An Update on Gender Differences in the Characteristics Associated with Problem Gambling: a Systematic Review
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Purpose of Review
Identifying and understanding gender differences associated with the development, maintenance and consequences of problem gambling has important implications for improving prevention and treatment interventions. The current paper systematically reviews the most recent evidence (2012–2015) examining gender differences in the prevalence of problem gambling and the characteristics associated with problem gambling.
Twenty-nine articles, including treatment-seeking and community representative adult and adolescent samples, were included. Males were typically more likely than females to be either at-risk or problem gamblers, although this finding may be an artefact of other characteristics, such as preferred gambling activity. There was consistent evidence that male problem gambling was associated with impulsivity, substance and alcohol use, while female problem gambling was associated with unemployment, psychological distress and childhood abuse.
The majority of findings, however, were mixed or limited by the small number of studies, highlighting the need for further gender-sensitive research to improve prevention and intervention approaches.
KeywordsProblem gambling Systematic review Gender Sex Female Male
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.Delfabbro P. Gender differences in Australian gambling: a critical summary of sociological and psychological research. Aust J Soc Issues. 2000;35(2):145–58.Google Scholar
- 2.Dowling NA. The cognitive-behavioural treatment of female problem gambling. In: Richard D, Blaszczynski A, Nower L, editors. The Wiley-Blackwell handbook of disordered gambling. West Sussex: Wiley; 2013.Google Scholar
- 3.Dowling NA, Oldenhof E. Gender differences in risk and protective factors for problem gambling. In: Prever HB-JF, editor. Problem gambling in women: an international perspective. UK: Taylor and Francis; 2016.Google Scholar
- 10.Dowling NA, Jackson AC, Pennay DW, Francis KL, Pennay A, Lubman DI. National estimates of Australian gambling prevalence: findings from a dual-frame omnibus survey. Addiction. 2016.Google Scholar
- 13.Aymamí N, Granero R, Penelo E, Fernández-Aranda F, Isabel K, Gunnard K, et al. Anger in pathological gambling: clinical, psychopathological, and personality correlates. Span J Psychol. 2014;17(E39):1–12.Google Scholar
- 15.••Blanco C, Hanania J, Petry NM, Wall MM, Wang S, Jin CJ, et al. Towards a comprehensive developmental model of pathological gambling. Addiction. 2015;110(8):1340–51. This study was deemed of major importance as it was one of few studies identified in this review that used moderations to explore gender differences in risk factors associated with the development of problem gambling.CrossRefPubMedGoogle Scholar
- 17.Castrén S, Grainger M, Lahti T, Alho H, Salonen AH. At-risk and problem gambling among adolescents: a convenience sample of first-year junior high school students in Finland. Subst Abuse Treat Prev Policy. 2015;10(1):1–10.Google Scholar
- 27.•Kim HS, Hodgins DC, Bellringer M, Abbott M. Gender differences among helpline callers: prospective study of gambling and psychosocial outcomes. J Gambl Stud. 2015;Online first. This study was deemed important as it was the only study identified in this review that examined the role of gender in treatment outcomes. Google Scholar
- 30.•Nordmyr J, Forsman AK, Wahlbeck K, Björkqvist K, Österman K. Associations between problem gambling, socio-demographics, mental health factors and gambling type: sex differences among Finnish gamblers. Int Gambl Stud. 2014;14(1):39–52. This study was deemed important as it was the only study identified in this review to examine the role of online gambling in the developing gambling problems. As a new and fast growing mode of gambling, online gambling is an emerging field that requires research.CrossRefGoogle Scholar
- 33.•Slutske WS, Cho SB, Piasecki TM, Martin NG. Genetic overlap between personality and risk for disordered gambling: evidence from a national community-based Australian twin study. J Abnorm Psychol. 2013;122(1):250–5. This study was deemed important as it is one of the first to examine gender differences in the role of genetics in the development of problem gambling.CrossRefPubMedGoogle Scholar
- 36.••Stark S, Zahlan N, Albanese P, Tepperman L. Beyond description: understanding gender differences in problem gambling. J Behav Addict. 2012;1(3):123–34. This study was deemed to be of major importance as it is one of few studies identified in this review that examined whether patterns of gambling behaviour and psychological factors mediate the relationship between gender and problem gambling.CrossRefPubMedGoogle Scholar
- 39.••Wong G, Zane N, Saw A, Chan AKK. Examining gender differences for gambling engagement and gambling problems among emerging adults. J Gambl Stud. 2013;29(2):171–89. This study was deemed to be of major importance as it is one of few studies that examined the risk factors accounting for gender differences in gambling problems, using mediation analyses.CrossRefPubMedPubMedCentralGoogle Scholar
- 40.Crisp BR, Thomas SA, Jackson AC, Smith S, Borrell J, Ho W, et al. Sex differences in the treatment of problem gamblers. Res Soc Work Pract. 2000;10:229–42.Google Scholar