysia. International Journal of Consumer Studies, 34, 316-325. doi:10.1111/j.1470-6431.2009.00856.x
[57]	Tang, C. S., Wu, A. M. S., Tang, J. Y. C., & Yan, E. C. W. (2010). Reliability, validity, and cut scores of the South Oaks Gambling Screen (SOGS) for Chinese. Journal of Gambling Studies, 26, 145-158. doi:10.1007/s10899-009-9147-7
[58]	Tiffany, S. T. (1999). Cognitive concepts of craving. Alcohol Research & Health, 23, 215-224.
[59]	Tiffany, S. T., & Conklin, C. A. (2000). A cognitive processing model of alcohol craving and compulsive alcohol use. Addiction, 95, 145-153. doi:10.1046/j.1360-0443.95.8s2.3.x
[60]	Tseng, W. S., Lin, T. Y., & Yeh, E. K. (1995). Chinese societies and mental health. Hong Kong: Oxford University Press.
[61]	Victorian Casino and Gaming Authority. (2000). The impact of gaming on specific cultural groups report. Melbourne, Victoria.
[62]	Wong, I. L. K., & So, E. M. T. (2003). Prevalence estimates of problem and pathological gambling in Hong Kong. American Journal of Psychiatry, 160, 1353-1354. doi:10.1176/appi.ajp.160.7.1353