Predictors of Dropout in Disordered Gamblers in UK Residential Treatment

Article


Roberts, A., Murphy, R., Turner, J. and Sharman, S. 2019. Predictors of Dropout in Disordered Gamblers in UK Residential Treatment. Journal of Gambling Studies. 36, p. 373–386. https://doi.org/10.1007/s10899-019-09876-7
AuthorsRoberts, A., Murphy, R., Turner, J. and Sharman, S.
Abstract

Within the cohort of individuals who seek treatment for disordered gambling, over half fail to complete treatment. The current study sought to identify predictors of treatment dropout in a sample of gamblers attending a residential treatment facility for disordered gamblers in the UK and to report differences in voluntary and enforced dropout. Data on 658 gamblers seeking residential treatment with the Gordon Moody Association (GMA) was analysed, collected between 2000 and 2015. Measurements included demographic data, self-reported gambling behavior, (including the Problem Gambling Severity Index), mental and physical health status, and a risk assessment. Binary logistic regression models were used to examine predictors of treatment termination. Results confirm a high percentage of treatment dropout among disordered gamblers (51.3%). Significant predictors of treatment dropout included older age of the client, higher levels of education, higher levels of debt, online gambling, gambling on poker, shorter duration of treatment, higher depression, experience of previous treatment programmes and medication, and adverse childhood experiences. Within non-completers, significant predictors of enforced dropout included lifetime homelessness, less debt, sports gambling, depression and lifetime smoking. Those who were on a longer treatment programme and had previously received gambling treatment or support were less likely to be asked to leave. Clinicians working in inpatient support need to be aware of the increased psychopathogical and psychosocial problems in those who are at risk of termination and make attempts to retain them in treatment and increase patient compliance.

JournalJournal of Gambling Studies
Journal citation36, p. 373–386
ISSN1050-5350
Year2019
PublisherSpringer
Publisher's version
License
File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1007/s10899-019-09876-7
Web address (URL)https://doi.org/10.1007/s10899-019-09876-7
Publication dates
Online13 Jul 2019
Publication process dates
Accepted13 Jul 2019
Deposited30 Jul 2019
FunderUniversity of Lincoln
Copyright holder© 2019 The Authors
Permalink -

https://repository.uel.ac.uk/item/86xw7

Download files

Publisher's version
Roberts2020_Article_PredictorsOfDropoutInDisordere.pdf
License: CC BY 4.0
File access level: Anyone

  • 54
    total views
  • 42
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Recollected usage of legal youth gambling products: Comparisons between adult gamblers and non-gamblers in the UK and Australia
Newall, P. W. S., Russell, A. M. T., Sharman, S. and Walasek, L. 2020. Recollected usage of legal youth gambling products: Comparisons between adult gamblers and non-gamblers in the UK and Australia. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2020.106685
Gambling in football: How much is too much?
Sharman, S. 2020. Gambling in football: How much is too much? Managing Sport and Leisure. https://doi.org/10.1080/23750472.2020.1811135
Associations between recalled use of legal UK youth gambling products and adult disordered gambling
Newall, P. W. S., Russell, A. M. T., Sharman, S. and Walasek, L. 2020. Associations between recalled use of legal UK youth gambling products and adult disordered gambling. Journal of Behavioral Addictions . 9 (3), p. 863–868. https://doi.org/10.1556/2006.2020.00048
Treatment Seeking Problem Gamblers: Characteristics of Individuals who Offend to Finance Gambling
Roberts, A., Sharman, S., King, M., Basyston, A. and Bowden-Jones, H. 2019. Treatment Seeking Problem Gamblers: Characteristics of Individuals who Offend to Finance Gambling. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-019-00192-0
Exposure to Gambling and Alcohol Marketing in Soccer Matchday Programmes
Sharman, S., Ferreira, C. A. and Newall, P. W. S. 2019. Exposure to Gambling and Alcohol Marketing in Soccer Matchday Programmes. Journal of Gambling Studies. 36, p. 979–988. https://doi.org/10.1007/s10899-019-09912-6
Review: Non‐invasive brain stimulation in behavioral addictions: insights from direct comparisons with substance use disorders
Gomis Vicent, E., Thoma, V., Turner, J., Hill, K. P. and Pascual‐Leone, A. 2019. Review: Non‐invasive brain stimulation in behavioral addictions: insights from direct comparisons with substance use disorders. The American Journal on Addictions. 28 (6), pp. 431-454. https://doi.org/10.1111/ajad.12945
Psychosocial Risk Factors in Disordered Gambling: A Descriptive Systematic Overview of Vulnerable Populations
Sharman, S., Murphy, R., Turner, J. and Roberts, A. 2019. Psychosocial Risk Factors in Disordered Gambling: A Descriptive Systematic Overview of Vulnerable Populations. Addictive Behaviors. 99 (Art. 106071). https://doi.org/10.1016/j.addbeh.2019.106071
Gambling and Homelessness: Prevalence and Pathways
Sharman, S. 2019. Gambling and Homelessness: Prevalence and Pathways. Current Addiction Reports. 6 (2), p. 57–64. https://doi.org/10.1007/s40429-019-00242-6
Prevalence of clinical autistic traits within a homeless population: barriers to accessing homeless services
Kargas, N., Harley, K. M., Roberts, A. and Sharman, S. 2019. Prevalence of clinical autistic traits within a homeless population: barriers to accessing homeless services. Journal of Social Distress and the Homeless. 28 (2), pp. 90-95. https://doi.org/10.1080/10530789.2019.1607139
Heterogeneity in Disordered Gambling: Decision-Making and Impulsivity in Gamblers Grouped by Preferred Form
Sharman, S., Clark, L., Roberts, A., Michalczuk, R., Cocks, R. and Bowden-Jones, H. 2019. Heterogeneity in Disordered Gambling: Decision-Making and Impulsivity in Gamblers Grouped by Preferred Form. Frontiers in Psychiatry. 10 (Art.588). https://doi.org/10.3389/fpsyt.2019.00588
Anonymous Women? A Scoping Review of the Experiences of Women in Gamblers Anonymous (GA)
Rogers, J., Landon, J., Sharman, S. and Roberts, A. 2019. Anonymous Women? A Scoping Review of the Experiences of Women in Gamblers Anonymous (GA). International Journal of Mental Health and Addiction. 18, p. 1008–1024. https://doi.org/10.1007/s11469-019-00101-5
Intimate Partner Violence in Treatment Seeking Problem Gamblers
Roberts, Amanda, Sharman, S., Landon, Jason, Cowlishaw, Sean, Murphy, Raegan, Meleck, Stephanie and Bowden-Jones, Henrietta 2019. Intimate Partner Violence in Treatment Seeking Problem Gamblers. Journal of Family Violence. 35 (1), p. 65–72. https://doi.org/10.1007/s10896-019-00045-3
Psychosocial correlates in treatment seeking gamblers: Differences in early age onset gamblers vs later age onset gamblers
Sharman, S., Murphy, Raegan, Turner, J. and Roberts, Amanda 2019. Psychosocial correlates in treatment seeking gamblers: Differences in early age onset gamblers vs later age onset gamblers. Addictive Behaviors. 97, pp. 20-26. https://doi.org/10.1016/j.addbeh.2019.05.013
Trends and patterns in UK treatment seeking gamblers: 2000–2015
Sharman, S., Murphy, Raegan, Turner, J. and Roberts, Amanda 2018. Trends and patterns in UK treatment seeking gamblers: 2000–2015. Addictive Behaviors. 89, pp. 51-56. https://doi.org/10.1016/j.addbeh.2018.09.009
Psychiatric profiles of mothers who take Ecstasy/MDMA during pregnancy: Reduced depression 1 year after giving birth and quitting Ecstasy
Turner, J., Parrott, Andrew C, Goodwin, Julia, Moore, Derek G, Fulton, Sarah, Min, Meeyoung O and Singer, Lynn T 2014. Psychiatric profiles of mothers who take Ecstasy/MDMA during pregnancy: Reduced depression 1 year after giving birth and quitting Ecstasy. Journal of Psychopharmacology. 28 (1), pp. 55-61. https://doi.org/10.1177/0269881113515061
Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA)
Cox, Sharon, Bertoux, Maxime, Turner, J., Moss, Antony, Locker, Kirsty and Riggs, Kevin 2018. Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA). Drug and Alcohol Dependence. 187, pp. 165-170. https://doi.org/10.1016/j.drugalcdep.2018.03.004
Novel Psychoactive Substances (NPS): no longer legal, not always highs
Turner, J. and Soar, K. 2017. Novel Psychoactive Substances (NPS): no longer legal, not always highs. University & College Counselling. 2017 (March), pp. 16-21.
Gambling and violence in a nationally representative sample of UK men
Roberts, A., Coid, Jeremy, King, Robert, Murphy, Reagan, Turner, J., Bowden-Jones, Henrietta, Palmer Du Preez, Katie and Landon, Jason 2016. Gambling and violence in a nationally representative sample of UK men. Addiction. 111 (12), pp. 2196-2207. https://doi.org/10.1111/add.13522
Investigating the effects of caffeine on executive functions using traditional Stroop and a new ecologically-valid virtual reality task, the Jansari assessment of Executive Functions (JEF©)
Soar, K., Chapman, E., Sivakuma, N., Jansari, A.S. and Turner, J. 2016. Investigating the effects of caffeine on executive functions using traditional Stroop and a new ecologically-valid virtual reality task, the Jansari assessment of Executive Functions (JEF©). Appetite. 105, pp. 156-163. https://doi.org/10.1016/j.appet.2016.05.021
Motor delays in MDMA (ecstasy) exposed infants persist to 2years
Singer, Lynn T., Moore, D., Min, Meeyoung O., Goodwin, Julia, Turner, J., Fulton, Sarah and Parrott, Andrew C. 2016. Motor delays in MDMA (ecstasy) exposed infants persist to 2years. Neurotoxicology and Teratology. 54, pp. 22-28. https://doi.org/10.1016/j.ntt.2016.01.003
Developmental outcomes of 3,4-methylenedioxymethamphetamine (ecstasy)-exposed infants in the UK
Singer, Lynn T., Moore, Derek G., Min, Meeyoung O., Goodwin, Julia, Turner, J., Fulton, Sarah and Parrott, Andrew C. 2015. Developmental outcomes of 3,4-methylenedioxymethamphetamine (ecstasy)-exposed infants in the UK. Human Psychopharmacology: Clinical and Experimental. 30 (4), pp. 290-294. https://doi.org/10.1002/hup.2459
One-Year Outcomes of Prenatal Exposure to MDMA and Other Recreational Drugs
Singer, L.T., Moore, D., Min, M.O., Goodwin, J., Turner, J., Fulton, S. and Parrott, A.C. 2012. One-Year Outcomes of Prenatal Exposure to MDMA and Other Recreational Drugs. Pediatrics. 130 (3), pp. 407-413. https://doi.org/10.1542/peds.2012-0666
MDMA and heightened cortisol: a neurohormonal perspective on the pregnancy outcomes of mothers used ‘Ecstasy’ during pregnancy
Parrott, Andrew C., Moore, D., Turner, J., Goodwin, Julia E., Min, Meeyoung O. and Singer, Lynn T. 2014. MDMA and heightened cortisol: a neurohormonal perspective on the pregnancy outcomes of mothers used ‘Ecstasy’ during pregnancy. Human Psychopharmacology: Clinical and Experimental. 29 (1), pp. 1-7.
‘Vaping’ profiles and preferences: an online survey of electronic cigarette users
Dawkins, L., Turner, J., Roberts, A. and Soar, K. 2013. ‘Vaping’ profiles and preferences: an online survey of electronic cigarette users. Addiction. 108 (6), pp. 1115-1125. https://doi.org/10.1111/add.12150
Nicotine derived from the electronic cigarette improves time-based prospective memory in abstinent smokers
Dawkins, L., Turner, J. and Crowe, Eadaoin 2012. Nicotine derived from the electronic cigarette improves time-based prospective memory in abstinent smokers. Psychopharmacology. 227 (3), pp. 377-384.
The electronic-cigarette: effects on desire to smoke, withdrawal symptoms and cognition
Dawkins, L., Turner, J., Hasna, Surrayyah and Soar, K. 2012. The electronic-cigarette: effects on desire to smoke, withdrawal symptoms and cognition. Addictive Behaviors. 37 (8), pp. 970-973.
Attributions for psychobiological changes in ecstasy/MDMA and other polydrug users
Soar, K., Parrott, A.C. and Turner, J. 2009. Attributions for psychobiological changes in ecstasy/MDMA and other polydrug users. Journal of Psychopharmacology. 23 (7), pp. 745-758.
During pregnancy, recreational drug-using women stop taking ecstasy (3,4-methylenedioxy-N-methylamphetamine) and reduce alcohol consumption but continue to smoke tobacco and cannabis
Moore, D., Turner, J., Parrott, A.C., Goodwin, J.E., Fulton, S., Min, M.O., Fox, H.C., Braddick, F.M.B., Toplis, A.S., Axelsson, E.L., Lynch, S., Ribeiro, H., Frostick, C. and Singer, L.T. 2010. During pregnancy, recreational drug-using women stop taking ecstasy (3,4-methylenedioxy-N-methylamphetamine) and reduce alcohol consumption but continue to smoke tobacco and cannabis. Journal of Psychopharmacology. 24 (9), pp. 1403-1410.
In-utero exposure to the popular ‘recreational’ drugs MDMA (Ecstasy) and Methamphetamine (Ice, Crystal): preliminary findings
Moore, D., Turner, J., Goodwin, J.E., Fulton, S.E., Singer, L.T. and Parrott, A.C. 2011. In-utero exposure to the popular ‘recreational’ drugs MDMA (Ecstasy) and Methamphetamine (Ice, Crystal): preliminary findings. in: Preece, P.M. and Riley, E.P. (ed.) Alcohol, drugs and medication in pregnancy: the long-term outcome for the child John Wiley & Sons.