Problem Gambling in the Fitness World—A General Population Web Survey

The world of sports has a complex association to problem gambling, and the sparse research examining problem gambling in athletes has suggested an increased prevalence and particularly high male predominance. The present study aimed to study frequency and correlates of problem gambling in populations with moderate to high involvement in fitness or physical exercise. This is a self-selective online survey focusing on addictive behaviors in physical exercise distributed by ‘fitness influencers’ on social media and other online fitness forums to their followers. Respondents were included if they reported exercise at least thrice weekly, were above 15 years of age, and provided informed consent (N = 3088). Problem gambling, measured with the Lie/Bet, was studied in association with demographic data, substance use, and mental health variables. The occurrence of lifetime problem gambling was 8 percent (12 percent in men, one percent in women). In logistic regression, problem gambling was associated with male gender, younger age, risky alcohol drinking, obsessive-compulsive disorder, and less frequent exercise habits. In conclusion, in this self-recruited population with moderate to high fitness involvement, problem gambling was moderately elevated. As shown previously in elite athletes, the male predominance was larger than in the general population. The findings strengthen the link between problem gambling and the world of sports.

[1]  J. Mccambridge,et al.  Alcohol screening and assessment measures for young people: A systematic review and meta-analysis of validation studies. , 2019, Drug and alcohol dependence.

[2]  J. Derevensky,et al.  Problem gambling and associated mental health concerns in elite athletes: a narrative review , 2019, British Journal of Sports Medicine.

[3]  N. Hing,et al.  Gambling Risk Groups are Not All the Same: Risk Factors Amongst Sports Bettors , 2019, Journal of Gambling Studies.

[4]  A. H. Berman,et al.  Psychometric Properties of the AUDIT, AUDIT-C, CRAFFT and ASSIST-Y among Swedish Adolescents , 2019, European Addiction Research.

[5]  J. Grant,et al.  Nonmedical Use of Stimulants Is Associated With Riskier Sexual Practices and Other Forms of Impulsivity , 2018, Journal of addiction medicine.

[6]  Anna K Karlsson,et al.  Primary and Secondary Diagnoses of Gambling Disorder and Psychiatric Comorbidity in the Swedish Health Care System—A Nationwide Register Study , 2018, Front. Psychiatry.

[7]  M. Griffiths,et al.  Can Positive Social Perception and Reduced Stigma be a Problem in Sports Betting? A Qualitative Focus Group Study with Spanish Sports Bettors Undergoing Treatment for Gambling Disorder , 2018, Journal of Gambling Studies.

[8]  G. Kenttä,et al.  Problem gambling and gaming in elite athletes , 2018, Addictive behaviors reports.

[9]  E. Billstedt,et al.  Gambling Disorder in Male Violent Offenders in the Prison System: Psychiatric and Substance-Related Comorbidity , 2018, Journal of Gambling Studies.

[10]  R. Volberg,et al.  Screening for problem gambling within mental health services: a comparison of the classification accuracy of brief instruments , 2018, Addiction.

[11]  A. Håkansson,et al.  Who Seeks Treatment When Medicine Opens the Door to Pathological Gambling Patients—Psychiatric Comorbidity and Heavy Predominance of Online Gambling , 2017, Front. Psychiatry.

[12]  J. Arcelus,et al.  Detecting Eating Psychopathology in Female Athletes by Asking About Exercise: Use of the Compulsive Exercise Test , 2017, European eating disorders review : the journal of the Eating Disorders Association.

[13]  J. Menchón,et al.  How do online sports gambling disorder patients compare with land-based patients? , 2017, Journal of behavioral addictions.

[14]  J. M. Cronce,et al.  Independent Versus Co-occurring Substance Use in Relation to Gambling Outcomes in Older Adolescents and Young Adults. , 2017, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[15]  Carmen E. Lefevre,et al.  Instagram use is linked to increased symptoms of orthorexia nervosa , 2017, Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity.

[16]  Mark D. Griffiths,et al.  Problem gambling worldwide: An update and systematic review of empirical research (2000–2015) , 2016, Journal of behavioral addictions.

[17]  T. Robbins,et al.  Compulsivity in obsessive–compulsive disorder and addictions , 2016, European Neuropsychopharmacology.

[18]  M. Grall-Bronnec,et al.  Gambling among European professional athletes. Prevalence and associated factors , 2016, Journal of addictive diseases.

[19]  M. Perreault,et al.  Gambling Problems Among Community Cocaine Users , 2016, Journal of Gambling Studies.

[20]  Patrick D. McGorry,et al.  The Mental Health of Elite Athletes: A Narrative Systematic Review , 2016, Sports Medicine.

[21]  J. Sareen,et al.  A Longitudinal Study of the Temporal Relation Between Problem Gambling and Mental and Substance Use Disorders Among Young Adults , 2016, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[22]  M. Husky,et al.  Gender differences in the associations of gambling activities and suicidal behaviors with problem gambling in a nationally representative French sample. , 2015, Addictive behaviors.

[23]  Jennifer L. Newby,et al.  Competitiveness Facets and Sensation Seeking as Predictors of Problem Gambling Among a Sample of University Student Gamblers , 2015, Journal of Gambling Studies.

[24]  K. Juel,et al.  Health Behaviour and Body Mass Index Among Problem Gamblers: Results from a Nationwide Survey , 2015, Journal of Gambling Studies.

[25]  H. Xian,et al.  Associations between obsessive-compulsive classes and pathological gambling in a national cohort of male twins. , 2015, JAMA psychiatry.

[26]  D. Christensen,et al.  Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis , 2015, The Australian and New Zealand journal of psychiatry.

[27]  R. Volberg,et al.  Gambling and Problem Gambling in Sweden: Changes Between 1998 and 2009 , 2014, Journal of Gambling Studies.

[28]  J. Derevensky,et al.  Predicting Gambling Problems from Gambling Outcome Expectancies in College Student-Athletes , 2014, Journal of Gambling Studies.

[29]  M. Potenza,et al.  Gender differences in the relationship between gambling problems and the incidence of substance-use disorders in a nationally representative population sample. , 2013, Drug and alcohol dependence.

[30]  R. Turrisi,et al.  Can Personality Account for Differences in Drinking between College Athletes and Non-Athletes? Explaining the Role of Sensation Seeking, Risk-Taking, and Impulsivity , 2013, Journal of drug education.

[31]  J. Grant,et al.  Telescoping Phenomenon in Pathological Gambling: Association With Gender and Comorbidities , 2012, The Journal of nervous and mental disease.

[32]  R. Volberg,et al.  A quick and simple screening method for pathological and problem gamblers in addiction programs and practices. , 2011, The American journal on addictions.

[33]  S. Cowlishaw,et al.  Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys. , 2011, Addiction.

[34]  R. Factor,et al.  Sport Psychiatry , 2010, Sports medicine.

[35]  Thomas S Paskus,et al.  Gambling and health risk behaviors among U.S. college student-athletes: findings from a national study. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[36]  Jeremiah Weinstock,et al.  Gambling Behavior of Student-Athletes and a Student Cohort: What are the Odds? , 2007, Journal of Gambling Studies.

[37]  C. Blanco,et al.  Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on Alcohol and Related Conditions , 2006, Psychological Medicine.

[38]  N. Wilson,et al.  Patterns of sports sponsorship by gambling, alcohol and food companies: an Internet survey , 2006, BMC public health.

[39]  A. Johansson,et al.  Validation of the Lie/Bet Screen for Pathological Gambling on Two Normal Population Data Sets , 2004, Psychological reports.

[40]  C. Blanco,et al.  Gender differences in pathological gambling. , 2003, The Journal of clinical psychiatry.

[41]  N. Petry,et al.  Gender differences among pathological gamblers seeking treatment. , 2002, Experimental and clinical psychopharmacology.

[42]  R. Hamer,et al.  The Lie/Bet Questionnaire for Screening Pathological Gamblers: A Follow-up Study , 1998, Psychological reports.

[43]  D. Kivlahan,et al.  The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. , 1998, Archives of internal medicine.

[44]  N. Eisenstein,et al.  The Lie/Bet Questionnaire for Screening Pathological Gamblers , 1997, Psychological reports.

[45]  E. Landolfi Exercise Addiction , 2012, Sports Medicine.

[46]  H. Tavares,et al.  Brief Communications: Gender Differences in Gambling Progression , 2004, Journal of Gambling Studies.

[47]  Suck-Won Kim,et al.  Gender differences in pathological gamblers seeking medication treatment. , 2002, Comprehensive psychiatry.