Enhancing the utility of the problem gambling severity index in clinical settings: Identifying refined categories within the problem gambling category.

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dc.contributor.author Merkouris, SS en
dc.contributor.author Greenwood, C en
dc.contributor.author Manning, V en
dc.contributor.author Oakes, J en
dc.contributor.author Rodda, Simone en
dc.contributor.author Lubman, D en
dc.contributor.author Dowling, NA en
dc.date.accessioned 2020-02-14T03:04:35Z en
dc.date.issued 2020-04 en
dc.identifier.issn 1873-6327 en
dc.identifier.uri http://hdl.handle.net/2292/50031 en
dc.description.abstract BACKGROUND:The Problem Gambling Severity Index (PGSI) was intended for use in epidemiological research with gamblers across the continuum of risk. Its utility within clinical settings, where the majority of clients are problem gamblers, has been brought into question. AIMS:(1) Identify refined categories for the problem gambling category of the PGSI in help-seeking gamblers; (2) Validate these categories using the Gambling Symptom Assessment Scale (G-SAS); (3) Explore the relationship of these categories with indices of gambling and help-seeking behaviour. METHODS:Secondary data analysis of help-seeking problem gamblers from the Australian online gambling counselling/support service (Gambling Help Online [GHO]) from October 2012 to December 2015 (n = 5,881) and trial data evaluating an Australian online self-directed program for gambling (GamblingLess; n = 198). Both datasets included the PGSI, gambling frequency and expenditure. The GamblingLess dataset also included the G-SAS and help-seeking behaviour. RESULTS:A Latent Class Analysis, using GHO data, identified a 2-class solution. Multiple analytical methods identified a cut-off value of ≥ 19 distinguishing this 2-class solution (low problem severity: Median = 16; high problem severity: Median = 23). High problem severity gamblers had increased odds of being categorised in the higher GSAS category, greater gambling expenditure and having sought face-to-face support. The refined categories were not associated with gambling frequency, distance-based or self-directed help-seeking. CONCLUSION:These findings are consistent with a stepped-care approach, whereby individuals with higher severity may be better suited to more intensive interventions and individuals with lower severity could commence with less intensive interventions and step-up to intensive interventions. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Addictive behaviors en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Enhancing the utility of the problem gambling severity index in clinical settings: Identifying refined categories within the problem gambling category. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.addbeh.2019.106257 en
pubs.begin-page 106257 en
pubs.volume 103 en
dc.rights.holder Copyright: The author en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 791559 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Social & Community Health en
dc.identifier.eissn 1873-6327 en
pubs.record-created-at-source-date 2019-12-30 en
pubs.dimensions-id 31884377 en


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