Mental and Social Health Commons^™

Session 1-4-C: Gambling Behavior And Motivation Across Uk Older Adult Populations, Julie Pattinson, Adrian Parke Dr

International Conference on Gambling & Risk Taking

Target Group: UK Older adults 65+

Aim: Develop knowledge and understanding of gambling related harm

Background: limited empirical research - ignored

High prevalence detected

Session 1-4-C: Gambling In The Correctional System In Ontario, Nigel E. Turner Ph.D.

International Conference on Gambling & Risk Taking

Why study gambling in a correctional setting?

Desperation over gambling losses
High prevalence amongst offenders.
Recidivism risk
Gambling inside: recreation or security risk

Session 1-4-D: Leading Together: The Evolution Of Responsible Gambling In Canada, Jim Engel, Paul Pellizzari, Paul W. Smith

International Conference on Gambling & Risk Taking

Agenda

Background: Gambling in Canada
Responsible Gambling Framework
The notion of “player sustainability”
Video Lottery Terminals (VLTs)
Internet gambling
Branding RG
Data analytics
Voluntary Self-Exclusion
RG Standards
Leading together: collaboration across jurisdictions

Session 1-4-A: Comparing Longitudinal Studies Of Gambling: Methods & Findin, Rachel A. Volberg

International Conference on Gambling & Risk Taking

What do we know about risk factors for PG?

Vast majority of research carried out on PG risk factors has involved cross-sectional surveys

PG status at a single point in time statistically correlated with behaviors & characteristics assessed at the same time

Cannot resolve the “chicken and egg” problem

• Does PG precede other disorders?
• Do other disorders precede PG?
• Or does one underlying condition account for both?

Session 1-4-A: Pathways Of Gambling Problem Severity: Follow-Up From A General Population Survey, Sylvia Kairouz, Christelle Luce

International Conference on Gambling & Risk Taking

Study objectives

Describe trajectories of change in gambling patterns and problems among a cohort of gamblers;

Model change over time based on life events.

Session 1-4-B: Gambling And Marijuana Use In The Netherlands: Is Legalization The Best Tool For Dealing With "Naughty Habits?", William N. Thompson, Laura K. Thompson

International Conference on Gambling & Risk Taking

In 1976, the Netherlands embraced two policy initiatives which encompassed similar objectives. The policies sought to control “undesired substances” via the process of legalization. One legalization process involved casino gambling. The policies have sometimes led to desired results (the right road), while at other times they have led to undesirable results (the wrong road). Now in 2013, without an observable crossroad or even fork in the road, The Netherlands is poised to deviate from a right road to travel down a wrong road by placing rather severe restrictions upon the operations of “Coffee Houses” which have been “serving” customers measured …

Session 1-3-F: The Alberta Cohorts Of Gambling Behaviors An Update, Nady El-Guebaly, David Casey, David Hodgins, Garry Smith, Don Schopflocher, Shawn Currie, Rob Williams

International Conference on Gambling & Risk Taking

Objectives

1.Experience with recruitment & retention of five cohorts

2.Patterns of continuity & discontinuity in gambling behaviors as well as patterns of recovery from problems?

3. Biopsychosocial variables (risks & resilience) predicting the spectrum of gambling behaviors from responsible to problematic?

Session 1-3-C: The Human Touch And The Technological Age: Advancing Responsible Gambling, By Virtually Any Means, Janine Robinson

International Conference on Gambling & Risk Taking

What is the Problem Gambling Institute of Ontario doing?

Our suite of Online Tools and MYGU App at ProblemGambling.ca

Examining other behavioural addictions

Regular programming on social media channels

Ongoing research, education, policy and clinical work

Session 1-3-E: Hitting The Sweet Spot: Lottery Promotion And Vulnerability, Elisabeth Papineau, Jean-François Biron, Fanny Lemetayer, Amadou Barry

International Conference on Gambling & Risk Taking

Literature about lottery marketing and vulnerability

Lottery advertising in Quebec

Project phases

Results

Conclusion

Session 1-3-F: New Zealand Prospective Research: The Pacific Islands Families Study, Treatment Outcome Study And National Gambling Study, Max Abbott

International Conference on Gambling & Risk Taking

Aims

Determine optimum pathways for children and families during critical developmental periods

Identify risk and resilience factors that influence positive and negative outcomes

Provide Pacific-specific evidence

Make empirically-based strategic recommendations to improve the health and well-being of Pacific children and families and address social disparities

Session 1-3-F: The Victorian Gambling Study Identifying And Predicting Risks, Rosa Billi

International Conference on Gambling & Risk Taking

Overview

Background

Study design

• Incidence
• Transitions
• Risk & protective
• Co morbidities

Session 1-2-E: The Indirect Contribution Of Non-Gaming Amenities To Casino Gaming Performance, Elena Shampaner-Ghiassi, Sarah Tanford

International Conference on Gambling & Risk Taking

Objective

Evaluate the simultaneous impact of all non-gaming amenities on gaming volume

Session 1-2-F: Rationality And Risk Intelligence In Binary Betting, Raph Di Guisto, Aaron C. Brown, Nick Maughan

International Conference on Gambling & Risk Taking

We analyze 1.6 million binary bets on financial markets totaling $600 million in stakes, placed by 21,000 bettors at a large Internet betting site. The data set is unusually large and complete, plus has one additional important advantage: we can obtain objective independent estimates of the ex ante probability of winning each bet, using data from financial markets. This allows us to distinguish bettor profit due to superior prediction of financial events from bettor profit due to exploiting ex ante favorable odds situations. We focus on the degree or type of skill possessed by bettors (if any), and the amount …

Session 1-2-A: A Comparison Of Outcome Efficacy Between Residential And Intensive Outpatient Treatment For Disordered Gambling As Measured By Gamtoms, Reece Middleton

International Conference on Gambling & Risk Taking

Conclusions

Whereas, it is apparent that each of the Programs is clearly efficacious, as evidenced by major improvements in all evaluated life areas for clients of both, it seems that Residential Treatment, for those able to accomplish it, would have the Advantage. It is further indicated that continued involvement in recovery-oriented activity, such as, Aftercare and 12-Step Programs produces sought-after results for all participants.

Session 1-2-A: Building, Maintaining And Evaluating A Statewide Treatment Program For Problem Gambling, Timothy W. Fong

International Conference on Gambling & Risk Taking

Shows how to build, maintain and evaluate programs for problem gambling

Opening Plenary: Morality And Gambling, Peter Collins

International Conference on Gambling & Risk Taking

Why Morality? Unspoken Arguments

Half the world has a view that gambling is WICKED/SINFUL/IMMORAL/AND OUGHT not to be DONE

The other half thinks gambling good, harmless fun which is THRILLING, RELAXING AND COOL

The third half of the world doesn’t care much at all

Program: The 15th International Conference On Gambling & Risk Taking, University Of Nevada, Las Vegas, University Of Nevada, Reno

International Conference on Gambling & Risk Taking

Listing of presentations, events, and sponsors

Early Life Stress, Drug Abuse, Exercise Effects On Bdnf And Sex-Influenced Excercise Differences, Karissa Dold

Honors College Theses

In 2011, the U.S. reported 3 million child maltreatment cases, an uncomfortably high but recurring figure each year. Research shows exposure to early life stress (ELS) increases an individual’s susceptibility to substance abuse, specifically of nicotine, alcohol, and cocaine. Increased susceptibility may result from dysregulation of the HPA axis sustaining activation into adulthood after ELS. Hyperactivation of the HPA axis significantly reduces hippocampal BDNF, a neurotrophin involved in neuronal growth and plasticity. Reduced hippocampal BDNF may be a factor in substance abuse vulnerability. Additionally, research shows exercise protects hippocampal BDNF from stress induced down-regulation. To explore these relationships, this study …

Still In The Shadows: A Content Analysis Of Sexual Addiction In Couple Therapy, Austin Ellis, Quintin Hunt, Tod Young, Rebecca Nemecek, Jordan Staples, Stephen Fife, Colleen Peterson

Graduate Research Symposium (2010 - 2017)

There is no universally accepted definition of “sex addiction” in the literature, though it is generally understood as persistent patterns of sexual behaviors acted out despite negative consequences to self or others (Kafka, 2010; Levine, 2010). Though sexual addictions are often addressed individually, most take place within a social context that includes family members and/or intimate relationships. The purpose of this presentation is to present the results of a content analysis of M/CFT peer-reviewed journals and summarize the extent to which this literature addresses sexual addictions and couples therapy. The content analysis adds to the existing literature by examining the …

Predictors Of Smoking Behavior And Readiness To Quit In Addiction Treatment, Arturo Soto-Nevarez, Joseph Guydish

McNair Poster Presentations

Background: Prevalence of tobacco use is 3 times higher for those seeking substance abuse treatment than those in the general population. Clinical practice guidelines recommend addressing smoking cessation. This population has more difficulty quitting than the general population. Methods: This paper analyzes predictors of smoking behavior and readiness to quit in patients enrolled in addiction treatment programs. Data from six substance abuse treatment centers was collected. A total of 235 clients were surveyed on their smoking attitudes and behaviors. Results: Survey data from 139 current smokers was analyzed. In logistic regression analyses predicting readiness to quit smoking, and controlling for …

Effects Of Restraint Stress And Allopregnanolone Inhibition On Amphetamine Locomotor Sensitivity, Kelly Abuali, Laurel M. Pritchard

McNair Poster Presentations

The chronic, recurring nature of addiction remains a worldwide problem. Even after apparently successful clinical treatment and long term abstinence, individuals may still relapse many months or years later. Although many individual differences exist among substance abusers, relapse tends to occur during periods of high stress (Sinha et al., 2006). Behavioral training and therapy can help cope during these high stress times, but pharmacological interventions have not been shown to be effective (Ross & Peselow, 2009). Although some therapeutic options decrease relapse rates, more effective treatments for relapse need further consideration.

The effect of stress on use of and relapse …

Couples' Process Of Healing From Infidelity While In Therapy, Jordan Mark Staples

UNLV Theses, Dissertations, Professional Papers, and Capstones

Infidelity is one of the most common presenting problems for couples and marriage therapists. It is widely acknowledged to be a destructive phenomenon for a couple's relationship and is one of the most difficult presenting problems to treat. Treatment models for infidelity vary and have little empirical testing. The purpose of the proposed study was to investigate the client's perspective of the process for healing from infidelity. Additionally, the proposed study looked to qualitatively assess and amalgamate participants' experience of the healing process for infidelity. Themes and relationships among these themes were identified using open, axial, and selective coding processes. …

The Initial Development Of Child-Focused Interventions In The Treatment Of Maternal Substance Abuse And Child Neglect, Kendra Tracy

UNLV Theses, Dissertations, Professional Papers, and Capstones

This single case study focuses on the development and evaluation of child focused interventions for the treatment of child neglect and concurrent maternal substance abuse that were incorporated into Family Behavior Therapy (FBT). The participants were a mother referred by the Department of Family Services and her child. The child participated in three child focused interventions that were developed to decrease child behavior problems, increase support and communication, and prevent future neglect by strengthening the mother & child relationship. Although not a focus in this study, the mother participated in traditional FBT adult focused intervention components. The chief aim of …

Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood sexual abuse (CSA) is a significant trauma that affects a person's self-concept and the ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experience childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Besides individual disturbances, CSA survivors struggle with many relational difficulties. These difficulties are usually most pronounced among their intimate partners (Reid, et al., 1995). According to attachment theory, attachment injuries are best healed in the context of a healthy, intimate relationship (Kochka & Carolan, 2002) (MacIntosh & Johnson, 2008). Conversely, the couple relationship may be …

Primary Care Behavioral Health Consultation Reduces Depression Levels Among Mood-Disordered Patients, Bill Mcfeature, Thomas W. Pierce

Journal of Health Disparities Research and Practice

The purpose of this study was to examine the effects of behavioral health consultative services on levels of depressive symptoms in patients diagnosed with a mood disorder. Two-hundred fifty-one patients with a form of mood disorder completed the PHQ-9 screening tool for depression both before and after a treatment period lasting an average of three months, during which patients received behavioral health consultation services. Results showed that 49.8% of patients participating in this integrated behavioral health care program experienced improvements of at least 50% in PHQ-9 scores from pre- to post-test. Improvements in PHQ-9 scores of at least a five …

Disparities In Mental Health Utilization Among Persons With Chronic Diseases, Saundra Glover, Keith Elder, Sudha Xirasagar, Jong-Deuk Baek, Crystal Piper, Dayna Campbell

Journal of Health Disparities Research and Practice

This study used Aday and Andersen’s Behavioral Model of Health Services Use to examine the role of chronic disease and the joint impact of race and chronic disease type on mental health utilization. Using data from Community Tracking Survey Household Survey, we tested the assumption that chronic disease, chronic disease type, and race are related to lower rates of mental health visits when adjusted for predisposing, enabling, and need factors. After adjusting for population characteristics, we found that race significantly moderated the impact of chronic disease type on mental health utilization, showing that African Americans with cardiovascular disease were half …

Physical Activity Effects On Depressive Symptoms In Black Adults, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

Journal of Health Disparities Research and Practice

Objectives: Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults. Methods: Articles were abstracted by conducting a computer and hand search of eligible studies. Results: Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored. Conclusion: Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …

Determinants Of Depressive Symptoms Among Women On Public Assistance In Louisiana, Theresa C. Davidson, Joachim Singelmann

Journal of Health Disparities Research and Practice

Depression can be a significant barrier in the welfare-to-work transition of poor women. Fortunately, support from social networks can lessen symptoms and facilitate entry into the workplace. Inconsistency in the literature concerning the effects of social networks on the poor suggests further research is needed. Thus, we examine the level and determinants of depressive symptoms among participants in the Temporary Assistance to Needy Families program. Having a good job, being in good health, married, and black, and living in rural areas inhibit symptoms of depression. Remaining on TANF and having several children increases symptom levels. Those who report that they …

Integrating Viral Hepatitis Screening And Prevention Services Into An Urban Chemical Dependency Treatment Facility For American Indians And Alaska Natives, Shelly Huffman, Rachel Brucker, John T. Redd, Maile Taualii, Cecile M. Town, Mei L. Castor, Crystal C. Tetrick, Ralph Forquera, Joanna Buffington

Journal of Health Disparities Research and Practice

American Indian/Alaska Natives (AI/AN) patients at an urban residential chemical dependency treatment center participated in a viral hepatitis prevention project. Project activities integrated into patients’ treatment programs included viral hepatitis and human immunodeficiency virus (HIV) risk factor screening, education and counseling, laboratory testing, and hepatitis A and B vaccination. Of 928 AI/AN admissions, 585 (63%) completed risk factor screening assessment. Of these, 436 (75%) received at least one vaccination, viral hepatitis testing, or both. Of 322 patients tested, 91 (28%) were hepatitis C virus (HCV) antibody positive. Lack of pre-existing immunity to vaccine-preventable viral hepatitis infection was common: 132 (45%) …

Spiritual Care Within Oncology Care: Development Of A Spiritual Care Program At An Indian Health Service Hospital, Catherine Witte, Tamana D. Begay, Kathryn Coe

Journal of Health Disparities Research and Practice

Spiritual care is essential in providing quality health care for patients and their families and is supported in the mission of the Indian Health Service (IHS). Their mission is to raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level. This paper will describe the spiritual care programs at the Phoenix Indian Medical Center, an IHS hospital located in Phoenix, Arizona. Two hospital committees, the Volunteer Chaplains’ Association and the Traditional Cultural Advocacy Committee, provide spiritual care for the medical center and work to sustain a presence of spiritual and cultural awareness …