Turning Point, Eastern Health.
Public Health and Health Services Research, The Florey Institute of Neuroscience and Mental Health.
Psychol Addict Behav. 2018 Sep;32(6):679-688. doi: 10.1037/adb0000393.
Gamblers engage with a broad range of resources and strategies to limit or reduce their gambling. However, there is limited research examining the uptake and helpfulness of the full range of strategies gamblers employ. The aim of this study was to compile a comprehensive inventory of change strategies and then group these using principal component analysis based on perceived helpfulness. We also aimed to determine whether there are differences in the helpfulness of strategies by demographic, gambling severity, and readiness indicators. The Change Strategies Questionnaire-Version 1 contained 99 strategies, and 489 gamblers (including 333 problem gamblers) identified the most frequently endorsed strategy as remind yourself of negative consequences of gambling (92%) and think about how money could be better spent (92%). Principal components analysis identified 15 strategy groupings: cognitive, well-being, consumption control, behavioral substitution, financial management, urge management, self-monitoring, information seeking, spiritual, avoidance, social support, exclusion, planning, feedback, and limit finances. There were differences in the helpfulness of strategies by age and gambling severity. Few strategies were correlated with confidence to manage an urge to gamble. Overall, change strategies were viewed as moderately helpful. The top five strategies were all used by at least 90% of gamblers, and these strategies were all cognitive in nature. This study provides important information for the development of interventions targeting gambling behavior. Furthermore, it suggests that interventions for problem gambling should target cognitive, feedback, planning, and urge management strategies. (PsycINFO Database Record
赌徒会使用各种资源和策略来限制或减少赌博。然而，关于赌徒所采用的各种策略的采用率和有效性的研究有限。本研究旨在编制一份全面的改变策略清单，然后根据感知的有效性使用主成分分析对这些策略进行分组。我们还旨在确定策略的有效性是否因人口统计学、赌博严重程度和准备度指标的差异而有所不同。改变策略问卷-第 1 版包含 99 种策略，489 名赌徒（包括 333 名问题赌徒）确定最常被认可的策略是提醒自己赌博的负面后果（92%）和考虑如何更好地花钱（92%）。主成分分析确定了 15 种策略分组：认知、幸福、消费控制、行为替代、财务管理、冲动管理、自我监控、信息寻求、精神、避免、社会支持、排除、计划、反馈和限制财务。策略的有效性因年龄和赌博严重程度而异。很少有策略与管理赌博冲动的信心相关。总体而言，改变策略被认为是中等有效的。前五名策略的使用率均在 90%以上，这些策略均为认知性质。这项研究为针对赌博行为的干预措施的发展提供了重要信息。此外，这表明针对问题赌博的干预措施应针对认知、反馈、计划和冲动管理策略。
