Gambling and Addiction – A Complete Case Series

Gambling is an activity where something of value is put at risk in the hope of winning a prize. It is usually done for entertainment and can be a fun and social way to spend time. However, for some people gambling can become problematic and affect their health, relationships, work performance and study. It can also lead to financial problems and homelessness.

It is often used as a self-soothing behaviour and can be used to relieve unpleasant emotions like loneliness, boredom or stress. Some people who gamble are at risk of developing secondary addictions such as alcohol and drugs. It is important for those concerned about their gambling habits to seek a clinical evaluation with a trained clinical professional.

The results from our complete case series indicate that there is a significant loss to follow-up, with only 1672 of those who completed all three gambling surveys at 17 years, 20 years and 24 years still reporting their participation. Univariable analyses were conducted on all available data using chi-square tests and ANOVAs. Those variables associated at p 0.05 were taken forward for multivariable modelling. Due to the large number of missing data on antecedents and loss to follow-up, detailed analyses of individual, parental and SES antecedents were not possible without biased estimates. Multiple imputations using the mi impute command in STATA were therefore performed (supplementary Table 1).

Those who report regular gambling at age 24 years are more likely to be male, have low IQ and hyperactivity/impulsivity, have higher sensation seeking scores and to be unemployed/not in education, smoke cigarettes and drink alcohol weekly, have mothers with lower educational qualifications and more financial difficulties. They are also more likely to be involved in a variety of non-regulated gambling activities including sports betting, poker and lotteries. In addition, many adolescents are exposed to gambling advertising on social media.