Skip to main content
Log in

Testing the Validity of a Cognitive Behavioral Model for Gambling Behavior

  • Original Paper
  • Published:
Journal of Gambling Studies Aims and scope Submit manuscript

Abstract

Currently, cognitive behavioral therapies appear to be one of the most studied treatments for gambling problems and studies show it is effective in treating gambling problems. However, cognitive behavior models have not been widely tested using statistical means. Thus, the aim of this study was to test the validity of the pathways postulated in the cognitive behavioral theory of gambling behavior using structural equation modeling (AMOS 20). Several questionnaires assessing a range of gambling specific variables (e.g., gambling urges, cognitions and behaviors) and gambling correlates (e.g., psychological states, and coping styles) were distributed to 969 participants from the community. Results showed that negative psychological states (i.e., depression, anxiety and stress) only directly predicted gambling behavior, whereas gambling urges predicted gambling behavior directly as well as indirectly via gambling cognitions. Avoidance coping predicted gambling behavior only indirectly via gambling cognitions. Negative psychological states were significantly related to gambling cognitions as well as avoidance coping. In addition, significant gender differences were also found. The results provided confirmation for the validity of the pathways postulated in the cognitive behavioral theory of gambling behavior. It also highlighted the importance of gender differences in conceptualizing gambling behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • Andrews, J. A., Hampson, S. E., Barckley, M., Gerrard, M., & Gibbons, F. X. (2008). The effect of early cognitions on cigarette and alcohol use during adolescence. Psychology of Addictive Behaviors, 22, 96–106.

    Article  PubMed  PubMed Central  Google Scholar 

  • Antony, M. A., Bieling, P. J., Cox, B. J., Murray, W. E., & Swinson, R. P. (1998). Psychometric properties of 42 item and 21-item version of the Depression, Anxiety and Stress Scale in clinical groups and a community sample. Psychological Assessment, 10, 176–181.

    Article  Google Scholar 

  • Bentler, P. M. (1990). Fit indexes, Lagrange multipliers, constraint changes and incomplete data in structural models. Multivariate Behavioral Research, 25, 163–172.

    Article  CAS  PubMed  Google Scholar 

  • Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.

    Google Scholar 

  • Bergevin, T., Gupta, R., Derevensky, J., & Kaufman, F. (2006). Adolescent gambling: Understanding the role of stress and coping. Journal of Gambling Studies, 22, 195–208.

    Article  PubMed  Google Scholar 

  • Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499.

    Article  PubMed  Google Scholar 

  • Burger, T. D., Dahlgren, D., & MacDonald, C. D. (2006). College students and gambling: An examination of gender differences in motivation for participation. College Student Journal, 40, 704–714.

    Google Scholar 

  • Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. New Jersey: Lawrence Erlbaum Associates Publishers.

    Google Scholar 

  • Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioural Medicine, 4, 92–100.

    Article  CAS  Google Scholar 

  • Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.

    Article  CAS  PubMed  Google Scholar 

  • Casey, L. M., Oei, T. P. S., Melville, K. M., Bourke, E., & Newcombe, P. A. (2008). Measuring self-efficacy in gambling: The gambling refusal self-efficacy questionnaire. Journal of Gambling Studies, 24, 229–246.

    Article  PubMed  Google Scholar 

  • Clark, Luke, Crooks, Ben, Clarke, Robert, Aitken, Michael R F., & Dunn, Barnaby D. (2012). Physiological responses to near-miss outcomes and personal control during simulated gambling. Journal of Gambling Studies, 28(1), 123–137. doi:10.1007/s10899-011-9247-z.

    Article  PubMed  Google Scholar 

  • Dixon, M. J., Harrigan, K. A., Jarick, M., MacLaren, V., Fugelsang, J. A., & Sheepy, E. (2011). Psychophysiological arousal signatures of near-misses in slot machine play. International Gambling Studies, 11(3), 393–407.

    Article  Google Scholar 

  • Donahue, C. B., & Grant, J. E. (2007). Stress and impulsive behaviors. San Diego, CA: Elsevier Academic Press.

    Book  Google Scholar 

  • Echeburúa, E., González-Ortega, I., de Corral, P., & Polo-López, R. (2011). Clinical gender differences among adult pathological gamblers seeking treatment. Journal of Gambling Studies, 27(2), 215–227.

    Article  PubMed  Google Scholar 

  • Farrelly, S., Ffrench, C., Ogeil, R. P., & Phillips, J. G. (2007). Coping strategies and problem gambling. Behavior Change, 24, 14–24.

    Article  Google Scholar 

  • Goudriaan, A. E., Oosterlaan, J., De Beurs, E., & Van Den Brink, W. (2006). Neurocognitive functions in pathological gambling: A comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction, 101, 534–547. doi:10.1111/j.1360-0443.2006.01380.x.

    Article  PubMed  Google Scholar 

  • Gupta, R., Derevensky, J., & Marget, N. (2004). Coping strategies employed by adolescents with gambling problems. Child and Adolescent Mental Health, 9, 115–120. doi:10.1111/j.1475-3588.2004.00092.x.

    Article  Google Scholar 

  • Hasking, P., & Oei, T. P. S. (2002). The confirmatory factor analysis of the COPE questionnaire on community drinkers and an alcohol dependent sample. Journal of Studies on Alcohol, 60, 631–640.

    Article  Google Scholar 

  • Hasking, P. A., & Oei, T. P. S. (2004). The complexity of drinking: Interactions between the cognitive and behavioural determinants of alcohol consumption. Addiction Research & Theory, 12, 469–488.

    Article  Google Scholar 

  • Hasking, P. A., & Oei, T. P. S. (2007). Alcohol expectancies, self-efficacy and coping in an alcohol-dependent sample. Addictive Behaviors, 32, 99–113.

    Article  PubMed  Google Scholar 

  • Heater, J., & Patton, D. (2006). Gender differences in problem gambling behaviour from help-line callers. Journal of Gambling Issues, 16, 1–14.

    Article  Google Scholar 

  • Hersen, M., & Bellack, A. S. (1999). Handbook of comparative interventions for adult disorders (2nd ed., pp. 359–377). New York: Wiley.

    Google Scholar 

  • Joreskog, K. G., & Sorbom, D. (1989). LISREL 7: A guide to the program and applications. Chicago: Scientific Software International.

    Google Scholar 

  • Joreskog, K. G., & Sorbom, D. (1993). LISREL 8: Structural equation modelling with the SIMPLIS command language. Chicago: Scientific Software International.

    Google Scholar 

  • Källmén, H., Andersson, P., & Andren, A. (2008). Are irrational beliefs and depressive mood more common among problem gamblers than non-gamblers? A survey study of Swedish problem gamblers and controls. Journal of Gambling Studies, 24(4), 441–450.

    Article  PubMed  Google Scholar 

  • Ko, C. H., Yen, J. Y., Chen, C. C., Chen, S. H., & Yen, C. F. (2005). Gender differences and related factors affecting online gaming addiction among Taiwanese adolescents. The Journal of Nervous and Mental Disease, 193(4), 273–277.

    Article  PubMed  Google Scholar 

  • Ladouceur, R., Sevigny, S., Blaszczynski, A., O’Connor, K., & Lavoie, M. E. (2003). Video lottery: Winning expectancies and arousal. Addiction, 98, 733–738.

    Article  PubMed  Google Scholar 

  • Lehman, A. K., & Salovey, P. (1990). An introduction to cognitive-behavior therapy. In R. A. Wells & V. J. Giannetti (Eds.), Handbook of brief psychotherapies. Applied clinical psychology (pp. 239–259). New York: Plenum Press.

    Chapter  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Lightsey, O. R., & Hulsey, C. D. (2002). Impulsivity, coping, stress, and problem gambling among university students. Journal of Counseling Psychology, 49, 202–211.

    Article  Google Scholar 

  • Lin, D., Fang, X., Lin, X., & Li, X. (2006). The relationship between mobility, depression, smoking, and alcohol use among rural-to-urban female migrants in Beijing. Chinese Journal of Clinical Psychology, 14(6), 614–616.

    Google Scholar 

  • Loo, J., Raylu, N., & Oei, T. P. S. (2012). The validity of a cognitive behavioural model of gambling behaviour in a Chinese sample (Chapter 8). In A. E. Cavanna (Ed.), Psychology of gambling: New research (pp. 119–137). NY: Nova Science Publisher.

    Google Scholar 

  • Loo, J., Tsai, J., Raylu, N., & Oei, T. P. S. (2014). Gratitude, hope, personal-growth initiative: Buffer or risk factor in problem gambling. PLoS ONE, 9(2), 1–11.

    Article  Google Scholar 

  • Lovibond, S. H., & Lovibond, P. F. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior, Research and Therapy, 33, 335–343.

    Article  CAS  Google Scholar 

  • Marsh, H. W. (1993). The multidimensional structure of academic self-concept: Invariance over gender and age. American Educational Research Journal, 30, 841–860.

    Article  Google Scholar 

  • Marsh, H. W., Balla, J. R., & McDonald, R. P. (1988). Goodness-of-fit indexes in confirmatory factor analysis: The effect of a sample size. Psychological Bulletin, 103, 391–401.

    Article  Google Scholar 

  • Matheson, K., Wohl, M. J., & Anisman, H. (2009). The interplay of appraisals, specific coping styles, and depressive symptoms among young male and female gamblers. Social Psychology, 40(4), 212–221.

    Article  Google Scholar 

  • Nower, L., Derevensky, J. L., & Gupta, R. (2004). The relationship of impulsivity, sensation seeking, coping, and substance use in youth gamblers. Psychology of Addictive Behaviors, 18, 49–55.

    Article  PubMed  Google Scholar 

  • O’Connor, J., & Dickerson, M. (2003). Definition and measurement of chasing in off-course betting and gaming machine play. Journal of Gambling Studies, 19, 359–386.

    Article  PubMed  Google Scholar 

  • Oei, T. P. S., & Baldwin, A. R. (1994). Expectancy theory: A two-process model of alcohol use and abuse. Journal of Studies on Alcohol, 55, 525–534.

    Article  CAS  PubMed  Google Scholar 

  • Oei, T. P. S., & Goh, Z. (2014). Interactions between risks and protective factors on problem gambling in Asia. Journal of Gambling Studies, 30, 1–16.

    Article  Google Scholar 

  • Oei, T. P. S., Lin, C. D., & 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.

    Article  Google Scholar 

  • Oei, T. P. S., Raylu, N., & Casey, L. M. (2010). Effectiveness of group and individual formats of a combined motivational interviewing and cognitive behavioral treatment program for problem gambling: A randomized controlled trial. Behavioural & Cognitive Psychotherapy, 38, 233–238.

    Article  Google Scholar 

  • Oei, T. P. S., Sawang, S., Goh, Y. W., & Mukhtar, F. (2013). Using the Depression, Anxiety and Stress Scale (DASS21) across culture. International Journal of Psychology, 48, 1018–1029.

    Article  PubMed  Google Scholar 

  • Petry, N. M., & Armentano, C. (1999). Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatric Services, 50, 1021–1027.

    Article  CAS  PubMed  Google Scholar 

  • Potenza, M. N. (2008). The neurobiology of pathological gambling and drug addiction: An overview and new findings. Philosophical Transactions of the Royal Society B: Biological Sciences, 363(1507), 3181–3189.

    Article  Google Scholar 

  • Raylu, N., & Oei, T. P. S. (2002). Pathological gambling: A comprehensive review. Clinical Psychology Review, 22, 1009–1061.

    Article  PubMed  Google Scholar 

  • Raylu, N., & Oei, T. P. S. (2004a). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99, 757–769.

    Article  PubMed  Google Scholar 

  • Raylu, N., & Oei, T. P. S. (2004b). The Gambling Urge Scale (GUS): Development, confirmatory factor validation and psychometric properties. Psychology of Addictive Behaviors, 18, 100–105.

    Article  PubMed  Google Scholar 

  • Raylu, N., Loo, J. M. Y., & Oei, T. P. S. (2013). Treatment of gambling problems in Asia: Comprehensive review and implications for Asian problem gamblers. Journal of Cognitive Psychotherapy, 27(3), 297–322.

    Article  Google Scholar 

  • Sartor, C. E., Lynskey, M. T., Heath, A. C., Jacob, T., & True, W. (2007). The role of childhood risk factors in initiation of alcohol use and progression to alcohol dependence. Addiction, 102, 216–225.

    Article  PubMed  Google Scholar 

  • Sharpe, L. (2002). A reformulated cognitive-behavioral model of problem gambling. A biopsychological perspective. Clinical Psychology Review, 22, 1–25.

    Article  PubMed  Google Scholar 

  • Sharpe, L. (2003). Understanding pathological gambling: Distinct pathways or individual formulations. In S. P. Shohov (Ed.), Advances in psychology research (Vol. 19, pp. 167–182). New York: Nova Science Publishers Inc.

    Google Scholar 

  • Sharpe, L., & Tarrier, N. (1993). Towards a cognitive-behavioural theory of problem gambling. British Journal of Psychiatry, 162, 407–412.

    Article  CAS  PubMed  Google Scholar 

  • Stewart, S. H., Zack, M., Collins, P., & Klein, R. M. (2008). Subtyping pathological gamblers on the basis of affective motivations for gambling: Relations to gambling problems, drinking problems, and affective motivations for drinking. Psychology of Addictive Behaviors, 22(2), 257–268. doi:10.1037/0893-164X.22.2.257.

    Article  PubMed  Google Scholar 

  • Tang, C. S. K., & Oei, T. P. (2011). Gambling cognition and subjective well-being as mediators between perceived stress and problem gambling: A cross-cultural study on White and Chinese problem gamblers. Psychology of Addictive Behaviors, 25(3), 511.

    Article  PubMed  Google Scholar 

  • Tang, C. S. K., Wu, A. M., & Tang, J. Y. (2007). Gender differences in characteristics of Chinese treatment-seeking problem gamblers. Journal of Gambling Studies, 23(2), 145–156.

    Article  PubMed  Google Scholar 

  • Thomas, A. C., Allen, F. L., Phillips, J., & Karantzas, G. (2011). Gaming machine addiction: The role of avoidance, accessibility and social support. Psychology of Addictive Behaviors, 25(4), 738.

    Article  PubMed  Google Scholar 

  • Toneatto, T., & Ladoceur, R. (2003). Treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors, 17, 284–292.

    Article  PubMed  Google Scholar 

  • Toneatto, T., & Millar, G. (2004). Assessing and treating problem gambling: Empirical status and promising trends. Canadian Journal of Psychiatry, 49, 517–525.

    PubMed  Google Scholar 

  • van Holst, R. J., van den Brink, W., Veltman, D. J., & Goudriaan, A. E. (2010). Why gamblers fail to win: A review of cognitive and neuroimaging findings in pathological gambling. Neuroscience and Biobehavioral Reviews, 34(1), 87–107.

    Article  PubMed  Google Scholar 

  • Wenzel, H., & Dahl, A. (2009). Female Pathological Gamblers—A Critical Review of the Clinical Findings. International Journal of Mental Health and Addiction, 7(1), 190–202. doi:10.1007/s11469-008-9174-0.

    Article  Google Scholar 

  • Wood, R. T. A., & Griffiths, M. D. (2007). A qualitative investigation of problem gambling as an escape-based coping strategy. Psychology and Psychotherapy: Theory, Research and Practice, 80, 107–125. doi:10.1348/147608306X107881.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tian Po S. Oei.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Raylu, N., Oei, T.P.S., Loo, J.M.Y. et al. Testing the Validity of a Cognitive Behavioral Model for Gambling Behavior. J Gambl Stud 32, 773–788 (2016). https://doi.org/10.1007/s10899-015-9567-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10899-015-9567-5

Keywords

Navigation