Journal of Gambling Studies

, Volume 32, Issue 1, pp 261–275 | Cite as

Mental Health and Online, Land-Based and Mixed Gamblers

  • A. Blaszczynski
  • A. Russell
  • S. Gainsbury
  • N. Hing
Original Paper


Although high rates of problem gambling have been identified among Internet gamblers, most studies have failed to identify the relative contribution of multiple forms of gambling as opposed to the exclusive participation in online forms. The aim of this study was to investigate differences in mental health status in exclusive online, exclusive land-based, and mixed Internet and land-based samples of gamblers drawn from the general population. A sample of 4594 respondents completing an online survey were categorised as exclusive online, land-based and mixed form gamblers. Participants completed a questionnaire eliciting demographic details, participation on all forms of gambling, use of alcohol, tobacco and drugs, help-seeking, and personal problems experienced due to gambling, as well as measures of problem gambling and psychological distress. Findings indicated that mixed gamblers exhibited higher problem gambling scores, level of gambling involvement, and consumption of alcohol during gambling than exclusive online gamblers. Land-based gamblers experienced higher levels of psychological distress, self-acknowledged need for treatment, and help-seeking behaviour. These findings suggest that exclusive online gamblers represent a different subpopulation at lower risk of harm compared to gamblers engaging in multiple forms. Understanding the characteristics of different problem gambling subpopulations may inform the development of more effective targeted interventions.


Problem gambling Online gambling Internet gambling Psychological distress Land-based gambling Alcohol use 


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Bischof, A., Meyer, C., Bischof, G., Kastirke, N., John, U., & Rumpf, H.-J. (2013). Comorbid Axis I-disorders among subjects with pathological, problem, or at-risk gambling recruited from the general population in Germany: Results of the PAGE study. Psychiatry Research, 210(3), 1065–1070.CrossRefPubMedGoogle Scholar
  3. Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499.CrossRefPubMedGoogle Scholar
  4. Blaszczynski, A., & Steel, Z. (1998). Personality disorders among pathological gamblers. Journal of Gambling Studies, 14, 51–71.CrossRefPubMedGoogle Scholar
  5. Boughton, R., & Brewster, J. M. (2002). Voices of women who gamble in Ontario: A survey of women’s gambling, barriers to treatment and treatment service needs. Toronto: Ontario Ministry of Health and Long-Term Care.Google Scholar
  6. Broda, A., LaPlante, D., Nelson, S. E., LaBrie, R., Bosworth, L. B., & Shaffer, H. J. (2008). Virtual harm reduction efforts for internet gambling: Effects of deposit limits on actual Internet sports gambling behavior. Harm Reduction Journal, 5, 27.PubMedCentralCrossRefPubMedGoogle Scholar
  7. Cloninger, C. R. (1999). The temperament and character inventory—Revised. St. Louis, MO: Center for Psychobiology of Personality, Washington University.Google Scholar
  8. Cole, T., Barrett, D. J. K., & Griffiths, M. D. (2011). Social facilitation in online and offline gambling: A pilot study. International Journal of Mental Health and Addiction, 9, 240–247.CrossRefGoogle Scholar
  9. Cunningham-Williams, R. M., Cottler, L., Compton, W. M., & Spritznagel, E. L. (1998). Taking chances: Problem gamblers and mental disorders: Results from the St. Louis Epidemiological Catchment Area (ECA) study. American Journal of Public Health, 88, 1093–1096.PubMedCentralCrossRefPubMedGoogle Scholar
  10. Derogatis, L. R. (2002). SCL-90-R. Cuestionario de 90 síntomas revisado. Madrid: TEA (original work published in 1983).Google Scholar
  11. Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: Final report. Ottawa: Canadian Centre on Substance Abuse.Google Scholar
  12. Gainsbury, S. M., Russell, A., Blaszczynski, A., & Hing, N. (2014a). The interaction between gambling activities and modes of access: A comparison of Internet-only, land-based only, and mixed-mode gamblers and related problems. Addictive Behaviors, 41, 34–40.CrossRefPubMedGoogle Scholar
  13. Gainsbury, S., Russell, A., Hing, N., Wood, R., & Blaszczynski, A. (2013). The impact of Internet gambling on gambling problems: A comparison of moderate risk and problem Internet and non-Internet gamblers. Psychology of Addictive Behaviors. doi: 10.1037/a0031475.PubMedGoogle Scholar
  14. Gainsbury, S., Russell, A., Hing, N., Wood, R., Lubman, D., & Blaszczynski, A. (2014b). The prevalence and determinants of problem gambling in Australia: Assessing the impact of interactive gambling and new technologies. Psychology of Addictive Behaviors, 28(3), 769–779. doi: 10.1037/a0036207.CrossRefPubMedGoogle Scholar
  15. Gainsbury, S., Russell, A., Wood, R., Hing, N., & Blaszczynski, A. (2014c). How risky is Internet gambling? A comparison of subgroups of Internet gamblers based on problem gambling status. New Media Society. doi: 10.1177/1461444813518185.Google Scholar
  16. Gainsbury, S., Wood, R., Russell, A., Hing, N., & Blaszczynski, A. (2012). A digital revolution: Comparison of demographic profiles, attitudes and gambling behaviour of Internet and non-Internet gamblers. Computers in Human Behaviour, 28, 1388–1398.CrossRefGoogle Scholar
  17. Gerstein, D., Volberg, R., Toce, M., Harwood, H., Johnson, R., Buie, T., et al. (1999). Gambling impact and behavior study: Report to the National gambling Impact Study Commission. Chicago: University of Chicago National Opinion Research Center.Google Scholar
  18. Grant, J. E., & Kim, S. W. (2002). Gender differences in pathological gamblers seeking medication treatment. Comprehensive Psychiatry, 43, 56–62.CrossRefPubMedGoogle Scholar
  19. Griffiths, M. D., & Barnes, A. (2008). Internet gambling: An online empirical study among student gamblers. International Journal of Mental Health and Addictions, 6, 194–204.CrossRefGoogle Scholar
  20. Griffiths, M. D., Wardle, H., Orford, J., Sproston, K., & Erens, B. (2009). Sociodemographic correlates of Internet gambling: Findings from the 2007 British gambling prevalence survey. CyberPsychology, Behavior, and Social Networking, 12, 199–202.CrossRefGoogle Scholar
  21. H2 eGaming Dataset. (2012). Preliminary results 2011 H2 eGaming dataset. URL: Posted 16 Feb 2012. Retrieved 11 March 2014.
  22. Hing, N., Cherney, L., Gainsbury, S., Lubman, D., Wood, R., & Blaszczynski, A. (2014a). Maintaining and losing control during Internet gambling: A qualitative study of gamblers’ experiences. New Media and Society,. doi: 10.1177/1461444814521140.Google Scholar
  23. Hing, N., Gainsbury, S., Blaszczynski, A., Wood, R., Lubman, D., & Russell, A. (2014b). Interactive gambling. Melbourne: Gambling Research Australia.Google Scholar
  24. Hodgins, D. C., Stea, J. N., & Grant, J. E. (2011). Gambling disorders. The Lancet, 378(9806), 1874–1884.CrossRefGoogle Scholar
  25. (2014). Internet world stats. URL: Retrieved 11 March 2014.
  26. Jiménez-Murcia, S., Stinchfield, R., Fernández-Aranda, F., Santamaría, J. J., Penelo, E., Granero, R., et al. (2014). Are online pathological gamblers different from non-online pathological gamblers on demographics, gambling problem severity, psychopathology and personality characteristics. In S. Gainsbury & A. Blaszczynski (Eds.), Exploring Internet gambling: Policy, prevention and treatment. London: Routledge.Google Scholar
  27. Kairouz, S., Paradis, C., & Nadeau, L. (2012). Are offline gamblers more at risk than offline gamblers? CyberPsychology, Behavior, and Social Networking, 159(3), 175–180.CrossRefGoogle Scholar
  28. Kessler, R. C., Andrews, G., Colpe, L., Hiripi, E., Mroczwk, D. K., Normand, S. L. T., et al. (2002). Short screening scales to monitor population prevalence and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976.CrossRefPubMedGoogle Scholar
  29. Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., et al. (2010). Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO World Mental Health (WMH) Survey initiative. International Journal of Methods in Psychiatric Research, 19(1), 4–22.PubMedCentralCrossRefPubMedGoogle Scholar
  30. Ladd, G. T., & Petry, N. M. (2002a). Disordered gambling among university-based medical and dental patients. A focus on Internet gambling. Psychology of Addictive Behaviors, 16(1), 76–79.CrossRefPubMedGoogle Scholar
  31. Ladd, G. T., & Petry, N. M. (2002b). Disordered gambling among university-based medical and dental patients: A focus on Internet gambling. Psychology of Addictive Behaviors, 16(1), 76.CrossRefPubMedGoogle Scholar
  32. LaPlante, D., Nelson, S. E., LaBrie, R., & Shaffer, H. J. (2009). Disordered gambling, type of gambling and gambling involvement in the British Gambling Prevalence Survey 2007. European Journal of Public Health,. doi: 10.1093/europub/ckp177.PubMedCentralPubMedGoogle Scholar
  33. Ledgerwood, D., Arfken, C., Wiedemann, A., Bates, K., Holmes, D., & Jones, L. (2013). Who goes to treatment? Predictors of treatment initiation among gambling help-line callers. The American Journal on Addictions, 22(1), 33–38.CrossRefPubMedGoogle Scholar
  34. Ledgerwood, D. M., Wiedemann, A. A., Moore, J., & Arfken, C. L. (2012). Clinical characteristics and treatment readiness of male and female problem gamblers calling a state gambling helpline. Addiction Research & Theory, 20, 162–171.CrossRefGoogle Scholar
  35. Lloyd, J., Doll, H., Hawton, W. H., Geddes, J. R., Goodwin, G. M., & Rogers, R. D. (2010). How psychological symptoms relate to different motivations for gambling: An online study of Internet gamblers. Biological Psychiatry, 68(8), 733–740.Google Scholar
  36. Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction, 106(3), 490–498.CrossRefPubMedGoogle Scholar
  37. Maccallum, F., & Blaszczynski, A. (2002). Pathological gambling and co-morbid substance use. Australian and New Zealand Journal of Psychiatry, 36, 411–415.CrossRefPubMedGoogle Scholar
  38. McCormack, A., & Griffiths, M. D. (2011). The effects of problem gambling on quality of life and well-being: A qualitative comparison of online and off-line problem gamblers. Gambling Research, 23(1), 63–81.Google Scholar
  39. Olason, D. T., Kristjansdottir, E., Einarsdottir, H., Haraldsson, H., Bjarnason, G., & Derevensky, J. (2011). Internet gambling and problem gambling among 13 to 18 year old adolescents in Iceland. International Journal of Mental Health and Addiction, 9(3), 257–263.CrossRefGoogle Scholar
  40. Petry, N. M., Stinson, F. S., & Grant, J. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National epidemiological Survey on Alcohol and related conditions. Journal of Clinical Psychology, 66, 564–574.Google Scholar
  41. Petry, N., & Weinstock, J. (2007). Internet gambling is common in college students and associated with poor mental health. American Journal on Addictions, 16, 325–330.CrossRefPubMedGoogle Scholar
  42. Philander, K. S., & MacKay, T. L. (2014). Online gambling participation and problem gambling severity: is there a causal relationship? International Gambling Studies, 14, 214–227.CrossRefGoogle Scholar
  43. Pilver, C. E., Libby, D. J., Hoff, R. A., & Potenza, M. N. (2013). Problem severity and the incidence of Axis I psychopathology among older adults in the general population. Journal of Psychiatric Research, 47(4), 534–541.PubMedCentralCrossRefPubMedGoogle Scholar
  44. Productivity Commission. (1999). Australia’s gambling industries (Report no. 10). Canberra: AusInfo.Google Scholar
  45. Productivity Commission. (2010). Gambling (Report no. 50). Canberra: Commonwealth of Australia.Google Scholar
  46. Sacco, P., Torres, L. R., Cunningham-Williams, R. M., Woods, C., & Unick, G. (2011). Differential item functioning of pathological gambling criteria: An examination of gender, race/ethnicity and age. Journal of Gambling Studies, 27, 317–330.PubMedCentralCrossRefPubMedGoogle Scholar
  47. Shek, D. T. L., Chan, E. M. L., & Wong, R. H. Y. (2013). Associations between pathological gambling and psychiatric comorbidity among help-seeking populations in Hong Kong. International Journal of Child Health and Human Development, 6(1), 125–144.Google Scholar
  48. Sproston, K., Hing, N., & Palankay, C. (2012). Prevalence of gambling and problem gambling in New South Wales. Sydney: Ogilvy Illumination.Google Scholar
  49. Steel, Z., & Blaszczynski, A. (1998). Impulsivity, personality disorders and pathological gambling severity. Addiction, 93, 895–905.CrossRefPubMedGoogle Scholar
  50. Stinchfield, R., & Winters, K. C. (2001). Outcome of Minnesota’s gambling treatment programs. Journal of Gambling Studies, 17, 217–245.CrossRefPubMedGoogle Scholar
  51. Walker, G. J., Hinch, T. D., & Weighill, A. J. (2005). Inter- and intra-gender similarities and differences in motivations for casino gambling. Leisure Sciences, 27, 111–130.CrossRefGoogle Scholar
  52. Wardle, H., Moody, A., Griffiths, M., Orford, J., & Volberg, R. (2011a). Defining the online gambler and patterns of behaviour integration: Evidence from the British Gambling Prevalence Survey 2010. International Gambling Studies, 11(3), 339–356.CrossRefGoogle Scholar
  53. Wardle, H., Moody, A., Spence, S., Orford, J., Volberg, R., Jotangia, D., et al. (2011b). British Gambling Prevalence Study 2010. U.K. Gambling Commission: National Centre for Social Research.Google Scholar
  54. Wood, R. T., & Williams, R. (2010). Internet gambling: Prevalence, patterns, problems, and policy options. Guelph: Ontario Problem Gambling Research Centre.Google Scholar
  55. Wood, R., & Williams, R. (2011). A comparative profile of the Internet gambler: Demographic characteristics, game-play patterns, and problem gambling status. New Media Society, 4. doi: 10.1177/1461444810397650
  56. Wooley, R. (2003). Mapping Internet gambling: Emerging modes of online participation in wagering and sports betting. International Gambling Studies, 3(1), 3–21.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • A. Blaszczynski
    • 1
    • 2
  • A. Russell
    • 2
    • 3
  • S. Gainsbury
    • 2
    • 3
  • N. Hing
    • 3
  1. 1.Gambling Treatment Clinic and ResearchThe University of SydneySydneyAustralia
  2. 2.School of Psychology (A19)The University of SydneySydneyAustralia
  3. 3.Centre for Gambling Education and ResearchSouthern Cross UniversityLismoreAustralia

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