Pathological gambling Barriers to treatment and the experience of self-ch

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1、Pathologicalgambling:Barrierstotreatmentandtheexperienceofself-changeJachenC.NettandSinaSchatzmannGamblingPreventionandResearch:FromLegislationtoActionCentreduJeuExcessif,Lausanne1st-2ndMarch2005UniversityofAppliedSciencesBerneSchoolofSocialWork(HSABerne)InstituteforSocialPlanningandSocialManagement

2、(ISS)ProceedingBriefdescriptionofthestudygoalsandappliedmethodsdescriptionofthesampledefinitionsandclassificationSelectedresultswithrespecttoprocessesofself-changebarrierstotreatmentOpenforum(questions&discussion)1stMarch20052HSABerne,ISSStudy’stitle:Casinolegislationund„self-recovery“fromproblemgam

3、blingCentralgoalsoftheresearchproject:ToexplorethesituationandperspectivesofpastandcurrentproblemgamblersinSwitzerlandwithspecialreferencetotheimplementationofthenewcasinolegislationandtoprocessesof“self-recovery”frompathologicalgamblingTogetinformationabouthowthedifferentpreventionactivitiesinstiga

4、tedbythecasinosarevaluedbyexponentsofthetargetgroupTocreateabaselinedatasetforthelongitudinalobservationofindividualself-changeprocessesamongproblemgamblers1stMarch20053HSABerne,ISSUseddatabaseTelephoneinterviewswithpeoplewhoareaffectedbypastorcurrentgamblingproblems(february2002-march2003)Recruitme

5、ntofthesample(N=64):bymediationofapsychiatristinZurichbyMediacalls(GermanspeakingpartofSwitzerland)bylarge-scaledistributionofflyers(GermanspeakingpartofSwitzerland)1stMarch20054HSABerne,ISSAppliedinstrumentsIntroductoryquestionnaireQuestionnaireversionA(forformerproblemorpathologicalgamblers)Questi

6、onnaireversionB(forcurrentproblemorpathologicalgamblers)Appliedscales:SOGSGamblingScreening(Lesieur&Blume,1987),CAGEAlcoholScreening(Ewing,1970),NODSGamblingScreening(Gersteinetal.,1999),KFGPetrys&Bauligs(1996)shortquestionnaireaboutgamblingbehaviour,ItemsoftheGeneva-prevalence-studyofOsieketal.(199

7、9),ItemsofKlingemann(1988a/b)1stMarch20055HSABerne,ISSDefinitionsofthecentraltermsProblemgamblers:SOGS≥3(life-time),pathologicalgamblers:SOGS≥5(life-time)Currentproblem/pathologicalgambling=gamblingbe