Abstract
Since the 1990s, gambling has been considered a public health concern. The characteristics of games and the environments in which gambling is carried out are major causes of gambling disorder. Information and communication technologies (e.g., Internet, mobile phones) have been adapted for gambling, and new forms of online gambling have appeared.
Online gambling is currently legal in many countries worldwide, and it is continuing to expand globally. In Spain, online gambling has been legal since 2012, when the government authorized companies to operate in this space. Many other countries have been through a similar process of legalization and the promotion of online gambling.
In this study, we analyzed the prevalence of gambling disorder in Spain, as well as differences between online and traditional gambling, according to sex and age group. Prevalence indicators of gambling disorder were higher than expected, and this result was especially evident with regard to online gambling.
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Notes
The terms “pathological gambling” and “gambling disorder” are used interchangeably. They are the terms used, respectively, by the WHO and the APA to designate the psychological disorder associated with gambling.
References
APA, American Psychiatric Association. (1980). Diagnostic and statistical manual (DSM-III). Washington, DC: American Psychiatric Pub.
APA, American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Pub.
Babor, T., Caulkins, J., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K., Obot, I., Rehm, J., Reuter, P., Room, R., Rossow, I., & Strang, J. (2010). Drug policy and the public good. Oxford: Oxford University Press.
Baggio, S., Dupuis, M., Berchtold, A., Spilka, S., Simon, O., & Studer, J. (2017). Is gambling involvement a confounding variable for the relationship between Internet gambling and gambling problem severity? Computers in Human Behavior, 71, 148–152.
Barratt, M. J., Livingston, M., Matthews, S., & Clemens, S. L. (2014). Gaming machine density is correlated with rates of help-seeking for problem gambling: a local area analysis in Victoria, Australia. Journal of Gambling Issues, 29, 1–21.
Becoña, E. (2004). El juego patológico: prevalencia en España [Pathological gambling: prevalence in Spain]. Salud y drogas, 4(2), 9–34.
Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 36(7), 943–953.
Brooks, G., Ellis, T., & Lewis, C. (2008). Pachinko: a Japanese addiction? International Gambling Studies, 8, 193–205.
Chambers, R. A., Taylor, J. R., & Potenza, M. N. (2003). Developmental neurocircuitry of motivation in adolescence: a critical period of addiction vulnerability. American Journal of Psychiatry, 160(6), 1041–1052.
Chóliz, M. (2010). Experimental analysis of the game in pathological gamblers: effect of the immediacy or the reward in slot machines. Journal of Gambling Studies, 26, 249–256.
Chóliz, M. (2016). The challenge of online gambling: the effect of legalization on the increase in online gambling addiction. Journal of Gambling Studies, 32(2), 749–756.
Chóliz, M. (2018). Ethical gambling: a necessary new point of view of gambling in public health policies. Frontiers in Public Health, 6, article 12. https://doi.org/10.3389/fpubh.2018.00012.
Chóliz, M., & Lamas, J. (2017). ¡Hagan juego, menores! [Play again, children!]. Revista Española de Drogodependencias, 42(1), 43–56.
Chóliz, M., & Saiz-Ruiz, J. (2016). Regulating gambling to prevent addiction: more necessary now than ever. Adicciones, 28(3), 174–181.
Crews, F., He, J., & Hodge, C. (2007). Adolescent cortical development: a critical period of vulnerability for addiction. Pharmacology Biochemistry and Behavior, 86(2), 189–199.
Desai, R. A., & Potenza, M. N. (2008). Gender differences in the associations between past-year gambling problems and psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 43(3), 173–183.
DGOJ, Dirección General de Ordenación del Juego [General Directorate of Gambling Regulation] (2016a). Memoria Anual 2015 [2015 Anual Report]. Ministerio de Hacienda. http://www.ordenacionjuego.es/ estudios-informes.
DGOJ, Dirección General de Ordenación del Juego [General Directorate of Gambling Regulation] (2016b). Estudio de prevalencia [Prevalence Study]. Ministerio de Hacienda. http://www.ordenacionjuego.es/estudio-prevalencia.
DGOJ, Dirección General de Ordenación del Juego [General Directorate of Gambling Regulation] (2017). Informe sobre el juego online en España. Cuarto informe trimestral 2016 [Report on the online gambling in Spain. Fourth quarterly report 2016]. Ministerio de Hacienda y Administraciones Públicas. Retrieved from: htpp://www.ordenacionjuego.es/es/informes-trimestrales.
Dowling, N., Smith, D., & Thomas, T. (2005). Electronic gaming machines: are they the ‘crack-cocaine’ of gambling? Addiction, 100(1), 33–45.
Gerstein, D., Hoffmann, J., Larison, C., Engelman, L., Murphy, S., Palmer, A., ... & Hill, M.A. (1999). Gambling impact and behavior study. Report to the National Gambling Impact Study Commission. National Opinion Research Center at the University of Chicago, Chicago, National Opinion Research Center.
Griffiths, M. D. (1993). Fruit machine gambling: the importance of structural characteristics. Journal of Gambling Studies, 9, 101–120.
Griffiths, M. D. (2003). Internet gambling: issues, concerns, and recommendations. Cyberpsychology & Behavior, 6(6), 557–568.
Griffiths, M. D. (2008). Impact of high-stake, high-prize gaming machines on problem gambling: overview of research findings. London: Report prepared for the Great Britain Gambling Commission.
Griffiths, M.D., Parke, A., Wood, R., & Parke, J. (2006). Internet gambling: an overview of psychosocial impacts. UNLV Gaming Research & Review Journal,10(1), 27.
Gupta, R., & Derevensky, J. L. (1998). Adolescent gambling behavior: a prevalence study and examination of the correlates associated with problem gambling. Journal of Gambling Studies, 14(4), 319–345.
Hodgins, D. C. (2004). Using the NORC DSM Screen for Gambling Problems as an outcome measure for pathological gambling: psychometric evaluation. Addictive Behaviors, 29, 1685–1690.
Kessler, R., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N., Winters, K., & Shaffer, H. (2008). DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychological Medicine, 38(9), 1351–1360. https://doi.org/10.1017/S0033291708002900.
Korn, D. A., & Shaffer, H. J. (1999). Gambling and the health of the public: adopting a public health perspective. Journal of Gambling Studies, 15(4), 289–365.
Lesieur, H., & Blume, S. (1987). The south oaks gambling screen (SOGS): a new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144(9), 1184–1188.
Livingstone, C., & Woolley, R. (2008). The relevance and role of gaming machine games and game features on the play of problem gamblers.
McBride, J., & Derevensky, J. (2009). Internet gambling behavior in a sample of online gamblers. International Journal of Mental Health and Addiction, 7(1), 149–167.
Meyer, G., & Hayer, T. (2009). Germany. In G. Meyer, T. Hayer, & M. Griffiths (Eds.), Problem Gambling in Europe. pp. 85–101. Springer.
Monaghan, S. (2009). Editorial: Internet gambling–not just a fad. International Gambling Studies, 9(1), 1–4.
NRC, National Research Council. (1999). Pathological gambling: a critical review. Washington: National Academic Press.
Parke, J., & Griffiths, M. (2007). The role of structural characteristics in gambling. In G. Smith, D. C. Hodgins, & R. J. Williams (Eds.), Research and measurement issues in gambling studies (pp. 217–249). Burlington, MA: Elsevier.
Petry, N. M. (2006b). Internet gambling: an emerging concern in family practice medicine? Family Practice, 23(4), 421–426.
Petry, N. M. (2006a). Should the scope of addictive behaviors be broadened to include pathological gambling? Addiction, 101, 152–160.
Potenza, M. (2006). Should addictive disorders include non-substance related conditions? Addiction, 101, 142–151.
Ruiz, F. J., Cases, J. I., Gómez, J. A., Lalanda, C., Romero, J. R., & Cases, A. (2011). Segundo informe sobre la percepción social del juego en España [second report on the social perception of gambling in Spain]. Madrid: Instituto de Política y Gobernanza, Universidad Carlos III.
Rush, B., Veldhuizen, S., & Adlaf, E. (2007). Mapping the prevalence of problem gambling and its association with treatment accessibility and proximity to gambling venues. Journal of Gambling Issues, 20, 193–213.
Shaffer, H. J., Hall, M. H., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling behavior in the United States and Canada: a meta-analysis. Boston: Presidents and Fellows of Harvard College.
Shaffer, H. J., LaBrie, R. A., & LaPlante, D. (2004). Laying the foundation for quantifying regional exposure to social phenomena: considering the case of legalized gambling as a public health toxin. Psychology of Addictive Behaviors, 18(1), 40–48.
Shaffer, H. J., & Korn, D. A. (2002). Gambling and related mental disorders: a public health analysis. Annual Review of Public Health, 23(1), 171–212.
Storer, J., Abbott, M., & Stubbs, J. (2009). Access or adaptation? A meta-analysis of surveys of problem gambling prevalence in Australia and New Zealand with respect to concentration of electronic gaming machines. International Gambling Studies, 9(3), 225–244.
Tang, C., Wu, A., & Tang, J. (2007). Gender differences in characteristics of Chinese treatment-seeking problem gamblers. Journal of Gambling Studies, 23(2), 145–156.
Teo, P., Mythily, S., Anantha, S., & Winslow, M. (2007). Demographic and clinical features of 150 pathological gamblers referred to a community addictions programme. Annals Academy of Medicine Singapore, 36(3), 165–168.
Vaughn-Williams, L. (2003). The economics of gambling. New York: Routledge.
Viren, M. (2009). Gaming in the new market environment. Basingstoke: MacMillan.
Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: implications for public health. American Journal of Public Health, 84(2), 237–241.
Welte, J. W., Wieczorek, W. F., Barnes, G. M., Tidwell, M. C., & Hoffman, J. H. (2004). The relationship of ecological and geographic factors to gambling behavior and pathology. Journal of Gambling Studies, 20, 405–423.
WHO, World Health Organization. (1978). The ICD-9 classification of mental and behavioural disorders. Geneva: WHO.
Wickwire, E. M., Burke, R. S., Brown, S. A., Parker, J. D., & May, R. K. (2008). Psychometric evaluation of the National Opinion Research Center DSM-IV Screen for gambling problems (NODS). American Journal on Addictions, 17(5), 392–395.
Williams, R. J., & Wood, R. T. (2007). The proportion of Ontario gambling revenue derived from problem gamblers. Canadian Public Policy, 33(3), 367–387.
Williams, R.J., & Wood, R.T. (2016). What proportion of gambling revenue is derived from problem gamblers. In presentation at the Alberta Gambling Research Institute Conference, Banff, April.
Williams, R.J., West, B., & Simpson, R. (2012). Prevention of problem gambling. Report prepared to Ontario Problem Gambling Research Centre and Ontario Ministry of Health and Long Term Care.
Wood, R. T., & Williams, R. J. (2007). Problem gambling on the Internet: implications for Internet gambling policy in North America. New Media & Society, 9(3), 520–542.
Wood, R.T. & Williams, R.J. (2009). Internet gambling: prevalence, patterns, problems, and policy options. Final Report prepared for the Ontario Problem Gambling Research Centre, Guelph, Ontario, CANADA. January 5, 2009.
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The authors declare that they have no conflicts of interest with any gambling company. The first author subscribes to and is one of the signatories of the Auckland Code of Ethics for gambling researchers.
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This study is in accordance with the ethical standards of the Spanish Government and with the 1964 Helsinki Declaration and its later amendments. The data of the survey were collected by the General Directorate of Gambling (Ministry of Finances, Spain). All data are anonymous and they are in accordance with Law 15/1999, of December 13, on the Protection of Personal Data.
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Chóliz, M., Marcos, M. & Lázaro-Mateo, J. The Risk of Online Gambling: a Study of Gambling Disorder Prevalence Rates in Spain. Int J Ment Health Addiction 19, 404–417 (2021). https://doi.org/10.1007/s11469-019-00067-4
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DOI: https://doi.org/10.1007/s11469-019-00067-4