Central Queensland University, Australia.
J Behav Addict. 2022 Oct 12;11(4):1002-1011. doi: 10.1556/2006.2022.00073. Print 2022 Dec 27.
Legacy gambling harms are negative consequences of gambling that extend past periods of low risk, moderate risk and problem gambling. Gambling harm is typically measured within a 12-month timeframe and is often restricted to examining harm amongst active gamblers. The present research aimed to explore whether people experienced gambling harms 12 months or more after the resolution of at-risk or problem gambling, and how long these legacy harms lasted.
An online survey was conducted in New Zealand with past and current gamblers and concerned significant others (CSOs) of gamblers, N = 1,240 (50.8% female), that asked them about both past and current gambling harms.
A majority of both gamblers and CSOs of gamblers indicated that they still suffered from gambling harm even after most of their behavioural issues with gambling had been resolved, 12+ months ago. Legacy gambling harms reduced over time, with harms diminishing most quickly in the early years, and having an average half-life of 4 years. Harms involving community-relationships, church involvement, and domestic and other violence resolved more quickly than others.
Legacy harms are common among ex-problem gamblers and should be considered in any full accounting of the impacts of gambling.
Understanding the time course and persistence of legacy harms from gambling can provide gamblers, treatment professionals and public health experts with insights into how to address gambling's long-term consequences.
遗留型赌博危害是指赌博带来的负面影响,其持续时间超出低风险、中度风险和赌博问题阶段。赌博危害通常在 12 个月的时间范围内进行衡量,且通常仅限于检查活跃赌徒的危害。本研究旨在探讨人们在解决有风险或赌博问题 12 个月或更长时间后是否会经历赌博危害,以及这些遗留危害会持续多久。
在新西兰,通过在线调查对过去和现在的赌徒以及赌徒的相关重要他人(CSO)进行了调查,共调查了 1240 人(50.8%为女性),他们被问及过去和现在的赌博危害。
大多数赌徒和赌徒的相关重要他人(CSO)表示,即使在大多数与赌博有关的行为问题得到解决 12 个月或更长时间后,他们仍在遭受赌博危害。遗留型赌博危害随时间而减少,危害在早期减少最快,平均半衰期为 4 年。涉及社区关系、教会参与以及家庭和其他暴力的危害比其他危害减少得更快。
遗留型危害在以前的问题赌徒中很常见,应该在全面评估赌博的影响时考虑到这些危害。
了解赌博遗留危害的时间过程和持续性可以为赌徒、治疗专业人员和公共卫生专家提供有关如何解决赌博长期后果的见解。