Configurations of gambling change and harm: qualitative findings from the Swedish longitudinal gambling study (Swelogs)
Configurations of gambling change and harm: qualitative findings from the Swedish longitudinal gambling study (Swelogs)
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赌博变化和危害的构成：瑞典纵向赌博研究的定性发现 (Swelogs)
DOI：
10.1080/16066359.2018.1448390
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Per Binde
中科院分区：
文献类型：
--
作者：
E. Samuelsson;Kristina Sundqvist;Per Binde
摘要背景：赌博的参与和问题随着时间的推移而变化，并受到各种个人和环境因素的影响。然而，赌博研究只在很小程度上研究了赌徒自己对问题赌博的转变的看法。方法：定性电话采访了40名赌徒谁曾多次参加Swelogs瑞典纵向赌博研究。采用框架方法进行分析，得出多重联系类型。结果如下：我们的分析揭示了赌博的四种配置：（a）稳定的低频率，没有或轻微的伤害，（B）减少高频偶尔伤害，（c）波动与中度伤害，（d）增加高频与实质性伤害。自然恢复和恢复到以前的赌博强度水平是常见的。变化要么是逐渐发生的，作为适应变化的个人环境的结果，要么是急剧的，作为坚决决定改变的结果。个人和环境因素，如心理健康，支持性关系和有意义的休闲活动，在克服有害的赌博和保持赌博在一个无问题的水平发挥了作用。赌博广告通常被认为具有攻击性和触发性。结论：伤害的经历是高度主观的，在制定预防措施时应考虑到这一点。考虑到赌博问题的流动性，帮助和支持应该容易获得和多样化。反复接受关于赌博及其后果的采访有助于增加对自己行为和赌博社会影响的反思和认识。
Abstract Background: Gambling participation and problems change over time and are influenced by a variety of individual and contextual factors. However, gambling research has only to a small extent studied gamblers’ own perceptions of transitions in and out of problem gambling. Method: Qualitative telephone interviews were made with 40 gamblers who had repeatedly participated in the Swelogs Swedish Longitudinal Gambling Study. The framework approach was used for analyses, resulting in a multiple-linkage typology. Results: Our analyses revealed four configurations of gambling: (a) stable low frequency with no or minor harm, (b) decreasing high frequency with occasional harm, (c) fluctuating with moderate harm, and (d) increasing high frequency with substantial harm. Natural recovery and return to previous levels of gambling intensity were common. Change occurred either gradually, as a result of adjustment to altered personal circumstances, or drastically as a consequence of determined decisions to change. Personal and contextual factors such as psychological well-being, supportive relationships, and meaningful leisure activities played a part in overcoming harmful gambling and keeping gambling on a non-problematic level. Gambling advertising was commonly perceived as aggressive and triggering. Conclusions: The experience of harm is highly subjective, which should be taken into account when developing preventive measures. Considering the fluid character of gambling problems, help and support should be easily accessible and diversified. To repeatedly be interviewed about gambling and its consequences can contribute to increased reflection on, and awareness of, one’s own behaviours and the societal impacts of gambling.