Monday, February 21, 2011

Capillaries On Baby's Cheeks

gambling problems common in Germany - slot machines do most addictive

DHS press release, DG addiction and fags of 16 February 2011

results of the project pathological gambling and Epidemiology (PAGE)


Previous data on problematic and pathological gambling in Germany were incomplete. is primarily the choice of respondents, the survey method used and the evaluation strategies was a need for a broad-based population study, the present representative of the extent of the problem and identify beneficial factors. The Gambling Treaty of 1 January 2008, saw that countries ensure the scientific research on the prevention of addiction dangers of gambling. From to Provided funds could now have a methodologically sound and large-scale study will be financed.

The following selected and some preliminary results are reported by the states under the State Treaty on gaming project funded PAGE. The study conducted by the universities of Greifswald and Lübeck study allowed for the first time for Germany to determine the frequency of problem and pathological gambling over the lifetime. In this case the estimate is made of a high methodological level.

is based on a telephone survey of 14 - to 64-year-old population with fixed telephony, in which 14 022 People took part. In addition 1,000 people were surveyed, which are only accessible via mobile phone connections, and there were people won over other access channels: media, support groups, inpatient treatment centers, addiction counseling centers, amusement arcades and casinos, debt counselors and bodies of the probation service. In this way, so far 575 people have been found with gambling problems and in a lengthy interview interviewed personally.

first Over 4 million people with gambling problems

72% of telephone respondents over the life of one day at least once operated gambling. In the presence of 5 to 10 criteria according to the recognized diagnostic system DSM-IV is known as pathological gambling (that is addictive behavior). Problematic gambling is defined differently in the literature (1 to 4 criteria or 3 to 4 criteria). For the presentation, we divide into: "Problematic gambling with 1 to 2 criteria were met" (light form) and "problematic gambling with 3 to 4 criteria were met" (strong form).

Based on the fixed telephone sample shows that 0.9% of the 14 - to 64 - year-old West German population in the course of life with 5 or more diagnostic criteria for the diagnosis of the condition Pathological gambling meet. Furthermore, the resulting estimates that an additional 1.4% met criteria for problematic gambling with 3-4 in their life and 5.3% with 1-2 criteria. Extrapolated, the following figures for the population in the group of 14 to 64 year olds:

- 480 557 Pathological gamblers,
- 756 919 Problematic players with three or four criteria were met and
- 2,925,996 people, the one or two criteria for have problematic gambling

fulfilled in the life course. It found significantly higher rates in males, younger persons, persons with lower educational status, personal experience of migration or background and the unemployed. Sum thus the rates of pathological gambling

- 3.3% unemployment
- 1.8% for those with immigrant backgrounds and
- 2.7% in the group of 14 - to 30-year-old men.

31% of respondents who met over the life of the criteria for pathological gambling, were in the past 12 months abstinent and 54% reported playing more than 10 rounds. Among respondents with pathological gambling reported 41% that in the last 12 months at least one symptom persisted, and thus the problem is still current. is

for Germany in a growing group of persons of Population assume that is not accessible via a fixed telephone line. On the basis of 752 interviews had been held in this group shows that the lifetime prevalence of pathological gambling in this sample about three times and statistical control of age and sex increased approximately twofold. Subject to final analysis it is expected that the above population estimate should be increased substantially based on the fixed telephone sample by including the mobile sample. Based on the current numbers an increase of about 0.1% would be expected, so that a lifetime prevalence of a total of 1.0% for pathological gambling could result. Here are, however, no definitive findings.

second Slot machines: Risk Addiction # 1

Various gambling services were examined for their risk, get a life-time diagnosis of pathological gambling. With participation of more than ten days in the life was the opportunity to develop a dependency increases for:

- Oddset (German Toto and Lotto block)
- Horse Betting
- other sports betting
- Poker
- the so-called big and small game in
Casino - gaming machines in amusement arcades or restaurants and
- private or illegal gambling.

Considering that operate most gamblers more forms of gambling remained the risk of participation in Oddset (German Toto and Lotto Block), other sports betting, the little game in the casino, poker and gaming machines in amusement arcades and restaurants. The most obvious connection between game shape and the presence of diagnostic pathological gambling is for people who had played on gaming machines in amusement arcades or restaurants or farms the Little Game in the Casino took part. For users of these services is found, compared with the other respondents, one each by a factor of 5.7 greater chance for the diagnosis of pathological Gambling. contributed

From the standpoint of pathological gamblers who gamble form the most to the emergence of the problem, called among other things

- 50.4% Slot machines
- 14% of the small game in the casino
- 10.3% of the Great Game
- 8.3% Poker and
- Oddset 6%.

third Support system have to be strengthened

estimates based on the fixed telephone sample had about three quarters of people with pathological gambling in terms of game problems no contact with the Help system. Regarding the problem gamblers shows a marginal contact rate of 5% (at 3-4 criteria) and 1% (at 1-2 criteria). There is thus a serious shortage of people with pathological gambling and assumed a lack of early interventions for people with problem gambling.

The PAGE study provides an excellent basis for a wealth of further and deeper analysis, which will take place in the future.

Contact: PD Dr. Hans-Jürgen
hull
Department of Psychiatry and Psychotherapy, University of Lübeck Ratzeburger Allee
160, 23538 Lübeck Tel
0451 5002871 Fax 0451 5003480

E-mail: hans-juergen.rumpf @ psychiatrie.uk-sh.de

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