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Published in: Journal of Gambling Studies 2/2016

01-06-2016 | Original Paper

Gender Differences Among Helpline Callers: Prospective Study of Gambling and Psychosocial Outcomes

Authors: Hyoun S. Kim, David C. Hodgins, Maria Bellringer, Max Abbott

Published in: Journal of Gambling Studies | Issue 2/2016

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Abstract

Despite the increasing amount of empirical research on gambling helplines (e.g., characteristics, effectiveness), little is known about gender differences on treatment outcomes following contact. The present research addresses this gap in the literature via secondary analysis of an uncontrolled outcome study of New Zealand’s gambling helpline (N = 150). To this end, the present research had three aims; (a) explore gender differences (e.g., demographics, co-morbidities, gambling variables) among helpline callers using psychometrically robust measures, (b) assess whether gender predicts treatment utilization following contact and (c) assess whether systematic gender differences exist on gambling and psychosocial outcomes at 3-, 6- and 12-month follow-ups. The results revealed that at baseline, women compared to men, described greater problem severity and shorter problem duration, and were more likely to report electronic gaming machines as their most problematic form of gambling. Women also reported greater distress and lower quality of life. Men, despite less problem severity and distress, were more likely to access treatment following helpline contact. Importantly, both men and women reported significant and equivalent improvements in both gambling and psychosocial outcomes following helpline contact. The improved outcomes remained significant after controlling for treatment attendance. Although different approaches for women may be required by helplines if the goal is to refer callers to treatment, the results suggest that after calling the helpline, women reduced their problematic gambling and improved psychosocial functioning without further treatment.
Literature
go back to reference Abbott, M. W., & Volberg, R. A. (2006). The measurement of adult problem and pathological gambling. International Gambling Studies, 6, 175–200.CrossRef Abbott, M. W., & Volberg, R. A. (2006). The measurement of adult problem and pathological gambling. International Gambling Studies, 6, 175–200.CrossRef
go back to reference Blaszczynski, A. (2012). Influencing international foundations for legalization, policy and commercial gambling: A tribute to William Eadington’s International Conference on gambling and risk taking. UNLV Gaming Research and Review Journal, 16, 27–32. Blaszczynski, A. (2012). Influencing international foundations for legalization, policy and commercial gambling: A tribute to William Eadington’s International Conference on gambling and risk taking. UNLV Gaming Research and Review Journal, 16, 27–32.
go back to reference Chiu, W. T., Huang, S. J., Hwang, H. F., Tsauo, J. Y., Chen, C. F., Tsai, S. H., et al. (2006). Use of the WHOQOL-BREF for evaluating persons with traumatic brain injury. Journal of Neurotrauma, 23(11), 1609–1620.CrossRefPubMed Chiu, W. T., Huang, S. J., Hwang, H. F., Tsauo, J. Y., Chen, C. F., Tsai, S. H., et al. (2006). Use of the WHOQOL-BREF for evaluating persons with traumatic brain injury. Journal of Neurotrauma, 23(11), 1609–1620.CrossRefPubMed
go back to reference Clifford, G. (2008). The evolution of problem gambling helplines. In M. Zangeneh, A. Blaszczynski, & N. Turner (Eds.), In the pursuit of winning (pp. 291–312). New York, NY: Springer.CrossRef Clifford, G. (2008). The evolution of problem gambling helplines. In M. Zangeneh, A. Blaszczynski, & N. Turner (Eds.), In the pursuit of winning (pp. 291–312). New York, NY: Springer.CrossRef
go back to reference Cocco, K. M., & Carey, K. B. (1998). Psychometric properties of the Drug Abuse Screening Test in psychiatric outpatients. Psychological Assessment, 10, 408–414.CrossRef Cocco, K. M., & Carey, K. B. (1998). Psychometric properties of the Drug Abuse Screening Test in psychiatric outpatients. Psychological Assessment, 10, 408–414.CrossRef
go back to reference Cohen, B. B., & Vinson, D. C. (1995). Retrospective self-report of alcohol consumption: Test–retest reliability by telephone. Alcoholism, Clinical and Experimental Research, 19(5), 1156–1161.CrossRefPubMed Cohen, B. B., & Vinson, D. C. (1995). Retrospective self-report of alcohol consumption: Test–retest reliability by telephone. Alcoholism, Clinical and Experimental Research, 19(5), 1156–1161.CrossRefPubMed
go back to reference Colasante, E., Gori, M., Bastiani, L., Siciliano, V., Giordani, P., Grassi, M., et al. (2013). An assessment of the psychometric properties of Italian version of CPGI. Journal of Gambling Studies, 29(4), 765–774.CrossRefPubMed Colasante, E., Gori, M., Bastiani, L., Siciliano, V., Giordani, P., Grassi, M., et al. (2013). An assessment of the psychometric properties of Italian version of CPGI. Journal of Gambling Studies, 29(4), 765–774.CrossRefPubMed
go back to reference Crisp, B. R., Thomas, S. A., Jackson, A. C., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10(2), 229–242. Crisp, B. R., Thomas, S. A., Jackson, A. C., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10(2), 229–242.
go back to reference Cuadrado, M. (1999). A comparison of Hispanic and Anglo calls to a gambling help hotline. Journal of Gambling Studies, 15, 71–81.CrossRefPubMed Cuadrado, M. (1999). A comparison of Hispanic and Anglo calls to a gambling help hotline. Journal of Gambling Studies, 15, 71–81.CrossRefPubMed
go back to reference de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology and Neuroscience, 2(1), 83.CrossRef de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology and Neuroscience, 2(1), 83.CrossRef
go back to reference Fassaert, T., De Wit, M. A. S., Tuinebreijer, W. C., Wouters, H., Verhoeff, A. P., Beekman, A. T. F., et al. (2009). Psychometric properties of an interviewer-administered version of the Kessler Psychological Distress scale (K10) among Dutch, Moroccan and Turkish respondents. International Journal of Methods in Psychiatric Research, 18(3), 159–168.CrossRefPubMed Fassaert, T., De Wit, M. A. S., Tuinebreijer, W. C., Wouters, H., Verhoeff, A. P., Beekman, A. T. F., et al. (2009). Psychometric properties of an interviewer-administered version of the Kessler Psychological Distress scale (K10) among Dutch, Moroccan and Turkish respondents. International Journal of Methods in Psychiatric Research, 18(3), 159–168.CrossRefPubMed
go back to reference Ferentzy, P., & Skinner, W. (2003). Gamblers Anonymous: A critical review of the literature. Journal of Gambling Issues, 9, 1–29.CrossRef Ferentzy, P., & Skinner, W. (2003). Gamblers Anonymous: A critical review of the literature. Journal of Gambling Issues, 9, 1–29.CrossRef
go back to reference Ferland, F., Ladouceur, R., Giroux, I., Savard, C., Ruel, S., Leclerc, M. F., et al. (2013). Evaluation of the quality of services provided by a gambling helpline: An empirical study. Journal of Gambling Issues, 28, 1–11.CrossRef Ferland, F., Ladouceur, R., Giroux, I., Savard, C., Ruel, S., Leclerc, M. F., et al. (2013). Evaluation of the quality of services provided by a gambling helpline: An empirical study. Journal of Gambling Issues, 28, 1–11.CrossRef
go back to reference Ferris, J., & Wynne, H. (2001). The Canadian Problem Gambling Index. Ottawa, ON: Canadian Centre on Substance Abuse. Ferris, J., & Wynne, H. (2001). The Canadian Problem Gambling Index. Ottawa, ON: Canadian Centre on Substance Abuse.
go back to reference González-Ortega, I., Echeburúa, E., de Corral, P., & Polo-López, R. (2015). Pathological gambling: Clinical gender differences. In M. Sáenz-Herrero (Ed.), Psychopathology in women (pp. 713–726). Switzerland: Springer. González-Ortega, I., Echeburúa, E., de Corral, P., & Polo-López, R. (2015). Pathological gambling: Clinical gender differences. In M. Sáenz-Herrero (Ed.), Psychopathology in women (pp. 713–726). Switzerland: Springer.
go back to reference Grant, J. E., Odlaug, B. L., & Mooney, M. E. (2012). Telescoping phenomenon in pathological gambling: Association with gender and comorbidities. The Journal of Nervous and Mental Disease, 200(11), 996–998.CrossRefPubMedPubMedCentral Grant, J. E., Odlaug, B. L., & Mooney, M. E. (2012). Telescoping phenomenon in pathological gambling: Association with gender and comorbidities. The Journal of Nervous and Mental Disease, 200(11), 996–998.CrossRefPubMedPubMedCentral
go back to reference Griffiths, M., Scarfe, A., & Bellringer, P. (1999). The UK national telephone gambling helpline-results on the first year of operation. Journal of Gambling Studies, 15, 83–90.CrossRefPubMed Griffiths, M., Scarfe, A., & Bellringer, P. (1999). The UK national telephone gambling helpline-results on the first year of operation. Journal of Gambling Studies, 15, 83–90.CrossRefPubMed
go back to reference Hanley, J. A., Negassa, A., Edwardes, M. de. B., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: An orientation. American Journal of Epidemiology, 157(4), 364–375.CrossRefPubMed Hanley, J. A., Negassa, A., Edwardes, M. de. B., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: An orientation. American Journal of Epidemiology, 157(4), 364–375.CrossRefPubMed
go back to reference Heater, J., & Patton, D. (2006). Gender differences in problem gambling behaviour from helpline callers. Journal of Gambling Issues, 16. Heater, J., & Patton, D. (2006). Gender differences in problem gambling behaviour from helpline callers. Journal of Gambling Issues, 16.
go back to reference Hides, L., Lubman, D. I., Devlin, H., Cotton, S., Aitken, C., Gibbie, T., et al. (2007). Reliability and validity of the Kessler 10 and Patient Health Questionnaire among injecting drug users. Australian and New Zealand Journal of Psychiatry, 41(2), 166–168.CrossRefPubMed Hides, L., Lubman, D. I., Devlin, H., Cotton, S., Aitken, C., Gibbie, T., et al. (2007). Reliability and validity of the Kessler 10 and Patient Health Questionnaire among injecting drug users. Australian and New Zealand Journal of Psychiatry, 41(2), 166–168.CrossRefPubMed
go back to reference Hodgins, D. C., Stea, J. N., & Grant, J. E. (2011). Gambling disorders. The Lancet, 378(9806), 1874–1884.CrossRef Hodgins, D. C., Stea, J. N., & Grant, J. E. (2011). Gambling disorders. The Lancet, 378(9806), 1874–1884.CrossRef
go back to reference Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 95–976. Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 95–976.
go back to reference Kobak, K. A., Taylor, L. H., Dottl, S. L., Greist, J. H., Jefferson, J. W., Burroughs, D., et al. (1997). A computer- administered telephone interview to identify mental disorders. Journal of the American Medical Association, 278, 905–910.CrossRefPubMed Kobak, K. A., Taylor, L. H., Dottl, S. L., Greist, J. H., Jefferson, J. W., Burroughs, D., et al. (1997). A computer- administered telephone interview to identify mental disorders. Journal of the American Medical Association, 278, 905–910.CrossRefPubMed
go back to reference Ledgerwood, D. M., Arfken, C. L., Wiedemann, A., Bates, K. E., Holmes, D., & Jones, L. (2013). Who goes to treatment? Predictors of treatment initiation among Gambling helpline callers. The American Journal on Addictions, 22, 33–38.CrossRefPubMed Ledgerwood, D. M., Arfken, C. L., Wiedemann, A., Bates, K. E., Holmes, D., & Jones, L. (2013). Who goes to treatment? Predictors of treatment initiation among Gambling helpline callers. The American Journal on Addictions, 22, 33–38.CrossRefPubMed
go back to reference Ledgerwood, D. M., Wiedemann, A. A., Moore, J., & Arfken, C. L. (2012). Clinical characteristics and treatment readiness of male and female problem gamblers calling a state gambling helpline. Addiction Research and Theory, 20, 162–171.CrossRef Ledgerwood, D. M., Wiedemann, A. A., Moore, J., & Arfken, C. L. (2012). Clinical characteristics and treatment readiness of male and female problem gamblers calling a state gambling helpline. Addiction Research and Theory, 20, 162–171.CrossRef
go back to reference Loo, J. M., Oei, T. P., & Raylu, N. (2011). Psychometric evaluation of the Problem Gambling Severity Index-Chinese version (PGSI-C). Journal of Gambling Studies, 27(3), 453–466.CrossRefPubMed Loo, J. M., Oei, T. P., & Raylu, N. (2011). Psychometric evaluation of the Problem Gambling Severity Index-Chinese version (PGSI-C). Journal of Gambling Studies, 27(3), 453–466.CrossRefPubMed
go back to reference Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 1500–1505.CrossRefPubMed Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 1500–1505.CrossRefPubMed
go back to reference Potenza, M. N., Steinberg, M. A., & Wu, R. (2005). Characteristics of gambling helpline callers with self-reported gambling and alcohol use problems. Journal of Gambling Studies, 21, 233–254.CrossRefPubMed Potenza, M. N., Steinberg, M. A., & Wu, R. (2005). Characteristics of gambling helpline callers with self-reported gambling and alcohol use problems. Journal of Gambling Studies, 21, 233–254.CrossRefPubMed
go back to reference Reinert, D. F., & Allen, J. P. (2002). The Alcohol Use Disorders Identification Test (AUDIT): A review of recent research. Alcoholism: Clinical and Experimental Research, 26, 272–279.CrossRef Reinert, D. F., & Allen, J. P. (2002). The Alcohol Use Disorders Identification Test (AUDIT): A review of recent research. Alcoholism: Clinical and Experimental Research, 26, 272–279.CrossRef
go back to reference Rodda, S. N., Hing, N., & Lubman, D. I. (2014). Improved outcomes following contact with a gambling helpline: The impact of gender on barriers and facilitators. International Gambling Studies, 14, 318–329.CrossRef Rodda, S. N., Hing, N., & Lubman, D. I. (2014). Improved outcomes following contact with a gambling helpline: The impact of gender on barriers and facilitators. International Gambling Studies, 14, 318–329.CrossRef
go back to reference Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1997). Comparability of telephone and face-to-face interviews in assessing axis I and II disorders. American Journal of Psychiatry, 154(11), 1589–1592.CrossRef Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1997). Comparability of telephone and face-to-face interviews in assessing axis I and II disorders. American Journal of Psychiatry, 154(11), 1589–1592.CrossRef
go back to reference Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption—II. Addiction, 88, 791–804.CrossRefPubMed Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption—II. Addiction, 88, 791–804.CrossRefPubMed
go back to reference Schmidt, S., Muhlan, H., & Power, M. (2005). The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. European Journal of Public Health, 16, 420–428.CrossRefPubMed Schmidt, S., Muhlan, H., & Power, M. (2005). The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. European Journal of Public Health, 16, 420–428.CrossRefPubMed
go back to reference Shandley, K., & Moore, S. (2008). Evaluation of gambler’s helpline: A consumer perspective. International Gambling Studies, 8, 315–330.CrossRef Shandley, K., & Moore, S. (2008). Evaluation of gambler’s helpline: A consumer perspective. International Gambling Studies, 8, 315–330.CrossRef
go back to reference Sinclair, H., Pretorius, A., & Stein, D. J. (2014). A counselling line for problem and pathological gambling in South Africa: Preliminary data analysis. Journal of Behavioral Addictions, 3, 199–202.CrossRefPubMedPubMedCentral Sinclair, H., Pretorius, A., & Stein, D. J. (2014). A counselling line for problem and pathological gambling in South Africa: Preliminary data analysis. Journal of Behavioral Addictions, 3, 199–202.CrossRefPubMedPubMedCentral
go back to reference Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID), I: History, rationale, and description. Archives of General Psychiatry, 49, 624–629.CrossRefPubMed Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID), I: History, rationale, and description. Archives of General Psychiatry, 49, 624–629.CrossRefPubMed
go back to reference Spitzer, R. L., Williams, J. B., Kroenke, K., Linzer, M., deGruy III, F. V, Hahn, S. R., et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. Journal of American Medical Association, 272, 1749–1756.CrossRef Spitzer, R. L., Williams, J. B., Kroenke, K., Linzer, M., deGruy III, F. V, Hahn, S. R., et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. Journal of American Medical Association, 272, 1749–1756.CrossRef
go back to reference Swan, J. L., & Hodgins, D. C. (in press). Brief interventions for disordered gambling. Canadian Journal of Addiction. Swan, J. L., & Hodgins, D. C. (in press). Brief interventions for disordered gambling. Canadian Journal of Addiction.
go back to reference Tavares, H., Zilberman, M. L., Beites, F. J., & Gentil, V. (2001). Gender differences in gambling progression. Journal of Gambling Studies, 17, 151–159.CrossRefPubMed Tavares, H., Zilberman, M. L., Beites, F. J., & Gentil, V. (2001). Gender differences in gambling progression. Journal of Gambling Studies, 17, 151–159.CrossRefPubMed
go back to reference Valdivia-Salas, S., Blanchard, K. S., Lombas, A. S., & Wulfert, E. (2014). Treatment-seeking precipitators in problem gambling: Analysis of data from a gambling helpline. Psychology of Addictive Behaviors, 28, 300–306.CrossRefPubMed Valdivia-Salas, S., Blanchard, K. S., Lombas, A. S., & Wulfert, E. (2014). Treatment-seeking precipitators in problem gambling: Analysis of data from a gambling helpline. Psychology of Addictive Behaviors, 28, 300–306.CrossRefPubMed
go back to reference Weinstock, J., Burton, S., Rash, C. J., Moran, S., Biller, W., Krudelbach, N., et al. (2011). Predictors of engaging in problem gambling treatment: Data from the West Virginia problem gamblers help network. Psychology of Addictive Behaviors, 25, 372–379.CrossRefPubMedPubMedCentral Weinstock, J., Burton, S., Rash, C. J., Moran, S., Biller, W., Krudelbach, N., et al. (2011). Predictors of engaging in problem gambling treatment: Data from the West Virginia problem gamblers help network. Psychology of Addictive Behaviors, 25, 372–379.CrossRefPubMedPubMedCentral
go back to reference Winters, K. C., Bengston, P. L., & Stinchfield, R. D. (1996). Findings from a follow-up study of callers to the Minnesota problem gambling hotline. Minneapolis: Department of Psychiatry, University of Minnesota. Winters, K. C., Bengston, P. L., & Stinchfield, R. D. (1996). Findings from a follow-up study of callers to the Minnesota problem gambling hotline. Minneapolis: Department of Psychiatry, University of Minnesota.
go back to reference Yudko, E., Lozhkina, O., & Fouts, A. (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment, 32(2), 189–198.CrossRefPubMed Yudko, E., Lozhkina, O., & Fouts, A. (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment, 32(2), 189–198.CrossRefPubMed
Metadata
Title
Gender Differences Among Helpline Callers: Prospective Study of Gambling and Psychosocial Outcomes
Authors
Hyoun S. Kim
David C. Hodgins
Maria Bellringer
Max Abbott
Publication date
01-06-2016
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 2/2016
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-015-9572-8

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