from habit to addiction: a study in online gambling...
TRANSCRIPT
European Association for the Study of Gambling8th
European Conference
14-17 September 2010
From Habit to Addiction: A Study in Online Gambling Behavior
Bill Jolley, Ph.D.
Norwich University
Deborah Black, MD
University of Vermont
Research Aim and HypothesisAIM:
To enhance societal welfare by the pre-identification of at-risk gamblers using predictive behavioral markers.
PREMISE:
Behavioral addiction is a pathological form of habit.HYPOTHESIS:
Increased levels of the neurobiological trait of impulsivity will have a significant moderating effect on the predictability and level of behavioral addiction (Bechara et al., 2009).
RESEARCH VENUE:Online slot machine betting
Predictors of Gambling AddictionAddiction Risk
Ad
diction
Risk
Gam
blin
g H
abit
Neurobiological Marker of Addiction
Problem Problem GamblersGamblers
Intervention
Recreational Gamblers
At Risk Gamblers
Theoretical Background
HabitsHabits
are “sequential, repetitivesequential, repetitive, motor, or cognitive
behaviorsbehaviors
elicited by external or internal triggers that … can go to completion without constant conscious
oversight”
(Graybiel 2008).
ImpulsivityImpulsivity
is
“a predispositionpredisposition
toward rapid, unplanned reactions …
without regard to the negative
consequences”
and is the neurobiological trait most consistently linked to addiction (Moeller, Barratt et al. 2001).
Addictive gambling Addictive gambling is “a series of impulsive choicesimpulsive choices...” “
…whereby the problem gambler more frequently
selects the smaller, more probable immediate opportunity to obtain money . . . ”
resulting in more
disadvantageous outcomes. (Petry and Casarella 1999).
Hypothesized Model
HabitualBehavior
Sessions/days logged in Buy-In Amount
HabitualHabitualBehaviorBehavior
Sessions/days Sessions/days logged inlogged inBuyBuy--In AmountIn Amount
AddictiveOutcomesAmount BetWon/LostDuration
AddictiveAddictiveOutcomesOutcomesAmount BetWon/LostDuration
ImpulsivityIowa Gambling
Task
ImpulsivityImpulsivityIowa Gambling Iowa Gambling
TaskTask
The Iowa Gambling Task (Bechara et al. 1994)
High negative net scores indicate an impulsivity disorder where subjects make more choices that are disadvantageous.
Net score equals choices from advantageous decks minus choices from disadvantageous decks out of 100.
Research Design
Choice of 4 different slot games
Open 24/7 to university students only
February to May 2010
100 cash prize winners
Leader Board ranking determined prize amount
500 credits free, then 250 more credits for 2 hours of university / community service
To our knowledge, this is the first prospective, online
study of the effects of habit-inducing game characteristics and impulsivity on gambling behavior.
eCasinoLand Landing Page
eCasinoLand Game Page
The Sample
155 students registered
80% male; 83.9% had
gambled in past year
118 (76.1%) bet at least once
Stu
dent
s R
egis
tere
d
Calendar Days
Sequence of PlayDays Logged In
(n
= 118)
Number of Bets(n = 118)
IGT scores
Kolmogorov-Smimov
= .039
Median was -2.0
Cutoff for impulsive disorder < 10 (Bechara et al. 2004)
Impulsivity Did Not Effect the LEVELLEVEL
of Play
There were NO significant differences between high and low impulsivity groups on any
of the addictive gambling behavior measures!
IGT score and Playing Frequency
Global Path ModelResults support the hypothesis that gambling habit (defined by frequency and buy-in) is a predictor of addictive behavioral outcomes.
*Significant at p=0.05 level
0.587*0.443*
0.681*
FrequencyFrequencyAddictive
Behavioral Outcomes
R2 = 0.64
Addictive Behavioral Outcomes
R2 = 0.64Buy InBuy In
Interaction of Frequency &
Buy In
Interaction of Frequency &
Buy In
Moderation Effects of Impulsivity
Using the IGT median net score of -2 to test the moderation hypothesis produced two models with strong measurement reliability and strong construct validity, convergent validity and discriminant validity.
However:
There were no significant differences between impulsivity groups in the models’
hypothesized
relationships (path coefficients).
But, there was a significant reduction in models’
prediction quality (R2).
Low
Impulsivity
0.714*
0.05
0.283*
FrequencyFrequencyFrequencyAddictive
Behavioral Outcomes
R2 = 0.85
Addictive Behavioral Outcomes
R2 = 0.85Buy InBuy In
Interaction of Frequency &
Buy In
Interaction of Frequency &
Buy In
High
Impulsivity
0.86*
‐0.236
0.062
FrequencyFrequencyAddictive Gambling Outcomes
R2 = 0.58
Addictive Gambling Outcomes
R2 = 0.58Buy InBuy In
Interaction of Frequency &
Buy In
Interaction of Frequency &
Buy In
Paradox or conundrum?
Impulsivity did not affect the level of addictive behavioral outcomes as hypothesized.
But it did affect the ability to predict them.
Therefore, we concluded that while impulsivity was not associated with more disadvantageous choices, it may have impaired the ability to make consistent choices.
Why the contrary results?
“Reward Deficiency”
hypothesis: Highly impulsive
individuals may require stronger stimuli (higher “entertainment value”) to develop a persistent habit.
Insufficient sample of players at the levels necessary to detect differences in behavior based on impulsivity.
Impulsivity is a risk factor in substance addiction, but this is the first study to examine the predictive value of the IGT in gambling behavior.
Impulsivity is not one-dimensional nor is it the only neurobiological factor related to addiction.