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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Bickl, Andreas M. (author)

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

Article/chapterEnglish2021

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Akademiai Kiado Zrt.2021
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LIBRIS-ID:oai:DiVA.org:su-199880
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-199880URI
https://doi.org/10.1556/2006.2021.00043DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
gambling disorder
outpatient addiction care
longitudinal study
migration background
Public Health Sciences
folkhälsovetenskap

Added entries (persons, corporate bodies, meetings, titles ...)

Schwarzkopf, Larissa (author)
Loy, Johanna K. (author)
Grüne, Bettina (author)
Braun-Michl, Barbara (author)
Sleczka, Pawel (author)
Cisneros Örnberg, JennyStockholms universitet,Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD),REGAPS(Swepub:su)cisne (author)
Kraus, LudwigStockholms universitet,Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD),IFT Institut für Therapieforschung, Germany; Eötvös Loránd University, Hungary(Swepub:su)lkrau (author)
Stockholms universitetCentrum för socialvetenskaplig alkohol- och drogforskning (SoRAD) (creator_code:org_t)

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In:Journal of Behavioral Addictions: Akademiai Kiado Zrt.10:3, s. 690-7002062-58712063-5303

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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