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BMC Public Health. 2019 Apr 29;19(1):445. doi: 10.1186/s12889-019-6755-8.

The use of self-management strategies for problem gambling: a scoping review.

Author information

1
MAP Centre for Urban Health Solutions, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. mathesonf@smh.ca.
2
MAP Centre for Urban Health Solutions, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
3
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
4
Health Information Sciences Library, University of Toronto, Toronto, ON, Canada.

Abstract

BACKGROUND:

Problem gambling (PG) is a serious public health concern that disproportionately affects people experiencing poverty, homelessness, and multimorbidity including mental health and substance use concerns. Little research has focused on self-help and self-management in gambling recovery, despite evidence that a substantial number of people do not seek formal treatment. This study explored the literature on PG self-management strategies. Self-management was defined as the capacity to manage symptoms, the intervention, health consequences and altered lifestyle that accompanies a chronic health concern.

METHODS:

We searched 10 databases to identity interdisciplinary articles from the social sciences, allied health professions, nursing and psychology, between 2000 and June 28, 2017. We reviewed records for eligibility and extracted data from relevant articles. Studies were included in the review if they examined PG self-management strategies used by adults (18+) in at least a subset of the sample, and in which PG was confirmed using a validated diagnostic or screening tool.

RESULTS:

We conducted a scoping review of studies from 2000 to 2017, identifying 31 articles that met the criteria for full text review from a search strategy that yielded 2662 potential articles. The majority of studies examined self-exclusion (39%), followed by use of workbooks (35%), and money or time limiting strategies (17%). The remaining 8% focused on cognitive, behavioural and coping strategies, stress management, and mindfulness.

CONCLUSIONS:

Given that a minority of people with gambling concerns seek treatment, that stigma is an enormous barrier to care, and that PG services are scarce and most do not address multimorbidity, it is important to examine the personal self-management of gambling as an alternative to formalized treatment.

KEYWORDS:

Coping; Coping skills; Gamblers; Gambling; Problem gambling; Scoping review; Self-efficacy; Self-exclusion; Self-help; Self-management; Strategies

PMID:
31035978
PMCID:
PMC6489359
DOI:
10.1186/s12889-019-6755-8
[Indexed for MEDLINE]
Free PMC Article

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