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Article

Alexithymia, Dissociation, and Family Functioning in a Sample of Online Gamblers: A Moderated Mediation Study

1
Department of Human Sciences, LUMSA University of Rome, Via della Traspontina 21, 00193 Rome, Italy
2
Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Florence, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(24), 13291; https://doi.org/10.3390/ijerph182413291
Received: 25 October 2021 / Revised: 13 December 2021 / Accepted: 14 December 2021 / Published: 16 December 2021
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
The diffusion of the internet and technological progress have made gambling on online platforms possible, also making it more anonymous, convenient, and available, increasing the risk of pathological outcomes for vulnerable individuals. Given this context, the present study explores the role of some protective and risk factors for problematic gambling in online gamblers by focusing on the interaction between alexithymia, dissociation, and family functioning. A sample of 193 online gamblers (Mage = 28.8 years, SD = 10.59; 17% females, 83% males) completed the South Oaks Gambling Screen, Twenty-Items Toronto Alexithymia Scale, Dissociative Experience Scale-II, and Family Adaptability and Cohesion Evaluation Scales-IV through an online survey. MANOVA, ANOVA and moderated mediation analyses were carried out to analyse the data. Significant differences in cohesive family functioning, alexithymia and dissociation have been found between online gamblers with problematic, at-risk or absent levels of gambling disease. Furthermore, the results showed a significant and positive association between alexithymia and problematic online gambling, partially mediated by dissociation, with the moderation of cohesive family functioning. Such data may have relevant clinical implications, highlighting the interaction of some core personal and environmental variables that may be involved in the etiology of online pathological gambling and could be kept in mind to tailor preventive interventions. View Full-Text
Keywords: pathological gambling; internet gambling; online gambling; risk factors; protective factors; moderated mediation analysis pathological gambling; internet gambling; online gambling; risk factors; protective factors; moderated mediation analysis
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MDPI and ACS Style

Topino, E.; Gori, A.; Cacioppo, M. Alexithymia, Dissociation, and Family Functioning in a Sample of Online Gamblers: A Moderated Mediation Study. Int. J. Environ. Res. Public Health 2021, 18, 13291. https://doi.org/10.3390/ijerph182413291

AMA Style

Topino E, Gori A, Cacioppo M. Alexithymia, Dissociation, and Family Functioning in a Sample of Online Gamblers: A Moderated Mediation Study. International Journal of Environmental Research and Public Health. 2021; 18(24):13291. https://doi.org/10.3390/ijerph182413291

Chicago/Turabian Style

Topino, Eleonora, Alessio Gori, and Marco Cacioppo. 2021. "Alexithymia, Dissociation, and Family Functioning in a Sample of Online Gamblers: A Moderated Mediation Study" International Journal of Environmental Research and Public Health 18, no. 24: 13291. https://doi.org/10.3390/ijerph182413291

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