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Psychological Profile of the Romanian Pathological Gambler

Authors:
  • Hyperion University, Bucharest, Romania

Abstract

The concept of addiction has been broadened in recent years to include appetitive behaviors judged to be excessive in some sense: excessive drinking, drug-taking, gambling, eating and sexuality. Pathological gambling in often accompanied by depression, anxiety, substance use disorders or personality disorders. This article presents data of a sample of 119 pathological gamblers who were tested with SOGS, Beck Depression Inventory, Hamilton Anxiety Rating Scale, Inventory of Gambling Situations and the Structured Clinical Interview for DSM Disorders. The results show that most pathological gamblers present depressive and anxiety disorders and 44,5% of them presents at least one personality disorder.
P r o c e d i a - S o c i a l a n d B e h a v i o r a l S c i e n c e s 1 2 7 ( 2 0 1 4 ) 2 6 5 2 6 9
Avai lab le on li ne at www.s cie nc edire ct .com
1877-0428 © 2014 The Authors. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.
Selection and peer-review under responsibility of Romanian Society of Applied Experimental Psychology.
doi: 10.1016/j.sbspro.2014.03.253
ScienceDirect
PSIWORLD 2013
Psychological profile of the Romanian pathological gambler
Steliana Rizeanu *
Hyperion University, Psychology Department. Calea Calarasilor 169, Bucharest, 36125, Romania.
Abstract
The concept of addiction has been broadened in recent years to include appetitive behaviors judged to be excessive in some
sense: excessive drinking, drug-taking, gambling, eating and sexuality.
Pathological gambling in often accompanied by depression, anxiety, substance use disorders or personality disorders.
This article presents data of a sample of 119 pathological gamblers who were tested with SOGS, Beck Depression Inventory,
Hamilton Anxiety Rating Scale, Inventory of Gambling Situations and the Structured Clinical Interview for DSM Disorders.
The results show that most pathological gamblers present depressive and anxiety disorders and 44,5% of them presents at least
one personality disorder.
© 2014 The Authors. Published by Elsevier Ltd.
Selection and peer-review un der responsibility of PSI WORLD 2013 and the ir Guest Editors: Dr Mihaela Chraif, Dr Cristian
Vasile and Dr Mihai Anitei
Keyword s: pa thological ga mbler, profil e, addiction, personality disor ders.
1. Problem statement
Pathological gambling is a progressive addiction characterized by increasing preoccupation with gambling, a
need to bet more money more frequently, restlessness or irritability when attempting to stop, "chasing" losses, and
loss of control manifested by continuation of the gambling behavior in spite of mounting, serious, negative
consequences.
* Corresp onding author.
E-mail: stelianarizeanu@ya hoo.com
© 2014 The Authors. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.
Selection and peer-review under responsibility of Romanian Society of Applied Experimental Psychology.
266 Steliana Rizeanu / Procedia - Social and Behavioral Sciences 127 ( 2014 ) 265 – 269
Pathological gambling affects the gambler, their family, their employer, and the community; the gamblers spend
less time with their family, spend more of the family's money on gambling until the bank accounts are depleted, and
then may steal money from family members. Interpersonal problems between gamblers and their significant others
include domestic violence, relationship breakdown, neglect of family and a negative impact on the physical and
mental health of family members.
Pathological gambling does not involve use of a psychoactive substance, but the "action" which compulsive
gamblers crave is an aroused, euphoric state comparable to the "high" sought by drug users. This aroused state is
accompanied by changes in brain chemistry similar to those caused by alcohol or drugs.
The key difference between pathological gambling and social gambling is self-control: each social gambling
session usually lasts for a set period of time and involves pre-determined spending limits.
Pathological gambling in men typically begins in adolescence although it may not come to professional attention
until the man is well into adulthood. The typical pathological male gambler is white, aged 40-50 years, and comes
from middle to upper socioeconomic bracket.
Pathological gambling has high co-morbidity rates with substance abuse, mood disorders, attention deficit
hyperactivity disorder (ADHD), and antisocial personality disorder (Hollander, Buchalter & DeCaria, 2000).
Alcohol abuse is strongly predictive of gambling patholog y and low socioecon omic status group members have
higher levels of gambling pathology than other groups (Welte, Barnes, Wieczorek, Tidwell & Parker, 2004).
In the current edition (DSM-IV), pathological gambling is classified as part of “Impulse-Control Disorders Not
Elsewhere Classified,” which also includes disorders like kleptomania. In the new edition, gambling disorder will
join substance-related addictions in a renamed group called “Addiction and Related Disorders.”
There is no typical personality profile found among problem or pathological gamblers. Studies has supported
both environmental and genetic factors as risks for pathological gambling, as the individuals learn, model and
maintain behaviors that are observable and are reinforced.
Several individual factors have been implicated in the development and maintenance of pathological gambling
and these include personality, cognition, psychological states and biology.
Pathological gamblers score high er on measures of impulsivity as compared with social gamblers and sensation
seeking which is also a risk factors for developing problem gambling.
Evidence suggests that irrational and negative thoughts play a significant role in th e development and
maintenance of problem gambling (Hodgins & El-Geubaly, 2004).These include believing that they can influence
gambling outcomes, believing that they can correctly predict the outcomes and making false interpretations about
gambling outcomes.
Negative psychological states as depression, anxiety and stress have frequently been linked to the development
and maintenance of pathological gambling.
Blaszczynski & Nower (2002) identifies three primary subgroups of gamblers: behaviorally conditioned
(conditioning and cognitive processes are primary), emotionally vulnerable (affective disturbances, poor coping
skills, dealing with painful emotional experiences, social isolation and low self esteem act to exacerbate the effect of
the conditioning and cognitive processes), and biologically-based impulsive (genetic and neurochemical factors
contribute to impulsivity and need for stimulation).
The personality pro¿le of people at risk for pathological gambling is very similar to the pro¿le that has been
found in meta-analyses of Borderline personality disorder and substance use disorders (Samuel & Widiger, 2008).
The studies conducted by Lorains, Cowlishaw & Thomas (2011) indicated that pathological gamblers had high
rates of other co-morbid disorders. Th e highest mean prevalence was for nicotine dependence (60.1%), followed by
a substance use disorder (57.5%), any type of mood disorder (37.9%) and any type of anxiety disorder (37.4%).
The public health perspective takes th e position that prevention of health problems and reduction of harm can be
more effective in maintaining community and individual wellbeing than individual focused tertiary treatment
initiatives (Dickson- Gillespie, Rugle, Rosenthal & Fong, 2008).
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Steliana Rizeanu / Procedia - Social and Behavioral Sciences 127 ( 2014 ) 265 – 269
2. Purpose of study
The aim of this paper is to outline a psychological profile of the Romanian pathological gambler. The study was
conducted in Bucharest in 2010-2012 on a sample of 119 subjects who were diagnosed with pathological gambling.
The group con sisted of all subjects who requested counseling for gamblin g addiction.
3. Research methods
I applied the following instruments of diagnosis to draw the psychological profile of the Romanian gambler: a
semi-structured interview; the South Oaks South Oaks Gambling Screen-SOGS developed by Lesieur & Blume
(1987) as a screen for compulsive gambling; the Structured Clinical Interview for Axis II disorders in the DSM-IV-
TR (SCID II), an efficient instrument that help researchers make standardized diagnoses of the 10 DSM-IV Axis II
personality disorder; the Hamilton Anxiety Scale; The Beck Depression Inventory; Gambling Related Cognitions
Scale (Raylu & Oei, 2004) which identify gambling-specific thinking errors that encourage the client to continue
gambling despite significant loses and Inventory of Gambling Situations (Littman-Sharp, Turner & Toneatto, 2009),
an instrument that assesses situations that may lead to gambling episodes.
4. Findings
The appli cation of the semi-structured interview showed that the participants were aged between 17 and 61, with
an aver age of 29.86 year s old; 5.89% were women and 94.11% were men; studies done abroad revealed that 1/3 of
pathological gamblers are women (Blaszczynski, 2010; Disley et al., 2011; Raylu & Oei, 2010).
Also 79.83% of participants declared they were married or in a partnership, while 20.17% were not married;
62.18% of participants graduated with a superior degree and 37.82% had average education; 68.9% had a stable job
and the remaining 31.09% did not.
Data referring to other addictions were gathered during the same study: 60 subjects declared a high daily alcohol
consumption, 49 subjects had been smoking for more than 2 years, and 20 subjects admitted they occasionally
consumed drugs.
After applying the South Oaks South Oaks Gambling Screen (SOGS) the entire group obtained an average of
10.55; the lowest score was 7 points and the highest score was 14 points – both values are within the area of
pathological gambling.
The appli cation of the Beck Depr ession Inventory showed that 76.47% of the subjects had a depressive disorder:
47.9% had a moderate form of depression, 23.54% had a severe form of depression while 28.57% had a light form
of depression.
These data match the results of Blaszczynski`s studies (2010), according to which 75% of the pathological
gamblers present at the same time symptoms of a depressive disorder. Other studies showed as well a correlation
between the pathological gambling and a sever depressive-anxious symptoms (Momper, Delva, Grogan-Kaylor,
Sanchez, & Volberg, 2010; Zangeneh, Grunfeld & Koening, 2008). Symptoms of depression are: irritability, lack of
focus, lack of interest in social activities, lack of energy, sleep disorders.
The application of the Hamilton Anxiety Scale revealed that 64.7% of the gamblers had a form of anxiety;
disorder but only 38.65% had a form of average or severe anxiety, and 26.05% had a light form of anxiety;
epidemiological studies show that more than 40% of pathological gamblers have anxiety disorders at least once in a
life time (Blaszczynski, 2010; Petry, Stinson & Grant, 2005); there are many other studies that show the association
between anxiety and pathological gambling (Raylu & Oei, 2010; Rizeanu, 2013; Zangeneh, Grunfeld & Koening,
2008).
A percentage of 44.5% of the respondents to the Structured Clinical Interview for Clinical Disorders on the Axis
II of DSM-SCID II obtained scores which indicate the presence of a personality disorder; the distribution of the
number of the personality disorders shows that only 10.9% of subjects have a single personality disorder, while the
remaining 33.6% have at least 2 personality disorders. The most frequent personality disorder identified among
268 Steliana Rizeanu / Procedia - Social and Behavioral Sciences 127 ( 2014 ) 265 – 269
participants was the narcissistic one (38.7%) followed at a long distance by obsessive-compulsive disorder (16%)
and borderline personality disorder (15.1%).
The results of the application of the Gambling Related Cognitions Scale show an average of 112.76 points and a
median of 115, a high level of these cognitions.
The results of the application of the Inventory of Gambling Situations show an average of 86.29 points and a
median of 87 points, which show that the pathological gamblers very often find themselves in situations to gamble.
5. Conclusions
With th e help of the results obtained I built the following psychological profile: the Romanian pathological
gambler is mostly male (94.1% of the cases), aged between 17 and 61 with an average of 29.86. Most of the times
the pathological gambler comes from a rural area, from a family with many children, with relationship issues where
the father used coercive education methods or was completely absent, consumed excessive alcohol and sometimes
played cards or dice for money. In childhood the subject`s effectiveness at school was usually low, they registered
many conflicts with colleagues and teachers and presented many behavioral disorders during periods of h yper-
activity.
A percentage of 76.46% of Romanian pathological gamblers show depressive disorder, most of them have an
average level of anxiety (in 64.71% of cases) and most have had diagnosed at least one personality disorder on the
Axis II of DSM (44.5%); the narcissistic type of personality disorder has the highest frequency (38.7%), followed by
the obsessive-compulsive personality disorder (16%) and borderline personality disorder (15.1%). The Romanian
pathological gambler s have an 86.6% level of intensity of irrational cogn itions and often finds themselves in the
situations of gambling.
The Romanian pathological gamblers often consumes alcohol, smokes an d occasionally consumes drugs; they
have an average to modest standard of living and their main motivation in gambling is to win a lar ge amount of
money in order to have a higher standard of living in th e future.
A percentage of 70.58% of participants have an other form of addiction as follows: 50% consume alcohol
abusively; 41.2% consume tobacco abusively and 16.8% occasionally consume prohibited substances. The early
debut in gambling, durin g the teen years, conforms to th e results of other scientific studies.
The preferred forms of gambling are electronics gaming machines and roulette, getting money being the main
motivation. Similarly, other studies revealed that money is the main motivation, followed by the need for
excitement (Jackson & al, 2000).
Predisposing factors involve an average level of depression and anxiety; the existence of irrational cognitions
about gambling; the existence of a personality disorder, most of the time a narcissistic one; the lack of social
abilities and of assertiveness.
Precipitating factors involve integration in a completely new context, for example moving from the home town to
Bucharest where there are different r equirement for integration. The development of gambling is precipitated by the
lack of support from partner or family.
The perpetuating factors involve the tasks assumed in th e new context and perceived as overwhelming, especially
because, after moving to Bucharest together with the wife or partner, the new obligations appear never ending.
269
Steliana Rizeanu / Procedia - Social and Behavioral Sciences 127 ( 2014 ) 265 – 269
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... Cognitive-behavioral therapy is currently considered the most efficient method of treatment for gambling disorder; this type of therapy postulates the fact that the irrational thoughts tied to the ability of a person to control the game and predict the win represent the main factors which determine the development and the maintenance of this pathology [39][40][41][42][43][44][45]. ...
... The advantages of cognitive-behavioral therapy refers to the fact that it is a well-structured type of therapy, it is carried out on a limited period of time, it requires limited costs compared to the other types of therapy, and it produces long-term benefits and supposedly the fall off the risk of relapse [6,15,36,43]. Success rates of this type of therapy for gambling disorder within the studies that have been carried out so far have ranged from 36% [25] to 42% [56]; to 72% [57]; to 77% [40]; to 49% [36]; and 74% [43]. ...
... The advantages of cognitive-behavioral therapy refers to the fact that it is a well-structured type of therapy, it is carried out on a limited period of time, it requires limited costs compared to the other types of therapy, and it produces long-term benefits and supposedly the fall off the risk of relapse [6,15,36,43]. Success rates of this type of therapy for gambling disorder within the studies that have been carried out so far have ranged from 36% [25] to 42% [56]; to 72% [57]; to 77% [40]; to 49% [36]; and 74% [43]. ...
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