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Telephone Help-line Program for Pathological Gambling: A Preliminary Study in California.


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Telephone Help-line Program for Pathological Gambling: A Preliminary Study in California . UCLA Gambling Studies Program. Overview. Background Conceptual framework Research questions and hypotheses Methods Results Implications Limitations Conclusion. Background: Definition and Criteria.
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Phone Help-line Program for Pathological Gambling: A Preliminary Study in California UCLA Gambling Studies Program

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Overview Background Conceptual structure Research inquiries and theories Methods Results Implications Limitations Conclusion

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Background: Definition and Criteria Social Gambling Problem Gambling NODS Score: 3 – 4 Gambling that fundamentally meddles with a man's life Pathological Gambling NODS Score: 5-10 The most serious type of issue betting Mental Health Disorder

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Background: Prevalence in California : Pathological betting (PaG): 1.5% ( 296,500 – 490,000 ) Problem betting (PrG): 2.2% ( 450,000 - 713,400 ) At-danger betting: 9.5% ( 2.2 million – 2.7 million ) Risk Factors : sexual orientation (guys) ethnicity (African-Americans) age (>65 years) livelihood (unemployed and handicapped)

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Background: Related Issues Smoking ¼ PaGs and PrGs smoke every day Substance misuse liquor, maryjane, cocaine, and so on. Mental challenges tension, dejection, solitary identity issue and so on. Self-destructive ideation Stress-related physical impedance hypertension, coronary illness, and so forth. Criminal conduct

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Background: Services Barriers to looking for help Embarrassment and dissent of the betting issues; and question of the adequacy of medications ⇨ National evaluation: < 3% of PrGs look for treatment A 24-hour, sans toll administration for PrGs and PaGs is accessible ⇨ 4/5 CA grown-ups (2/3 PrGs, 1/2PaGs) don't know about this administration

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Background: "Opportunity to Change (C2C)" Bensinger DuPont and Associates (BDA) actualized the C2C program BDA gives substance misuse intercession and avoidance BDA's phone guides are prepared and affirmed betting advisors Masters level degree Utilize institutionalized procedure

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Background: "Opportunity to Change (C2C)" Program Components : -Initial Session: Baseline Assessment -Session 1 (W1): Assign homework -Session 2 (W2): Support customer's arrangement of change, educate about course of obsessive betting -Session 3 (W4 ): Motivate customer for recuperation -Session 4 (W8): Motivate customer for recuperation -Session 5 (W12): Review customer's advancement, end session

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The Transtheoretical Model Conceptual Framework Precontenmplation : No goal to stop betting inside the following 6 months Conscious raising Dramatic Relief Environmental reexamination The Transtheoretical Model has been effectively connected to persuade end of betting among PaGs. (Unimportant, 2005) Contemplation : Intention to stop betting inside the following 6 months Self-reconsideration Preparation : Intention to stop betting inside the following 30 days and has stepped in this bearing Self-freedom Target Population Intervention Action : Has stopped betting for under 6 months Contingent administration Helping relationship Counter-molding Situational control Maintenance : Has stopped betting conduct for over 6 months

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Research Question & Hypothesis Research Question : Are obsessive card sharks who finished the C2C liable to stop or decrease the recurrence of betting? Theories: Participants who finished C2C project will have an altogether bring down NODS score than their partners. The normal number of hours spent betting a week by members will be essentially lower at week 8 and 12 than at gauge. The normal measure of cash apportioned for betting by members will be altogether lower at weeks 8 and 12 than at pattern.

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Methods: Sampling Inclusion Criteria -18 years of age or more seasoned -Ability to peruse and compose English at an eighth grade level -Meet DSM-IV criteria for neurotic betting (NODS score >5) -Have bet inside 4 weeks of screening -Have a solid phone number Exclusion Criteria -Currently selected in a betting treatment program -Meet criteria for clinically huge psychiatric issue that would impede judgment or therapeutic basic leadership limit

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Methods: Variables Dependent Variables (results) - NODS score -Hours of betting (W12) -Amount of cash apportioned for betting (W12) Independent Variables (indicators) - Demographics -Gambling inclination -Frequency, hours of betting -Family betting history -Reason of betting -Smoking, drinking propensity -Self-appraised wellbeing and QOL -First betting age -Problem betting beginning age -Self objective (lessen/quit) -Money began (W12) -betting wins and loses

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Attrition Rate : 45.45% Initial Interview: 33/109 W12: 18/33 N =18, Age : M=42.83, SD=11.57, Range= 27-65 Gender proportion : Male=50%, Female: half Primary Gambling Preference : -Nevada Casinos => 1 (5.6%) -Indian Casinos => 15 (83.3%) -Card Rooms => 1 (5.6%) -Sports wagering => 1 (5.6%) Race/Ethnicity : - African American => 1 (5.6%) -Asian American => 3 (16.7%) -Caucasian => 6 (33.3%) -Latino => 6 (33.3%) -Other => 2 (11.1%) Results: Sample Demographics

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Results (cont'd) Table 1. Examination of Initial and 12-week Assessment *Statistically noteworthy (p < .05) as tried by Paired-example t-test **Statistically huge (p < .001) as tried by Paired-specimen t-test

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Implications This study showed that offering phone line system may help neurotic card sharks, who are in the Preparation or Action phases of progress, to decrease or keep up suspension of betting as far as NODS score and the quantity of hours spent betting.

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Limitations/Future Directions Sample size is little Non-randomized example No control bunch -Does not as a matter of course speak to PrGs -Randomized controlled studies are required Self-report predispositions -Need to assess the precision of self-report

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Limitations/Future Directions Some members were at that point inspired to make a move to change their neurotic betting conduct at the underlying point Limited to an execution over a 3 month time span -Other elements may influence their conduct (e.g. backslide because of undecided attributes of betting compulsion) High weakening rate

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Acknowledgments We, the UCLA Gambling Studies Program , thankfully recognize the backing of this study by Ms.Isabelle Duguay from Bensinger DuPont and Associates. This system was subsidized by the California Alcohol and Drug Programs, Office of Problem Gambling.

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Reference California Department of Alcohol and Drug Programs Office of Problem and Pathological Gambling. (2006). 2006 California Problem Gambling Prevalence Survey . Recovered at April 7, 2008, from http://www.adp.ca.gov/opg/pdf/CA_Problem_Gambling_Prevalence _ Survey-Final_Report.pdf Desai, R. &Potenza, M. (2008). Sexual orientation contrasts in the relationship between past-year gambling issues and psychiatric issue. Social psychiatry and psychiatric epidemiology . 43(3), 173-183. Pantalon, M. V., Maciejewski, P. K., Desai, R. A. & Potenza, M. N.  (2007). Energy looking for gambling in a broadly illustrative example of recreational card sharks. Diary of Gambling Studies . 24(1), 63-78. Trivial, N.M. (2005). Phases of progress in treatment-looking for obsessive card sharks. Diary of Consulting & Clinical Psychology. 73 (2), 312-322. Shaffer, H. J. & Korn, D. A. (2002). Betting and related mental issue: a general wellbeing analysis. Yearly audit of general wellbeing . 23, 171 - 212. Wood, R. T. A. & Griffiths, M. D. (2007). A subjective examination of issue betting as a escape-based adapting system. Brain science & Psychotherapy: Theory, Research & Practice . (80)1, 107-125.

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Thanks for tuning in! Akiko Sato akisato@ucla.edu