Family Demographics, Somatic Symptoms and Problem Gambling Among Students in a Nigerian Institution

Authors

  • OA Fasesan
  • TO Afe

DOI:

https://doi.org/10.30442/ahr.1001-03-222

Abstract

Background: Problem gambling is becoming a potential public health epidemic in southwest Nigeria. Individuals with gambling problems are underdiagnosed and relatively under-recognised. Hence, they rarely present with complaints of gambling problems at clinics. The family plays a significant role in identifying and managing persons with gambling addiction. Healthcare professionals need to have a high index of suspicion and understanding of the relationships between family demographics and the presentation of somatic symptoms among high-risk groups.

Objective: To assess the relationships between family demographics, somatic symptoms, and gambling problems among Nigerian tertiary educational institution students. 

Method: This is a cross-sectional study carried out among 183 students of a tertiary education institution in Ogun State, southwest Nigeria. The Southern Oaks Gambling Screen (SOGS) and the Patient Health Questionnaire-15 (PHQ-15) were the tools used to assess the pattern of gambling and somatic symptoms, respectively.

Results: The prevalence of gambling disorder was 23% (42/183). There was a significant relationship between somatic symptoms and problem gambling (p = 0.02). The predictors of probable gambling were a positive family history of gambling (OR = 3.64, p = 0.01, CI = 1.34-9.90), gender (OR = 0.36, p = 0.02, CI = 0.15-0.86) and a decreasing level of the father's education (OR = 2.78, p = 0.02, CI = 1.15-6.71). At the same time, monthly allowances (OR= 1.01, p = 0.07) and somatic symptoms were not predictors of problem gambling (OR = 0.41, p = 0.17).

Conclusions: Healthcare professionals need a high index of suspicion when evaluating young persons with somatic symptoms.

References

Adebisi T, Alabi O, Arisukwu O, Asamu F. Gambling in Transition: Assessing Youth Narratives of Gambling in Nigeria. J Gambling Stud 2021;37:59–82. https://link.springer.com/10.1007/s10899-020-09982-x

Ssewanyana D, Bitanihirwe B. Problem Gambling among Young People in Sub-Saharan Africa. Front Public Health 2018;6:23. http://journal.frontiersin.org/article/10.3389/fpubh.2018.00023/full

New poll reveals rising trend of gambling in Nigeria: betting and gambling in Nigeria. 2017 Aug 15; Available from: https://www.noi-polls.com/post/new-poll-reveals-rising-trend-of-gambling-in-nigeria Accessed 20 December 2023.

Aguocha CM, Duru CB, Nwefoh EC, Ndukuba AC, Amadi KU, Olose EO, et al. Attitudes towards and perception of gambling among secondary school students in a developing country. Int Gambling Stud 2019;19:532–544. https://www.tandfonline.com/doi/full/10.1080/14459795.2019.1635630

Betting on Africa. Gambling Outlook: 2013-2017 (South Africa – Nigeria – Kenya). [Internet]. Available from: https://www.pwc.co.za/en/assets/pdf/gambling-outlook-2013.pdf Accessed 20 December 2023.

Bitanihirwe BKY, Adebisi T, Bunn C, Ssewanyana D, Darby P, Kitchin P. Gambling in Sub-Saharan Africa: Traditional Forms and Emerging Technologies. Curr Addict Rep 2022;9:373–384. https://link.springer.com/10.1007/s40429-022-00449-0

Hing N, Smith M, Rockloff M, Thorne H, Russell AMT, Dowling NA, et al. How structural changes in online gambling are shaping the contemporary experiences and behaviours of online gamblers: An interview study. BMC Public Health 2022;22:1620. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14019-6

Kim HS, King DL. Gambling-gaming convergence: new developments and future directions. Int Gambling Stud 2020;20:373–379. https://www.tandfonline.com/doi/full/10.1080/14459795.2020.1822905

Afe T, Ogunsemi O, Daniel O, Ale A, Adeleye O. Prevalence of and Factors Associated with Disordered Gambling Disorder, and Use of DSM-5 Based Sports Betting Questionnaire, in a Southwest Nigerian Community. Indian J Psychol Med 2022;44:265–271. http://journals.sagepub.com/doi/10.1177/02537176211023809

Bankole ET. Patterns and Prevalence Of Gambling Behaviour Among Youths In Southwest Nigeria: A Case Study of Youths in Oyo and Ekiti State. British J Psychol Res 2019;7:22–46.

Aguocha CM, George S. An overview of gambling in Nigeria. B J Psych Int [Internet]. 2021:18:30–32.

Sharpe L. A reformulated cognitive–behavioral model of problem gambling. Clin Psychol Rev 2002;22:1–25.

Leino T, Torsheim T, Griffiths MD, Pallesen S. The relationship between substance use disorder and gambling disorder: A nationwide longitudinal health registry study. Scand J Public Health 2023;51:28–34. http://journals.sagepub.com/doi/10.1177/14034948211042249

Calado F, Griffiths MD. Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). J Behav Addict 2016;5:592–613. https://akjournals.com/doi/10.1556/2006.5.2016.073

Calado F, Alexandre J, Griffiths MD. Prevalence of Adolescent Problem Gambling: A Systematic Review of Recent Research. J Gambling Stud 2017;33:397–424. http://link.springer.com/10.1007/s10899-016-9627-5

Aguocha CM, Duru CB, Nwefoh EC, Amadi KU, Olose EO, Igwe MN, et al. Determinants of gambling among male students in secondary schools in Imo State, Nigeria. J Substance Use 2019;24:199–205. https://www.tandfonline.com/doi/full/10.1080/14659891.2018.1535006

Aragay N, Pijuan L, Cabestany À, Ramos-Grille I, Garrido G, Vallès V, et al. Current Addiction in Youth: Online Sports Betting. Front Psychiatry [Internet]. 2021;11:590554. https://www.frontiersin.org/articles/10.3389/fpsyt.2020.590554/full

Abbott MW. The changing epidemiology of gambling disorder and gambling-related harm: public health implications. Public Health 2020;184:41–45.

Delaney M, McCarthy MB. Saints, sinners and non-believers: the moral space of food. A qualitative exploration of beliefs and perspectives on healthy eating of Irish adults aged 50–70. Appetite 2014;73:105–113.

Hook CJ, Rose Markus H. Health in the United States: Are Appeals to Choice and Personal Responsibility Making Americans Sick? Perspect Psychol Sci 2020;15:643–664. http://journals.sagepub.com/doi/10.1177/1745691619896252

Evans L, Delfabbro PH. Motivators for Change and Barriers to Help-Seeking in Australian Problem Gamblers. J Gambling Stud 2005;21:133–155. http://link.springer.com/10.1007/s10899-005-3029-4

Lorains FK, Cowlishaw S, Thomas SA. Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys: Comorbid disorders in pathological gambling. Addict 2011;106:490–498. https://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03300.x

Lloyd J, Doll H, Hawton K, Dutton WH, Geddes JR, Goodwin GM, et al. Internet Gamblers: A Latent Class Analysis of Their Behaviours and Health Experiences. J Gambling Stud 2010;26:387–399. http://link.springer.com/10.1007/s10899-010-9188-y

Slutske WS, Caspi A, Moffitt TE, Poulton R. Personality and Problem Gambling: A Prospective Study of a Birth Cohort of Young Adults. Arch Gen Psychiatry 2005;62:769. http://archpsyc.jamanetwork.com/article.aspx?doi=10.1001/archpsyc.62.7.769

Parapar J, Martín-Rodilla P, Losada DE, Crestani F. eRisk 2021: Pathological Gambling, Self-harm and Depression Challenges. In: Hiemstra D, Moens MF, Mothe J, Perego R, Potthast M, Sebastiani F, (Editors). Advances in Information Retrieval. Cham: Springer International Publishing; 2021. p. 650–656. http://link.springer.com/10.1007/978-3-030-72240-1_76

Gureje O, Reed GM. Bodily distress disorder in ICD‐11: Problems and prospects. World Psychiatry 2016;15:291–292. https://onlinelibrary.wiley.com/doi/10.1002/wps.20353

Citalopram: Pathological gambling: a case report. Reactions Weekly 2014;1513:14–14. http://link.springer.com/10.1007/s40278-014-2439-4

McComb JL, Sabiston CM. Family Influences on Adolescent Gambling Behavior: A Review of the Literature. J Gambling Stud 2010;26:503–520. http://link.springer.com/10.1007/s10899-010-9181-5

Schiller MRG, Gobet FR. Cognitive Models of Gambling and Problem Gambling. In: Gobet F, Schiller M, editors. Problem Gambling. London: Palgrave Macmillan UK; 2014. p. 74–103. http://link.springer.com/10.1057/9781137272423_4

Petry NM. Psychiatric Symptoms in Problem Gambling and Non-Problem Gambling Substance Abusers. Am J Addict 2000;9:163–171. http://doi.wiley.com/10.1080/10550490050173235

Petry NM, Tawfik Z. Comparison of Problem-Gambling and Non-Problem-Gambling Youths Seeking Treatment for Marijuana Abuse. J Am Acad Child Adolesc Psychiatry 2001;40:1324–1331.

Oyetunji-Alemede C, Ogunbiyi O, Omole O. Gender, peer pressure and addictive gambling behaviour among undergraduates of Obafemi Awolowo University, Ile Ife, Osun State, Nigeria. Sapientia Global J Arts Humanities Dev Stud 2019;2:52–59.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184–1188. http://psychiatryonline.org/doi/abs/10.1176/ajp.144.9.1184

Spitzer RL. Validation and Utility of a Self-report Version of PRIME-MDThe PHQ Primary Care Study. JAMA. 1999;282:1737. http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.282.18.1737

Kocalevent RD, Hinz A, Brähler E. Standardization of a screening instrument (PHQ-15) for somatisation syndromes in the general population. BMC Psychiatry 2013;13:91. http://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-13-91

Zhou Y, Xu J, Rief W. Are comparisons of mental disorders between Chinese and German students possible? An examination of measurement invariance for the PHQ-15, PHQ-9 and GAD-7. BMC Psychiatry 2020;20:480. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02859-8

Estévez A, Rodríguez R, Díaz N, Granero R, Mestre-Bach G, Steward T, et al. How do online sports gambling disorder patients compare with land-based patients? J Behav Addict 2017;6:639–647. https://akjournals.com/doi/10.1556/2006.6.2017.067

Ayandele O, Popoola O, Obosi AC. Influence of Demographic and Psychological Factors on Attitudes Toward Sport Betting Among Young Adults in Southwest Nigeria. J Gambling Stud 2020;36:343–354. http://link.springer.com/10.1007/s10899-019-09882-9

Gavriel-Fried B, Delfabbro P, Ricijas N, Dodig Hundric D, Derevensky JL. Cross-national comparisons of the prevalence of gambling, problem gambling in young people and the role of accessibility in higher risk gambling: A study of Australia, Canada, Croatia and Israel. Curr Psychol 2023;42:6990–7001. https://link.springer.com/10.1007/s12144-021-02017-7

Onyedire NG, Chukwuorji JC, Orjiakor TC, Onu DU, Aneke CI, Ifeagwazi CM. Associations of Dark Triad traits and problem gambling: Moderating role of age among university students. Curr Psychol 2021;40:2083–2094. https://link.springer.com/10.1007/s12144-018-0093-3

Pasternak Iv AV. Prevalence of Gambling Disorders in a Primary Care Setting. Arch Family Med 1999;8:515–520. http://archfami.ama-assn.org/cgi/doi/10.1001/archfami.8.6.515

Merkouris SS, Thomas AC, Shandley KA, Rodda SN, Oldenhof E, Dowling NA. An Update on Gender Differences in the Characteristics Associated with Problem Gambling: A Systematic Review. Curr Addict Rep 2016;3:254–267. http://link.springer.com/10.1007/s40429-016-0106-y

Desai RA, Potenza MN. Gender differences in the associations between past-year gambling problems and psychiatric disorders. Soc Psychiat Epidemiol 2008;43:173–183. http://link.springer.com/10.1007/s00127-007-0283-z

Tavares H, Zilberman ML, Beites FJ, Gentil V. Brief Communications: Gender Differences in Gambling Progression. J Gambling Stud 2001;17:151–159. http://link.springer.com/10.1023/A:1016620513381

Díez D, Aragay N, Soms M, Prat G, Casas M. Male and Female Pathological Gamblers: Bet in a Different Way and Show Different Mental Disorders. Span J Psychol. 2014;17:E101.

Dahan M. Poverty and economic behavior: gambling on social security paydays. Int Gambling Stud 2021;21:38–58. https://www.tandfonline.com/doi/full/10.1080/14459795.2020.1792962

Canale N, Vieno A, Lenzi M, Griffiths MD, Borraccino A, Lazzeri G, et al. Income Inequality and Adolescent Gambling Severity: Findings from a Large-Scale Italian Representative Survey. Front Psychol. 2017;8:1318. http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01318/full

Granero R, Penelo E, Stinchfield R, Fernandez-Aranda F, Savvidou LG, Fröberg F, et al. Is Pathological Gambling Moderated by Age? J Gambling Stud. 2014;30(2):475-492. http://link.springer.com/10.1007/s10899-013-9369-6

Gambino B, Fitzgerald R, Shaffer H, Renner J, Courtnage P. Perceived family history of problem gambling and scores on SOGS. J Gambling Stud 1993;9:169–184. http://link.springer.com/10.1007/BF01014866

Gupta R, Derevensky J. Familial and social influences on juvenile gambling behavior. J Gambling Stud 1997;13:179–192. http://link.springer.com/10.1023/A:1024915231379

Black DW, Monahan PO, Temkit M, Shaw M. A family study of pathological gambling. Psychiatry Res 2006;141:295–303.

Slutske WS. Common Genetic Vulnerability for Pathological Gambling and Alcohol Dependence in Men. Arch Gen Psychiatry 2000;57:666–673. http://archpsyc.ama-assn.org/cgi/doi/10.1001/archpsyc.57.7.666.

King SM, Abrams K, Wilkinson T. Personality, Gender, and Family History in the Prediction of College Gambling. J Gambling Stud 2010;26:347–359. http://link.springer.com/10.1007/s10899-009-9163-7

Downloads

Published

2024-03-30

Issue

Section

Original Research

Most read articles by the same author(s)