Next Article in Journal
Emerging Mosquito-Borne Threats and the Response from European and Eastern Mediterranean Countries
Next Article in Special Issue
Smartphone Applications for Mindfulness Interventions with Suicidality in Asian Older Adults: A Literature Review
Previous Article in Journal
Healthy Food Options at Dollar Discount Stores Are Equivalent in Quality and Lower in Price Compared to Grocery Stores: An Examination in Las Vegas, NV
Previous Article in Special Issue
Media Exposure and General Trust as Predictors of Post-traumatic Stress Disorder: Ten Years after the 5.12 Wenchuan Earthquake in China
Article Menu
Issue 12 (December) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2018, 15(12), 2774; https://doi.org/10.3390/ijerph15122774

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

1
Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, China
2
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Received: 11 November 2018 / Revised: 30 November 2018 / Accepted: 3 December 2018 / Published: 7 December 2018
(This article belongs to the Special Issue Adult Psychiatry)
Full-Text   |   PDF [437 KB, uploaded 7 December 2018]   |  

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 (χ2(1) = 4.30, p = 0.04/GD symptoms, Fchange (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. View Full-Text
Keywords: gambling disorder; Internet gaming disorder; depression; anxiety; comorbidity; prevalence; psychological resilience; purpose in life; Chinese; adults gambling disorder; Internet gaming disorder; depression; anxiety; comorbidity; prevalence; psychological resilience; purpose in life; Chinese; adults
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Chen, J.H.; Tong, K.K.; Wu, A.M.S.; Lau, J.T.F.; Zhang, M.X. The Comorbidity of Gambling Disorder among Macao Adult Residents and the Moderating Role of Resilience and Life Purpose. Int. J. Environ. Res. Public Health 2018, 15, 2774.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top