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      Adolescent gambling behaviour, a single latent construct and indicators of risk: findings from a national survey of New Zealand high school students

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          Abstract

          This study explores underlying latent construct/s of gambling behaviour, and identifies indicators of “unhealthy gambling”. Data were collected from Youth’07 a nationally representative sample of New Zealand secondary school students (N = 9107). Exploratory factor analyses, item-response theory analyses, multiple indicators-multiple causes, and differential item functioning analyses were used to assess dimensionality of gambling behaviour, underlying factors, and indicators of unhealthy gambling. A single underlying continuum of gambling behaviour was identified. Gambling frequency and ‘gambling because I can’t stop’ were most strongly associated with unhealthy gambling. Gambling to ‘feel better about myself’ and to ‘forget about things’ provided the most precise discriminants of unhealthy gambling. Multivariable analyses found that school connectedness was associated with lower levels of unhealthy gambling.

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          Most cited references28

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          A pathways model of problem and pathological gambling.

          At the moment, there is no single conceptual theoretical model of gambling that adequately accounts for the multiple biological, psychological and ecological variables contributing to the development of pathological gambling. Advances in this area are hampered by imprecise definitions of pathological gambling, failure to distinguish between gambling problems and problem gamblers and a tendency to assume that pathological gamblers form one, homogeneous population with similar psychological principles applying equally to all members of the class. The purpose of this paper is to advance a pathways model that integrates the complex array of biological, personality, developmental, cognitive, learning theory and ecological determinants of problem and pathological gambling. It is proposed that three distinct subgroups of gamblers manifesting impaired control over their behaviour can be identified. These groups include (a) behaviourally conditioned problem gamblers, (b) emotionally vulnerable problem gamblers and (c) antisocial, impulsivist problem gamblers. The implications for clinical management are discussed.
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            Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 Mental Health subscale and the WHO-Five Well-Being Scale.

            The health status questionnaire Short-Form 36 (SF-36) includes subscales measuring both physical health and mental health. Psychometrically, the mental health subscale contains a mixture of mental symptoms and psychological well-being items, among other things, to prevent a ceiling effect when used in general population studies. Three of the mental health well-being items are also included in the WHO-Five well-being scale. In a Danish general population study, the mental health subscale was compared psychometrically with the WHO-Five in order to evaluate the ceiling effect. Tests for unidimensionality were used in the psychometric analyses, and the sensitivity of the scales in differentiating between changes in self-reported health over the past year has been tested. The results of the study on 9,542 respondents showed that, although the WHO-Five and the mental health subscale were found to be unidimensional, the WHO-Five had a significantly lower ceiling effect than the mental health subscale. The analysis identified the three depression symptoms in the mental health subscale as responsible for the ceiling effect. The WHO-Five was also found to be significantly superior to the mental health subscale in terms of its sensitivity in differentiating between those persons whose health had deteriorated over the past year and those whose health had not. In conclusion, the WHO-Five, which measures psychological well-being, reflects aspects other than just the absence of depressive symptoms.
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              Adolescent gambling: a review of an emerging field of research.

              The purpose of this review was to summarize the research on adolescent gambling with implications for research and prevention or intervention.
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                Author and article information

                Contributors
                +64 9 923 9218 , f.rossen@auckland.ac.nz
                mathijs.lucassen@open.ac.uk
                t.fleming@auckland.ac.nz
                j.sheridan@auckland.ac.nz
                s.denny@auckland.ac.nz
                Journal
                Asian J Gambl Issues Public Health
                Asian J Gambl Issues Public Health
                Asian Journal of Gambling Issues and Public Health
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                2195-3007
                3 August 2016
                3 August 2016
                2016
                : 6
                : 1
                : 7
                Affiliations
                [1 ]Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142 New Zealand
                [2 ]Department of Health and Social Care, The Open University, Milton Keynes, UK
                [3 ]Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
                [4 ]Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand
                [5 ]School of Pharmacy, University of Auckland, Auckland, New Zealand
                Article
                17
                10.1186/s40405-016-0017-9
                4998168
                5a15894f-3daa-4f20-8946-95d633b013a9
                © The Author(s) 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 1 March 2016
                : 25 July 2016
                Funding
                Funded by: Other NZ government departments
                Funded by: FundRef http://dx.doi.org/10.13039/501100001505, Health Research Council of New Zealand (NZ);
                Funded by: FundRef http://dx.doi.org/10.13039/501100001504, Ministry of Health, New Zealand (NZ);
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

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