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The Comorbidity of Gambling Disorder among Macao Adult Residents and the Moderating Role of Resilience and Life Purpose

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  • Juliet Honglei Chen

    (Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, China)

  • Kwok Kit Tong

    (Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, China)

  • Anise M. S. Wu

    (Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, China)

  • Joseph T. F. Lau

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Meng Xuan Zhang

    (Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, China)

Abstract

Macao, China’s only city with legalized casinos, has maintained a high prevalence of gambling participation and gambling disorder (GD) over the past decade. The mental health risks associated with such high levels have been overlooked. In order to estimate the comorbid prevalence of GD with depression, anxiety, and Internet gaming disorder (IGD) and to explore the potential buffering effect of psychological resilience and purpose in life, this study obtained a representative adult Chinese sample ( N = 1000, 44% male, aged 18–97 years) from a telephone survey conducted between October and November of 2016. As hypothesized, the highest psychiatric comorbid prevalence was observed in the GD subgroup ( n = 19, 21.1% probable IGD, 26.3% probable depression, and 37.0% probable anxiety). All these mental health problems could increase one’s proclivity to GD, and vice versa. Psychological resilience was found to buffer the association between anxiety symptoms and probable GD (χ 2 (1) = 4.30, p = 0.04/GD symptoms, F change (1,162) = 6.29, p = 0.01), whereas purpose in life did not display any hypothesized moderating effect. These results indicate the usefulness of mental health screening for GD, taking into consideration its associated risks, and of fostering psychological resilience in prevention and treatment programs.

Suggested Citation

  • Juliet Honglei Chen & Kwok Kit Tong & Anise M. S. Wu & Joseph T. F. Lau & Meng Xuan Zhang, 2018. "The Comorbidity of Gambling Disorder among Macao Adult Residents and the Moderating Role of Resilience and Life Purpose," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2774-:d:188670
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    References listed on IDEAS

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    1. Cunningham-Williams, R.M. & Cottler, L.B. & Compton III, W.M. & Spitznagel, E.L., 1998. "Taking chances: Problem gamblers and mental health disorders - Results from the St. Louis epidemiologic catchment area study," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1093-1095.
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    Cited by:

    1. Della L. Dang & Meng Xuan Zhang & Karlas Kin-hei Leong & Anise M. S. Wu, 2019. "The Predictive Value of Emotional Intelligence for Internet Gaming Disorder: A 1-Year Longitudinal Study," IJERPH, MDPI, vol. 16(15), pages 1-14, August.
    2. Anise M. S. Wu & Mark H. C. Lai & Mengxuan Zhang & Masao Yogo & Shu M. Yu & Sijie Mao & Juliet Honglei Chen, 2022. "Effects of Psychological Distress and Coping Resources on Internet Gaming Disorder: Comparison between Chinese and Japanese University Students," IJERPH, MDPI, vol. 19(5), pages 1-14, March.
    3. Dora Dodig Hundric & Sabina Mandic & Neven Ricijas, 2021. "Short-Term Effectiveness of the Youth Gambling Prevention Program “Who Really Wins?”—Results from the First National Implementation," IJERPH, MDPI, vol. 18(19), pages 1-16, September.

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