1Gambling Research Exchange, Guelph, ON, Canada.
2Deptartment of Recreation & Leisure Studies, University of Waterloo, Waterloo, ON, Canada.
J Behav Addict. 2020 Jun 16;9(2):190-205. doi: 10.1556/2006.2020.00024. Print 2020 Jun.
The Conceptual Framework of Harmful Gambling moves beyond a symptoms-based view of harm and addresses a broad set of factors related to the risks and effects of gambling harmfully at the individual, family, and community levels. Coauthored by international research experts and informed by multiple stakeholders, Gambling Research Exchange (GREO) facilitated the framework development in 2013 and retains responsibility for regular updates and mobilization. This review article presents information about the revised version of the Conceptual Framework of Harmful Gambling completed in late 2018.
We describe eight interrelated factors depicted in the framework that represent major themes in gambling ranging from the specific (gambling environment, exposure, gambling types, and treatment resources) to the general (cultural, social, psychological, and biological influences). After outlining the framework development and collaborative process, we highlight new topics for the recent update that reflect changes in the gambling landscape and prominent discourses in the scientific community. Some of these topics include social and economic impacts of gambling, and a new model of understanding gambling related harm.
We address the relevance of the CFHG to the gambling and behavioral addictions research community. Harm-based frameworks have been undertaken in other areas of addiction that can both inform and be informed by a model dedicated to harmful gambling. Further, the framework brings a multi-disciplinary perspective to bear on antecedents and factors that co-occur with harmful gambling.
有害赌博概念框架超越了基于症状的伤害观点，涉及到个人、家庭和社区层面与赌博有害相关的一系列广泛因素，包括风险和影响。该框架由国际研究专家共同撰写，并得到了多个利益相关者的支持，赌博研究交流组织（GREO）于 2013 年促进了该框架的发展，并负责定期更新和推广。本文介绍了 2018 年底完成的有害赌博概念框架修订版的相关信息。
我们描述了框架中描绘的八个相互关联的因素，这些因素代表了赌博中的主要主题，从具体的（赌博环境、暴露、赌博类型和治疗资源）到一般的（文化、社会、心理和生物影响）。在概述框架的发展和协作过程后，我们强调了最近更新的新主题，这些主题反映了赌博领域的变化和科学界的热门话题。其中一些主题包括赌博的社会和经济影响，以及理解与赌博相关伤害的新模式。
我们讨论了 CFHG 对赌博和行为成瘾研究界的相关性。其他成瘾领域已经开展了基于伤害的框架，这些框架可以为专门针对有害赌博的模型提供信息，并从中获得启示。此外，该框架从多学科的角度探讨了与有害赌博同时发生的前提和因素。
