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      Gambling Phenotypes in Online Sports Betting

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          Abstract

          Background and Objectives

          The Internet provides easy access to multiple types of gambling and has led to changes in betting habits. A severe rise in problematic gambling has been predicted among all sectors of the population, and studies are required to assess the emerging phenotypes related to the new structures of gambling activities. This study aimed to explore the existence of latent classes associated with gambling habits among treatment-seeking gamblers due to Online Sports Betting (OSB).

          Method

          Initial sample included n = 4,516 patients consecutively admitted for treatment in a hospital unit specialized in behavioral addictions. Two-step clustering analysis was used within the subsample of n = 323 patients who reported problems related with OSB, within a set of indicators including sociodemographics, psychopathological distress, personality, and severity of the gambling activity.

          Results

          The prevalence of OSB as a main type of gambling problem in the study was 7.2% (95% confidence interval: 6.4 to 7.9%). Two latent clusters were identified, with differences in sociodemographics and clinical status. Cluster 1 ( n = 247, 76.5%) grouped patients that were more affected due to the OSB behaviors, and it was characterized by non-married patients, lower socioeconomic position index, higher comorbidity with other substance related addictions, younger age, and early onset of the gambling activity, as well as higher debts due to the OSB, higher psychopathological distress, and a more dysfunctional personality profile. Cluster 2 ( n = 76, 23.5%) grouped patients that were less affected by OSB, mostly married (or living with a stable partner), with higher social position levels, older age and older onset of the gambling activity, as well as a more functional psychopathological and personality profile.

          Conclusion

          The increasing understanding of latent classes underlying OSB phenotypes is essential in guiding the development of reliable screening tools to identify individuals highly vulnerable to addictive behaviors among Internet gamblers, as well as in planning prevention and treatment initiatives focused on the precise profiles of these patients.

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          Most cited references58

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          On effect size.

          The call for researchers to report and interpret effect sizes and their corresponding confidence intervals has never been stronger. However, there is confusion in the literature on the definition of effect size, and consequently the term is used inconsistently. We propose a definition for effect size, discuss 3 facets of effect size (dimension, measure/index, and value), outline 10 corollaries that follow from our definition, and review ideal qualities of effect sizes. Our definition of effect size is general and subsumes many existing definitions of effect size. We define effect size as a quantitative reflection of the magnitude of some phenomenon that is used for the purpose of addressing a question of interest. Our definition of effect size is purposely more inclusive than the way many have defined and conceptualized effect size, and it is unique with regard to linking effect size to a question of interest. Additionally, we review some important developments in the effect size literature and discuss the importance of accompanying an effect size with an interval estimate that acknowledges the uncertainty with which the population value of the effect size has been estimated. We hope that this article will facilitate discussion and improve the practice of reporting and interpreting effect sizes.
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            Problem gambling worldwide: An update and systematic review of empirical research (2000–2015)

            Problem gambling has been identified as an emergent public health issue, and there is a need to identify gambling trends and to regularly update worldwide gambling prevalence rates. This paper aims to review recent research on adult gambling and problem gambling (since 2000) and then, in the context of a growing liberalization of the gambling market in the European Union, intends to provide a more detailed analysis of adult gambling behavior across European countries. A systematic literature search was carried out using academic databases, Internet, and governmental websites. Following this search and utilizing exclusion criteria, 69 studies on adult gambling prevalence were identified. These studies demonstrated that there are wide variations in past-year problem gambling rates across different countries in the world (0.12–5.8%) and in Europe (0.12–3.4%). However, it is difficult to directly compare studies due to different methodological procedures, instruments, cut-offs, and time frames. Despite the variability among instruments, some consistent results with regard to demographics were found. The findings highlight the need for continuous monitoring of problem gambling prevalence rates in order to examine the influence of cultural context on gambling patterns, assess the effectiveness of policies on gambling-related harms, and establish priorities for future research.
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              How can we conceptualize behavioural addiction without pathologizing common behaviours?

              Following the recent changes to the diagnostic category for addictive disorders in DSM-5, it is urgent to clarify what constitutes behavioural addiction to have a clear direction for future research and classification. However, in the years following the release of DSM-5, an expanding body of research has increasingly classified engagement in a wide range of common behaviours and leisure activities as possible behavioural addiction. If this expansion does not end, both the relevance and the credibility of the field of addictive disorders might be questioned, which may prompt a dismissive appraisal of the new DSM-5 subcategory for behavioural addiction. We propose an operational definition of behavioural addiction together with a number of exclusion criteria, to avoid pathologizing common behaviours and provide a common ground for further research. The definition and its exclusion criteria are clarified and justified by illustrating how these address a number of theoretical and methodological shortcomings that result from existing conceptualizations. We invite other researchers to extend our definition under an Open Science Foundation framework.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/243798
                URI : https://loop.frontiersin.org/people/108253
                URI : https://loop.frontiersin.org/people/237774
                URI : https://loop.frontiersin.org/people/290028
                URI : https://loop.frontiersin.org/people/319122
                URI : https://loop.frontiersin.org/people/242672
                URI : https://loop.frontiersin.org/people/740192
                URI : https://loop.frontiersin.org/people/207061
                URI : https://loop.frontiersin.org/people/206769
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                28 May 2020
                2020
                : 11
                : 482
                Affiliations
                [1] 1Department of Psychobiology and Methodology, Universitat Autònoma de Barcelona—UAB , Barcelona, Spain
                [2] 2Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III , Madrid, Spain
                [3] 3Department of Psychiatry, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat , Barcelona, Spain
                [4] 4Psychiatry and Mental Health Group, Neuroscience Program, Institut d’Investigació Biomèdica de Bellvitge—IDIBELL, L’Hospitalet de Llobregat , Barcelona, Spain
                [5] 5Department of Clinical Sciences, School of Medicine, Universitat de Barcelona—UB, L’Hospitalet de Llobregat , Barcelona, Spain
                [6] 6Department of Public Health, Mental Health and Perinatal Nursing, School of Nursing, Universitat de Barcelona—UB , Barcelona, Spain
                [7] 7Ciber Salut Mental (CIBERsam), Instituto Salud Carlos III , Madrid, Spain
                Author notes

                Edited by: Giovanni Martinotti, Università degli Studi G. d’Annunzio Chieti e Pescara, Italy

                Reviewed by: Oussama Kebir, Institut National de la Santé et de la Recherche Médicale (INSERM), France; Ornella Corazza, University of Hertfordshire, United Kingdom; Mauro Pettorruso, D’Annunzio University of Chieti–Pescara, Italy

                *Correspondence: Susana Jiménez-Murcia, sjimenez@ 123456bellvitgehospital.cat

                This article was submitted to Addictive Disorders, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2020.00482
                7270333
                32547432
                b61cce1a-42b2-45c5-8a26-23e2057a890c
                Copyright © 2020 Granero, Jiménez-Murcia, del Pino-Gutiérrez, Mora, Mendoza-Valenciano, Baenas-Soto, Gómez-Peña, Moragas, Codina, López-González, Mena-Moreno, Mestre-Bach, Valero-Solís, Rivas, Agüera, Vintró-Alcaraz, Lozano-Madrid, Menchón and Fernández-Aranda

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 24 February 2020
                : 12 May 2020
                Page count
                Figures: 4, Tables: 2, Equations: 0, References: 70, Pages: 13, Words: 6662
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                clustering,gambling disorder,internet,online sports betting,phenotype

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