The concerned significant others of people with gambling problems in a national representative sample in Sweden – a 1 year follow-up study

Svensson, Jessika; Romild, Ulla; Shepherdson, Emma

doi:10.1186/1471-2458-13-1087

Cited by 78Gambling Behavior and TreatmentsSubstance Abuse Treatment and OutcomesMental Health Treatment and Access

The concerned significant others of people with gambling problems in a national representative sample in Sweden – a 1 year follow-up study

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Svensson, Jessika, Romild, Ulla, Shepherdson, Emma·2013·BMC Public Health

DOI 10.1186/1471-2458-13-1087PMC PMC3870974

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Abstract

BACKGROUND: Research into the impact of problem gambling on close social networks is scarce with the majority of studies only including help-seeking populations. To date only one study has examined concerned significant others (CSOs) from an epidemiological perspective and it did not consider gender. The aim of this study is to examine the health, social support, and financial situations of CSOs in a Swedish representative sample and to examine gender differences. METHODS: A population study was conducted in Sweden in 2008/09 (n = 15,000, response rate 63%). Respondents were defined as CSOs if they reported that someone close to them currently or previously had problems with gambling. The group of CSOs was further examined in a 1-year follow up (weighted response rate 74% from the 8,165 respondents in the original sample). Comparisons were also made between those defined as CSOs only at baseline (47.7%, n = 554) and those defined as CSOs at both time points. RESULTS: In total, 18.2% of the population were considered CSOs, with no difference between women and men. Male and female CSOs experienced, to a large extent, similar problems including poor mental health, risky alcohol consumption, economic hardship, and arguments with those closest to them. Female CSOs reported less social support than other women and male CSOs had more legal problems and were more afraid of losing their jobs than other men. One year on, several problems remained even if some improvements were found. Both male and female CSOs reported more negative life events in the 1 year follow-up. CONCLUSIONS: Although some relationships are unknown, including between the CSOs and the individuals with gambling problems and the causal relationships between being a CSO and the range of associated problems, the results of this study indicate that gambling problems not only affect the gambling individual and their immediate close family but also the wider social network. A large proportion of the population can be defined as a CSO, half of whom are men. While male and female CSOs share many common problems, there are gender differences which need to be considered in prevention and treatment.

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A large proportion (18%) of the adult Swedish population see themselves as CSOs of people with problem gambling.
“A large proportion (18%) of the adult Swedish population see themselves as CSOs of people with problem gambling.2”
From Internet-delivered cognitive-behavioural therapy for concerned significant others of people with problem gambling: Study protocol for a randomised wait-list controlled trial (2015) · cites this paper as [2]

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Authors: Svensson, J., Romild, U., & Shepherdson, E.
Affiliations: Mid Sweden University (SE)
Corresponding author: Svensson, Jessika
ORCID: Romild, Ulla
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2013-11-21
Volume: 13
Issue: 1
Pages: 1087-1087
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-13-1087
PMC: PMC3870974
OpenAlex: W1996715506
Cited by: 78
References: 49
Citations by year: 2026: 4 · 2025: 13 · 2024: 3 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 9 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 1
FWCI: 3.33
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: BMC Public Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Publications (Mid Sweden University) (submittedVersion, other-oa)
Topics: Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords: problem gambling, concerned significant others, family impact of gambling, gender differences, social support, mental health, economic hardship, alcohol consumption, legal issues, fear of job loss, negative life events, social networks
MeSH terms: Adolescent, Adult, Aged, Employment, Female, Financing, Personal, Follow-Up Studies, Gambling, Humans, Male, Middle Aged, Sex Factors, Social Support, Sweden, Spouses, Young Adult

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The concerned significant others of people with gambling problems in a national representative sample in Sweden – a 1 year follow-up study

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