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Risky Gambling Behaviors: Associations with Mental Health and a History of Adverse Childhood Experiences (ACEs)
Journal of Gambling Studies ( IF 2.4 ) Pub Date : 2021-06-23 , DOI: 10.1007/s10899-021-10040-3
Lindsay A Bristow 1 , Tracie O Afifi 2 , Samantha Salmon 3 , Laurence Y Katz 4
Affiliation  

Problem gambling and adverse childhood experiences (ACEs) are highly co-morbid and lead to numerous adverse health outcomes. Research demonstrates that greater levels of well-being protect individuals from experiencing ACE-related harms after a history of childhood adversity; however, this relationship has not been examined in the gambling literature. We hypothesized that individuals who experienced ACEs would engage in more problem gambling behaviors. We also hypothesized that individuals who experienced ACEs and reported flourishing mental health would have lower rates of problem gambling than individuals who experienced ACEs but did not report flourishing mental health. We conducted a secondary data analysis of the adult sample in the Well-Being and Experiences (WE) Study. Examining a parent population, parents and caregivers (N = 1000; Mage = 45.2 years; 86.5% female) of adolescents were interviewed on a variety of measures, including their history of ACEs, their gambling behaviors within the past year, and their mental health and well-being. We used multinomial logistic regression analysis to examine the relationship between 15 ACEs and gambling type (i.e., non-gambler, non-problem gambler, at-risk/problem gambler). We used interaction terms between each ACE and mental health to examine the moderating role of flourishing mental health and well-being. ACEs were associated with at-risk/problem gambling supporting hypothesis 1. Contrary to hypothesis 2, overall, flourishing mental health did not moderate the relationship between ACEs and gambling severity except for one ACE. In this study, we were able to gain a better understanding of how different ACEs each contribute to varying levels of gambling severity.



中文翻译:

风险赌博行为:与心理健康和不良童年经历 (ACE) 历史的关联

问题赌博和不良童年经历 (ACE) 是高度共病的,并导致许多不良健康结果。研究表明,在经历了童年逆境之后,更高水平的幸福感可以保护个人免受与 ACE 相关的伤害;然而,这种关系尚未在赌博文献中得到检验。我们假设经历过 ACE 的人会参与更多有问题的赌博行为。我们还假设经历过 ACE 并报告心理健康状况良好的人比经历过 ACE 但未报告心理健康状况良好的人的赌博问题发生率更低。我们对幸福和体验 (WE) 研究中的成人样本进行了二次数据分析。检查父母人口、父母和照顾者(N  = 1000;玛格_ = 45.2 岁;86.5% 的青少年接受了多项指标的采访,包括他们的 ACE 历史、过去一年的赌博行为以及他们的心理健康和幸福感。我们使用多项逻辑回归分析来检查 15 个 ACE 与赌博类型(即非赌徒、非问题赌徒、有风险/问题赌徒)之间的关系。我们使用每个 ACE 和心理健康之间的交互项来检查蓬勃发展的心理健康和幸福感的调节作用。ACE 与支持假设 1 的风险/问题赌博相关。与假设 2 相反,总体而言,除了一个 ACE 之外,良好的心理健康并没有缓和 ACE 与赌博严重程度之间的关系。在这项研究中,

更新日期:2021-06-24
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