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      A longitudinal study of the individual‐ and group‐level problematic gaming and associations with problem gambling among Swedish adolescents

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          Abstract

          Aim

          The aims of this study were to investigate the long‐term stability of problematic gaming among adolescents and whether problematic gaming at wave 1 (W1) was associated with problem gambling at wave 2 (W2), three years later.

          Methods

          Data from the SALVe cohort, including adolescents in Västmanland born in 1997 and 1999, were accessed and analyzed in two waves W2, =  1576; 914 (58%) girls). At W1, the adolescents were 13 and 15 years old, and at W2, they were 16 and 18 years old. Adolescents self‐rated on the Gaming Addiction Identification Test ( GAIT), Problem Gambling Severity Index ( PGSI), and gambling frequencies. Stability of gaming was determined using Gamma correlation, Spearman's rho, and McNemar. Logistic regression analysis and general linear model ( GLM) analysis were performed and adjusted for sex, age, and ethnicity, frequency of gambling activities and gaming time at W1, with PGSI as the dependent variable, and GAIT as the independent variable, to investigate associations between problematic gaming and problem gambling.

          Results

          Problematic gaming was relative stable over time, γ = 0.739,  .001, ρ = 0.555,  .001, and McNemar  .001. Furthermore, problematic gaming at W1 increased the probability of having problem gambling three years later, logistic regression OR = 1.886 (95% CI 1.125–3.161), =  .016, GLM F = 10.588, η 2 = 0.007, p = .001.

          Conclusions

          Problematic gaming seems to be relatively stable over time. Although associations between problematic gaming and later problem gambling were found, the low explained variance indicates that problematic gaming in an unlikely predictor for problem gambling within this sample.

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          Most cited references29

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          Introduction to behavioral addictions.

          Several behaviors, besides psychoactive substance ingestion, produce short-term reward that may engender persistent behavior, despite knowledge of adverse consequences, i.e., diminished control over the behavior. These disorders have historically been conceptualized in several ways. One view posits these disorders as lying along an impulsive-compulsive spectrum, with some classified as impulse control disorders. An alternate, but not mutually exclusive, conceptualization considers the disorders as non-substance or "behavioral" addictions. Inform the discussion on the relationship between psychoactive substance and behavioral addictions. We review data illustrating similarities and differences between impulse control disorders or behavioral addictions and substance addictions. This topic is particularly relevant to the optimal classification of these disorders in the forthcoming fifth edition of the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Growing evidence suggests that behavioral addictions resemble substance addictions in many domains, including natural history, phenomenology, tolerance, comorbidity, overlapping genetic contribution, neurobiological mechanisms, and response to treatment, supporting the DSM-V Task Force proposed new category of Addiction and Related Disorders encompassing both substance use disorders and non-substance addictions. Current data suggest that this combined category may be appropriate for pathological gambling and a few other better studied behavioral addictions, e.g., Internet addiction. There is currently insufficient data to justify any classification of other proposed behavioral addictions. Proper categorization of behavioral addictions or impulse control disorders has substantial implications for the development of improved prevention and treatment strategies.
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            Development and Validation of a Game Addiction Scale for Adolescents

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              Prevalence of Adolescent Problem Gambling: A Systematic Review of Recent Research

              Previous research has shown that gambling is a popular activity among adolescents. Following a rapid expansion of legalized gambling opportunities and the emergence of new forms of gambling, many researchers have carried out studies on adolescent gambling and problem gambling. The present paper reviews studies that have been conducted worldwide since 2000, and then presents a more detailed picture of adolescent gambling research in Europe, by providing a country-by country analysis. After an extensive search on academic databases and following an exclusion process, 44 studies were identified. The findings showed that 0.2–12.3 % of youth meet criteria for problem gambling, notwithstanding differences among assessment instruments, cut-offs, and timeframes. However, despite this variability, several demographic characteristics were associated with adolescent gambling involvement and problem gambling. It is concluded that a small but significant minority of adolescents have gambling-related problems. Such findings will hopefully encourage more research into youth gambling to further understand the determinants of this phenomenon.
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                Author and article information

                Contributors
                sofia.vadlin@regionvastmanland.se
                Journal
                Brain Behav
                Brain Behav
                10.1002/(ISSN)2157-9032
                BRB3
                Brain and Behavior
                John Wiley and Sons Inc. (Hoboken )
                2162-3279
                12 March 2018
                April 2018
                : 8
                : 4 ( doiID: 10.1002/brb3.2018.8.issue-4 )
                : e00949
                Affiliations
                [ 1 ] Centre for Clinical Research Uppsala University Västmanland County Hospital Västerås Sweden
                Author notes
                [*] [* ] Correspondence

                Sofia Vadlin, Centre for Clinical Research, Uppsala University, Västmanland County Hospital, Västerås, Sweden.

                Email: sofia.vadlin@ 123456regionvastmanland.se

                Author information
                http://orcid.org/0000-0001-7787-2956
                Article
                BRB3949
                10.1002/brb3.949
                5893340
                464a031f-add7-4b26-8ae6-c60191b79efe
                © 2018 The Authors. Brain and Behavior published by Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 August 2017
                : 19 January 2018
                : 05 February 2018
                Page count
                Figures: 1, Tables: 3, Pages: 12, Words: 7120
                Funding
                Funded by: Svenska Spel Research Council
                Award ID: Grant/Award Number: M15‐0239
                Funded by: Uppsala and Örebro Regional Research Council
                Funded by: Fredrik and Ingrid Thurings Foundation
                Funded by: County Council of Västmanland
                Funded by: Söderström König Foundation
                Award ID: Grant/Award Number: SLS‐559921
                Award ID: SLS‐655791
                Funded by: Brain Foundation
                Funded by: Swedish Research Council for Health, Working Life and Welfare (FORTE)
                Award ID: Grant/Award Number: 2015‐00897
                Funded by: Åke Wiberg's Foundation
                Award ID: Grant/Award Number: M15‐0239
                Categories
                Original Research
                Original Research
                Custom metadata
                2.0
                brb3949
                April 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.3.4 mode:remove_FC converted:10.04.2018

                Neurosciences
                adolescence,behavioral addiction,comorbidity,gambling problems,gaming problems
                Neurosciences
                adolescence, behavioral addiction, comorbidity, gambling problems, gaming problems

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