Abstract
Gambling disorder not only affects those who suffer from it but also has consequences for their families. Considering such repercussions are often understudied, and the aim of the present study was to evaluate the main differences between family members of people with gambling disorder (GDFMs) and those with no relatives diagnosed with gambling disorder (non-GDFMs). The variables examined in the present study included emotion regulation, coping strategies, depression, and anxiety. The sample (N = 203) was divided into two groups. This comprised a clinical group (n = 89 participants, 43.8% of the sample), with 69.7% of women (Mage = 48.63, SD = 13.36), and a community sample (i.e., no gambling-related problems in their family; n = 114, representing 56.2% of the sample), containing 64% of women (Mage = 35.89, SD = 11.45). Results showed that GDFMs scored significantly higher than non-GDFMs (i) on anxiety and depression scales, (ii) on difficulties in emotion regulation, and (iii) on maladaptive coping strategies. Additionally, difficulties in emotion regulation and coping strategies correlated with anxiety and depression. Regression analyses showed that difficulties in emotion regulation and coping strategies predicted anxiety and depression for GDFMs. These findings highlight the importance of including family members as part of the target group in gambling disorder treatment protocols.
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Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30(2), 217–237.
Arquillo, B. N. (2016). Convivencia con un drogodependiente: consecuencias psicológicas, satisfacción con la familia, niveles de sobrecarga y esfuerzo en el familiar cuidador [Living with an addict: psychological consequences, family satisfaction, overburden levels and effort degree of the caregiver] (Doctoral dissertation) University of Sevilla.
Asselmann, E., Wittchen, H., Lieb, R., Höfler, M., & Beesdo-Baum, K. (2015). Danger and loss events and the incidence of anxiety and depressive disorders: a prospective-longitudinal community study of adolescents and young adults. Psychological Medicine, 45(1), 153–163.
Biscarra, A., & Fernández-Acevedo, G. (2010). Codependencia: el lado oculto de los trastornos adictivos [Codependency: the dark side of addictive disorders]. Nexos, 27, 14–18.
Black, W. D., Shaw, C. M., McCormick, A. B., & Allen, J. (2012). Marital status, childhood maltreatment, and family dysfunction: a controlled study of pathological gambling. Journal of Clinical Psychiatry, 73(10), 1293–1297.
Blanco, P. (2013). El estudio de las adicciones sociales. El juego como adicción social: Problemática social, contexto familiar y movimiento asociativo. El caso de Huelva [Study of social addictions. Gambling as a social addiction: social problematic, family context and associative movement]. (Doctoral dissertation). University of Huelva.
Blanco, M. P. (2016). Asumiendo las consecuencias negativas de la adicción al juego [Assuming the negative consequences of gambling addiction]. Cuadernos de Trabajo Social, 29(2), 335–344.
Blanco, M. P., Rodríguez, P. I., & Martos, S. C. (2016). Contexto familiar y adicción al juego. Factores que determinan su relación [Family context and gambling addiction. Factors that determine its relationship]. Health and Addictions, 16(2), 81–91.
Calvo, B. H. (2007). Redes de apoyo para la integración social: La familia [Support networks for social integration: the family]. Salud y Drogas, 7, 45–56.
Cano, G. F. J., Rodríguez, F. L., & García, M. J. (2007). Adaptación española del Inventario de Estrategias de Afrontamiento [Spanish adaptation of the Coping Strategies Inventory]. Actas Españolas de Psiquiatría, 35(1), 29–39.
Capetillo-Ventura, N., & Jalil-Pérez, S. (2014). Juego patológico, depresión y trastorno de personalidad: Caso clínico en una mujer joven [Pathological gambling, depression and personality disorder: clinical case in a young woman]. Revista Biomédica, 25(2), 92–97.
Certuche, I., & Andrés, D. (2015). Presencia de sesgos cognitivos y afectación del clima familiar en jugadores patológicos y no patológicos de la ciudad de Bogotá [Cognitive bias and family environment in pathological and non-pathological gamblers from Bogotá city]. Enfoques, 1(2), 31–53.
Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98–101.
Collins, S., Woolfson, L. M., & Durkin, K. (2013). Effects on coping skills and anxiety of a universal school-based mental health intervention delivered in Scottish primary schools. School Psychology International, 35(1), 85–100.
Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87–127.
Compas, B. E., Jaser, S. S., Dunbar, J. P., Watson, K. H., Bettis, A. H., Gruhn, M. A., & Williams, E. K. (2014). Coping and emotion regulation from childhood to early adulthood: points of convergence and divergence. Australian Journal of Psychology, 66(2), 71–81.
Copello, A., Orford, J., Velleman, R., Templeton, L., & Krishnan, M. (2000). Methods for reducing alcohol and drug related family harm in non-specialist settings. Journal of Mental Health, 9, 329–343.
Copello, A. G., Velleman, R. D., & Templeton, L. J. (2005). Family interventions in the treatment of alcohol and drug problems. Drug and Alcohol Review, 24(4), 369–385.
Corrigan, P. W., Watson, A. C., & Miller, F. E. (2006). Blame, shame, and contamination: the impact of mental illness and drug dependence stigma on family members. Journal of Family Psychology, 20(2), 239–246.
Derogatis, L. R. (2002). SCL-90-R: Cuestionario de síntomas [SCL-90-R. 90 items questionnaire]. Madrid: Tea ediciones.
Estévez, A. (2008). Factores cognitivos asociados a la depresión y ansiedad en mujeres [Cognitive factors associated with depression and anxiety in women]. Saarbrücken: VDM Verlarg Dr. Müller.
Estévez, A., Herrero, D., Sarabia, I., & Jáuregui, P. (2014). El papel mediador de la regulación emocional entre el juego patológico, uso abusivo de Internet, videojuegos y la sintomatología disfuncional en jóvenes y adolescents [Mediating role of emotion regulation between pathological gambling, Internet and videogame abuse, and dysfunctional psychological symptomatology in adolescents and young adults]. Adicciones, 26(4), 282–290.
Estevez, A., Jauregui, P., Sanchez-Marcos, I., Lopez-Gonzalez, H., & Griffiths, M. D. (2017). Attachment and emotion regulation in substance addictions and behavioral addictions. Journal of Behavioral Addictions, 6(4), 534–544.
Ferland, F., Fournier, P. M., Ladouceur, R., Brochu, P., Bouchard, M., & Pâquet, L. (2008). Consequences of pathological gambling on the gambler and his spouse. Journal of Gambling Issues, 22, 219–229.
Fernández-Montalvo, J., & Castillo, A. (2004). Repercusiones familiares del juego patológico: Una revisión crítica [Family consequences of pathological gambling: a critical review]. Salud y Drogas, 4, 149–166.
Frances, A. (2013). Saving normal: an insider’s revolt against out-of-control psychiatric diagnosis, DSM-5, big pharma and the medicalization of ordinary life. Psychotherapy in Australia, 19(3), 14–18.
García, S. A., Montes, S. C., & Alcol, G. I. (2012). El juego patológico en los adolescents [Pathological gambling in adolescents]. Psicología de las Adicciones, 1, 29–34.
González de Rivera, J. L., Delas Cuevas, C., Rodríguez, M., & Rodríguez, F. (2002). Cuestionario de 90 síntomas SCL-90-R de Derogatis, L. Adaptación española [90 symptoms questionnaire SCL-90-R of Derogatis, L. Spanish adaptation]. Madrid: TEA Ediciones.
Goodwin, B. C., Browne, M., Rockloff, M., & Rose, J. (2017). A typical problem gambler affects six others. International Gambling Studies, 17(2), 276–289.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.
Griffiths, M. D. (2002). Gambling and gaming addictions in adolescence. Leicester: British Psychological Society/Blackwells.
Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handkbook of emotion regulation (pp. 3–24). New York: Guilford Press.
Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades de Regulación Emocional [Spanish adaptation of the Difficulties of Emotion Regulation Scale]. Clínica y Salud, 19(2), 139–156.
Jáuregui, P., Herrero-Fernández, D., & Estévez, A. (2016). Estructura factorial del “Inventario de Estrategias de Afrontamiento” y su relación con la regulación emocional, ansiedad y depression [Factorial structure of the Coping Strategies Inventory and its relationship with emotion regulation, anxiety and depression]. Psicología Conductual, 24(2), 319–340.
Jauregui, P., Onaindia, J., & Estévez, A. (2017). Adaptive and maladaptive coping strategies in adult pathological gamblers and their mediating role with anxious-depressive symptomatology. Journal of Gambling Studies, 33(4), 1081–1097.
Matheson, K., Wohl, M. J. A., & 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.
McComb, J. L., Lee, B. K., & Sprenkle, D. H. (2009). Conceptualizing and treating problem gambling as a family issue. Journal of Marital and Family Therapy, 35(4), 415–431.
McEvoy, P. M., Watson, H., Watkins, E. R., & Nathan, P. (2013). The relationship between worry, rumination, and comorbidity: Evidence for repetitive negative thinking as a transdiagnostic construct. Journal of Affective Disorders, 151(1), 313-320.
Monteiro, N. M., Balogun, S. K., & Oratile, K. N. (2014). Managing stress: the influence of gender, age and emotion regulation on coping among university students in Botswana. International Journal of Adolescence and Youth, 19(2), 153–173.
Orford, J., Templeton, L., Velleman, R., & Copello, A. (2005). Family members of relatives with alcohol, drug and gambling problems: a set of standardized questionnaires for assessing stress, coping and strain. Addiction, 100(11), 1611–1624.
Orford, J., Copello, A., Velleman, R., & Templeton, L. (2010). Family members affected by a close relative’s addiction: the stress-strain-coping-support model. Drugs: Education, Prevention and Policy, 17(S1), 36–43.
Östman, M., & Kjellin, L. (2002). Stigma by association: psychological factors in relatives of people with mental illness. British Journal of Psychiatry, 181(6), 494–498.
Rush, A. J., & Nowels, A. (1994). Adaptation of cognitive therapy for depressed adolescents. In T. C. R. Wilkes, G. Belsher, A. J. Rush, & E. Frank (Eds.), Cognitive therapy for depressed adolescents (pp. 3–21). New York: The Guildford Press.
Rychtarik, R., & McGillicuddy, G. (2006). Preliminary evaluation of a coping skills training program for those with a pathological-gambling partner. Journal of Gambling Studies, 22(2), 165–178.
Salonen, A. H., Castrén, S., Alho, H., & Lahti, T. (2014). Concerned significant others of people with gambling problems in Finland: a cross-sectional population study. BMC Public Health, 14(1), 398.
Skinner, E. A., Edge, K., Altman, J., & Sherwood, H. (2003). Searching for the structure of coping: a review and critique of category systems for classifying ways of coping. Psychological Bulletin, 129(2), 216–269.
Suissa, J. A. (2005). Gambling, violence and family dynamics: some intervention markers. International Journal of Mental Health and Addictions, 2(2), 1–5.
Suomi, A., Jackson, A., Dowling, C., Lavis, N., Patford, A., Thomas, T., et al. (2013). Problem gambling and family violence: family member reports of prevalence, family impacts and family coping. Asian Journal of Gambling Issues and Public Health, 3(1), 1–15.
Tobin, D. L., Holroyd, K. A., Reynolds, R. V., & Wigal, J. K. (1989). The hierarchical factor structure of the Coping Strategies Inventory. Cognitive Therapy and Research, 13(4), 343–361.
Wenzel, H. G., Oren, A., & Bakken, I. J. (2008). Gambling problems in the family - a stratified probability sample study of prevalence and reported consequences. BMC Public Health, 8, 412.
Wood, R., & Griffiths, M. (2007). A qualitative investigation of problem gambling as an escape-based coping strategy. Psychology and Psychotherapy: Theory, Research and Practice, 80(1), 107–125.
World Medical Association (2013). WMA Declaration of Helsinki—ethical principles for medical research involving human subjects. Retrieved July 9, 2019, from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
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The sample was recruited with the help of Ekintza-Aluviz (Asociación Vizcaína de Ayuda al Ludópata) and FEJAR (Spanish Federation of Rehabilitated Gamblers).
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
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The authors declare that they have no conflict of interest apart from MDG. MDG’s university currently receives funding from Norsk Tipping (the gambling operator owned by the Norwegian Government). MDG has also received funding for a number of research projects in the area of gambling education for young people, social responsibility in gambling, and gambling treatment from Gamble Aware (formerly the Responsibility in Gambling Trust), a charitable body which funds its research program based on donations from the gambling industry. MDG also undertakes consultancy for various gaming companies in the area of social responsibility in gambling.
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Estevez, A., Jauregui, P., Lopez, N. et al. Difficulties in Emotion Regulation, Coping, and Dysfunctional Psychological Symptoms in Family Members of People with Gambling Disorder. Int J Ment Health Addiction 18, 1196–1208 (2020). https://doi.org/10.1007/s11469-019-00117-x
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DOI: https://doi.org/10.1007/s11469-019-00117-x