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Changes in gambling behaviour and related problems in clients seeking help in outpatient addiction care: Results from a 36-month follow-up study in Bavaria
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Number of Authors: 82021 (English)In: Journal of Behavioral Addictions, ISSN 2062-5871, E-ISSN 2063-5303, Vol. 10, no 3, p. 690-700Article in journal (Refereed) Published
Abstract [en]

Background and aim: Evidence on the course of gambling disorder (GD) in clients seeking help from outpatient addiction care facilities is sparse. To close this knowledge gap, this longitudinal one-armed cohort study portrays the development of GD in help-seeking clients over a 3-year timeframe.

Methods: We investigated changes in severity of GD as well as in gambling frequency and intensity in 145 gamblers in outpatient treatment in Bavaria using generalized estimation equations (GEEs). To investigate potentially different trajectories between study participants with and without migration background (MB), additional analyses were applied with time*migration interaction. All analyses were adjusted for age, gender, education, electronic gambling machine (EGM) gambling, MB, GD, related help sought before and treatment status.

Results: Within the entire study population, improvements in severity of GD (reduction of 39.2%), gambling intensity (reduction of 75.6%) and gambling frequency (reduction of 77.0%) were observed between baseline and 36 months of follow-up. The declines were most pronounced between baseline and follow-up 1 and stabilized thereafter. Participants with MB improved consistently less than participants without MB.

Discussion and conclusion: Our study suggests that severity of GD and gambling patterns improve in the context of outpatient treatment. The beneficial results furthermore persist for 36 months after treatment termination. As clients with MB seem to profit less than clients without MB, improvements in outpatient gambling services to the specific needs of this clientele are required.

Place, publisher, year, edition, pages
2021. Vol. 10, no 3, p. 690-700
Keywords [en]
gambling disorder, outpatient addiction care, longitudinal study, migration background
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-199880DOI: 10.1556/2006.2021.00043ISI: 000709702500028PubMedID: 34319902OAI: oai:DiVA.org:su-199880DiVA, id: diva2:1623235
Available from: 2021-12-28 Created: 2021-12-28 Last updated: 2022-06-29Bibliographically approved

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Bickl, Andreas M.Cisneros Örnberg, JennyKraus, Ludwig

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Centre for Social Research on Alcohol and Drugs (SoRAD)
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