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Stress, Health and Coping Resources of Chinese Pathological Gamblers’ Spouses

Abstract

Excessive gambling negatively impacts the lives of gamblers’ spouses. This study investigated stressful life events, perceived stress, coping resources and health risks of 10 spouses recruited from two treatment facilities. In semi-structured interviews, the Social Readjustment Rating Scale identified life events encountered in the past year. The 12-item General Health Questionnaire assessed psychiatric impairment of the participants who also answered questions on physical symptoms and emotional problems. Open-ended questions gathered information on coping resources. The interviews were audio-taped and transcribed for thematic analysis. Replicating previous research results, the spouses disclosed marital, social, financial and vocational stresses related to gamblers’ disordered gambling. The majority utilized both formal and informal help, internal and external coping resources to deal with the adverse circumstances. Many reported significant symptoms of physical, emotional and mental health problems. Perceived stress, but not the number of negative life events, correlated significantly with physical and psychiatric symptoms. Only positive beliefs as a type of coping resources were inversely correlated with pathology. The study findings have implications for interventions and future research.

References

  • Abbott, D. A., Cramer, S. L., & Sherrets, S. D. (1995). Pathological gambling and the familypractice implications. Families in Society, 76, 213–219.

    Google Scholar 

  • Antonovsky, A. (1979). Health, stress and coping. San Francisco: Jossey-Bass.

    Google Scholar 

  • Bergevin, T., Gupa, R, Derevensky, J, & Kaufman, F. (2006). Adolescent gambling: Understanding the role of stress and coping. Journal of Gambling Studies, 22, 195–208.

    Article  Google Scholar 

  • Bergh, C., & Kuhlhorn, E. (1994). Social, psychological and physical consequences of pathological gambling in Sweden. Journal of Gambling Studies, 10, 275–285.

    Article  Google Scholar 

  • Caplan, G. (1974). Support systems and community mental health. New York: Behavioral Publications.

    Google Scholar 

  • Cheung, S. K., & Lam, A. (1992). Report on the study of adolescent depression. Hong Kong: The Boys and Girls Clubs Association of Hong Kong.

    Google Scholar 

  • Ciarrocchi, J. W., & Reinert, D. F. (1993). Family environment and length of recovery for married male members of gamblers anonymous and female members of GamAnon. Journal of Gambling Studies, 9, 341–352.

    Article  Google Scholar 

  • Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 300–314.

    Article  Google Scholar 

  • Cohen, F. (1985). Stress and bodily illness. In A. Monat & R. S. Lazarus (Eds.), Stress and coping. New York: Columbia University Press.

    Google Scholar 

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.

    Article  Google Scholar 

  • Coyne, J. C., Ellard, J. H., & Smith, D. A. (1990). Social support, interdependence, and the dilemmas of helping. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An international view (pp.129–149). New York: Wiley.

    Google Scholar 

  • Dickerson, M. (1995). Problem gambling in Australia. Proceedings of the inquiry into the social impact of the extension of EGMs beyond casinos in Tasmania (pp.15–17). Tasmanian Council of Social Services.

    Google Scholar 

  • Dickson-Swift, V. A., James, E. L., & Kippen, S. (2005). The experience of living with a problem gambler: Spouses and partners speak out. Journal of Gambling Issues, 13, 1–20.

    Article  Google Scholar 

  • Ferland, F., Fournier, P.-M., Ladouceur, R., Brochu, P., Bouchard, M., & Paquet, L. (2008). Consequences of pathological gambling on the gambler and his spouse. Journal of Gambling Issues, 22, 219–229.

    Article  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.

    Article  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150–170.

    Article  Google Scholar 

  • Gaudia, R. (1987). Effects of compulsive gambling on the family. Social Work, 32, 254–256.

    Google Scholar 

  • Goldberg, D. P. (1972). The detection of psychiatric illness by questionnaire. Maudsley Monograph No. 21. Oxford: Oxford University Press.

    Google Scholar 

  • Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., & Rutter, C. (1997). The validity of two versions of the GHQ in the WHO study of mental health illness in general health care. Psychological Medicine, 27, 191–197.

    Article  Google Scholar 

  • Grant Kalischuk, R., & Cardwell, K. (2004). Problem gambling and its impact on families. Final report submitted to the Albert Alcohol and Drug Abuse Commission (AADAC). Edmonton, AB.

    Google Scholar 

  • Grant Kalischuk, R., Nowatzki, N., Cardwell, K., Klein, K., & Solowoniuk, J. (2006). Problem gambling and its impact on families: A literature review. Journal of Gambling Studies, 6, 31–60.

    Article  Google Scholar 

  • Holmes, T. H., & Rahe, R. H. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11, 213–218.

    Article  Google Scholar 

  • Hong Kong Polytechnic University. (2001). A study on Hong Kong people’s participation in gambling activities. Hong Kong: Hong Kong Polytechnic University.

    Google Scholar 

  • Husaine, A., Neff, J. A., Newbrough, J. R., & Moore, M. C. (1982). The stress-buffering role of social support and personal confidence among the rural married. Journal of Community Psychology, 10, 409–426.

    Article  Google Scholar 

  • Krishnan, M., & Orford, J. (2000). Gambling and the family: From the stress-coping-support perspective. International Gambling Studies, 2, 61–83.

    Article  Google Scholar 

  • Ladouceur, R. (1993). Jeu pathologique [Pathological gambling]. In R. Ladouceur, O. Fontaine, & J. Cottraux (Eds.), Therapie cognitive et comportementale (pp. 123–128). Paris: Masson.

    Google Scholar 

  • Ladouceur, R., Boisvert, J. M., & Dumont, J. (1994). Cognitive-behavioral treatment for adolescent pathological gamblers. Behavioral Modification, 18, 230–242.

    Article  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Lesieur, H. R. (1996). Costs and treatment of pathological gambling. Annals of the American Academy of Political and Social Science, 556, 153–171.

    Article  Google Scholar 

  • Liang, B., Goodman, L., Tummala-Narra, P., & Weintraub, S. (2005). A theoretical framework for understanding help-seeking processes among survivors of intimate partner violence. American Journal of Community Psychology, 36, 71–84.

    Article  Google Scholar 

  • Linn, M. W. (1985). A global assessment of recent stress (GARS) scale. International Journal of Psychiatry in Medicine, 15, 47–59.

    Article  Google Scholar 

  • Lobsinger, C., & Beckett, L. (1996). Odds on the break even: A practical approach to gambling awareness. Canberra: Relationships Australia, Inc.

    Google Scholar 

  • Lorenz, V. C. & Shuttlesworth, D. (1983). The impact of pathological gambling on the spouse of the gambler. Journal of Community Psychology, 11, 67–76.

    Article  Google Scholar 

  • Lorenz, V. C., & Yaffee, R. A. (1988). Pathological gambling: Psychosomatic, emotional and marital difficulties as reported by the spouse. Journal of Gambling Behavior, 4, 13–26.

    Article  Google Scholar 

  • Lorenz, V. C., & Yaffee, R. A. (1989). Pathological gamblers and their spouses: Problems in interaction. Journal of Gambling Behavior, 5, 113–126.

    Article  Google Scholar 

  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded source book. Newbury Park, CA: Sage.

    Google Scholar 

  • Patford, J. (2009). For worse, for poorer and in ill health: How women experience, understand and respond to a partner’s gambling problems. International Journal of Mental Health and Addiction, 7, 177–189.

    Article  Google Scholar 

  • Pearlin, L., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.

    Article  Google Scholar 

  • Productivity Commission. (1999). Australia’s gambling industries. Report No. 10, AusInfo, Canberra.

    Google Scholar 

  • Rabkin, J. G., & Struening, E. L. (1976). Life events, stress and illness. Science, 194, 1013–1020.

    Article  Google Scholar 

  • Rahe, R. H., & Arthur, R. J. (1978). Life changes and illness studies: Past history and future directions. Human Stress, 4, 3–15.

    Article  Google Scholar 

  • Rahe, R. H., Biersner, R. J., Ryman, D. H., & Arthur, R. J. (1972). Psychosocial predictors of illness behavior and failure in stressful training. Journal of Health and Social Behavior, 13, 393–397.

    Article  Google Scholar 

  • Sylvain, C., Ladouceur, R., Boisvert, J. M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65, 727–732.

    Article  Google Scholar 

  • Tausig, M. (1982). Measuring life events. Journal of Health and Social Behavior, 23, 52–64.

    Article  Google Scholar 

  • University of Hong Kong. (2005). A study on Hong Kong people’s participation in gambling activities. Hong Kong: The University of Hong Kong.

    Google Scholar 

  • Wong, I. L. K., & So, E. M. T. (2003). Prevalence estimates of problem and pathological gambling in Hong Kong. American Journal of Psychiatry, 160, 1353–1354.

    Article  Google Scholar 

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Correspondence to Irene Lai Kuen Wong.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 2.0 International License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Leung, K.C., Wong, I.L.K., Lau, K.M. et al. Stress, Health and Coping Resources of Chinese Pathological Gamblers’ Spouses. Asian J of Gambling Issues and Public Health 1, 61–74 (2010). https://doi.org/10.1186/BF03342119

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