Jogo Responsável e Saúde Mental: Tópicos para uma Estratégia Integrada na Prevenção e Redução de Danos das Adições Comportamentais

  • Marco Vicente Torrado Faculdade de Medicina da Universidade de Lisboa http://orcid.org/0000-0002-4091-745X
  • Sérgio Dinis Institute for Environmental Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal
  • Leonor Bacelar Nicolau Institute for Preventive Medicine, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
  • Susana Eusébio Institute for Environmental Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal
  • Silvia Ouakinin Institute for Environmental Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal
Palavras-chave: Comportamento Aditivo, Jogo de Azar/prevenção e controlo, Promoção da Saúde, Redução do Dano, Saúde Mental/legislação e jurisprudência

Resumo

Os problemas de jogo constituem uma preocupação crescente no domínio da saúde, com graves consequências psicossociais e na saúde mental. Alguns esforços a nível internacional têm sido empreendidos nas últimas décadas pelas entidades reguladoras e da saúde, visando práticas de jogo mais seguras e menos lesivas. Um vasto consenso em torno da promoção de estratégias de jogo responsável é atualmente aceite, não obstante a implementação de políticas neste domínio seja pouco sistematizada e não se traduza, frequentemente e de modo evidente, em práticas validadas de promoção do jogo responsável e de prevenção da morbilidade associada. Este artigo tem como objetivo uma revisão teórica e dos achados da investigação científica que dão suporte à necessidade de investimento no campo do jogo responsável, propondo recomendações que subsidiem o desenvolvimento de políticas estratégicas que priorizem a minimização de danos e a prevenção dos problemas de jogo. Foi desenvolvida uma revisão da literatura através de uma procura intensiva de conteúdos publicados nas bases de dados internacionais e por meio de contactos colaborativos com investigadores no domínio dos comportamentos aditivos sem substância. Foram selecionados artigos científicos e documentos conformadores produzidos por entidades científicas e governamentais, relacionados com prevenção e redução de riscos e minimização de danos dos problemas de jogo, publicados entre 1998 e 2018. Vários instrumentos no domínio do jogo responsável são identificados como boas práticas e devidamente baseados na evidência, sendo necessária a continuidade da sua implementação bem como a sua replicação noutros contextos. Outros ainda parecem ser promissores, mas requisitam investigação adicional.

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Biografia do Autor

Marco Vicente Torrado, Faculdade de Medicina da Universidade de Lisboa

Prof. Auxiliar Convidado na FMUL

Técnico Superior de Saúde no SICAD

Referências

Blaszczynski A, Collins P, Fong D, Ladouceur R, Nower L, Shaffer HJ, et al. Responsible gambling: general principles and minimal requirements. J Gambl Stud. 2011;27:565‑73.

doi: 10.1007/s10899‑010‑9214‑0.

Gerstein DR, Hoffman J, Larison C, Engelman L, Murphy S, Palmer A, et al. Gambling Impact and Behavior Study: Report to the National Gambling Impact Study Commission. Chicago: National Opinion Research Center; 1999.[Accessed Jan 2019] Available at: http://www.norc.org

Canadian Partnership for Responsible Gambling, CPRG (2015). Responsible Gambling Definition. Canada: CPRG; 2015.[Accessed Jan 2019] Available at: http://www.cprg.ca/

Selin J. From self‑regulation to regulation‑An analysis of gambling policy reform in Finland. Addict Res Theory. 2016; 24: 199‑208. doi: 10.3109/16066359.2015.1102894.

Livingstone CH, Rintoul A, Francis LJ. hat is the evidence for harm minimisation measures in gambling venues? Evid Based. 2014;2:1 ‑ 24.

European Casino Association. Position Paper on Responsible Gambling. Brussels: ECA;2016.

Responsible Gambling Strategy Board. The National Responsible Gambling Strategy 2016‑17 to 2018‑19. [Accessed Jan 2019] Available at: http://www.rgsb.org.uk .

Torrado M, Vilar G. Linhas de Orientação Técnica para a Intervenção em Comportamentos Aditivos e Dependências Sem Substância: a Perturbação de Jogo. Lisboa: Edições SICAD; 2018.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: APA; 2013.

Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. Prevalence of psychiatric co‑morbidity in treatment‑seeking problem gamblers: A systematic review and meta‑analysis. Aust N Z J Psychiatry. 2015;49:519‑39. doi: 10.1177/0004867415575774.

de Ruiter MB, Veltman DJ, Goudriaan AE, Oosterlaan J, Sjoerds Z, van den Brink W. Response perseveration and ventral prefrontal sensitivity to reward and punishment in male problem gamblers and smokers. Neuropsychopharmacology. 2009;34:1027‑38. doi: 10.1038/npp.2008.175.

Goudriaan AE, Oosterlaan J, de Beurs E, van den Brink W. Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction. 2006;101:534‑47.

Cavedini P, Riboldi G, Keller R, D’Annucci A, Bellodi L. Frontal lobe dysfunction in pathological gambling patients. Biol Psychiatry. 2002;51:334‑41.

Clark L. Disordered gambling: the evolving concept of behavioral addiction. Ann N Y Acad Sci. 2014;1327:46‑61. doi: 10.1111/nyas.12558.

Gambling Commission. Gambling participation in 2016: behaviour, awareness and attitudes. Annual Report. [Accessed Jan 2019] Available at: http://www.gamblingcommission.gov.uk/PDF/survey‑data/Gambling‑participation‑in‑2016‑behaviour‑awareness‑and‑attitudes.pdf

Volberg RA, Gupta R, Griffiths MD, Olason DT, Delfabbro P. An international perspective on youth gambling prevalence studies. Int J Adolesc Med Health. 2010;22:3‑38.

Ariyabuddhiphongs V. Adolescent gambling: a narrative review of behavior and its predictors. Int J Mental Health Addiction.2013; 7: 572–87.

ESPAD Group. ESPAD Report 2015: Results from the European School Survey Project on Alcohol and Other Drug. Luxembourg: Publications Office of the European Union; 2016.

Crusco M, Massoni F, Luzi E, Ricci P, Pelosi M, Corbosiero P, et al. Gambling and the need for new responses in Public Health with an addiction “sine substantia”. Clin Terap. 2016;167:e162‑6. doi: 10.7417/CT.2016.1962.

GREO 2018. Gambling Harms: Mind Map. [accessed Jan 2019] Available from: http://www.greo.ca

Grant JE, Odlaug BL, Chamberlain SR. Neural and psychological underpinnings of gambling disorder: A review. Prog Neuropsychopharmacol Biol Psychiatry. 2016;65:188‑93.

doi: 10.1016/j.pnpbp.2015.10.007

Bowden‑Jones H, George S. A Clinician’s Guide to Working with Problem Gamblers. East Sussex: Routledge; 2015.

Serviço de Regulação e Inspeção de Jogos, SRIJ. Política de Jogo Responsável. SRIJ, Turismo de Portugal. [Accessed Jan 2019] Available at: http:www.srij.turismodeportugal.pt

Ladouceur R, Jacques C, Giroux I, Ferland F, Leblond J. Analysis of a casino’s self‑exclusion program. J Gambl Stud. 2000;16:453‑60.

Ginley MK, Whelan JP, Keating HA, Meyers AW. Gambling warning messages: The impact of winning and losing on message reception across a gambling session. Psychol Addict Behav. 2016;30:931‑8. doi: 10.1037/adb0000212.

Monaghan S, Blaszczynski A. Electronic gaming machine warning messages: Informative versus self‑evaluation. J Psychol. 2010; 144: 83–96.

Valentine G. Children and Young People’s Gambling: Research Review. London: The Responsible Gambling Trust; 2016.

Shead NW, Walsh K, Taylor A, Derevensky JL, Gupta R. Youth gambling prevention: can public service announcements featuring celebrity spokespersons be effective? Int J Mental Health Addiction. 2011; 9: 165–79. Doi: 10.1007/s11469‑009‑9260‑y.

Oh BC, Ong YJ, Loo JMY. A review of educational‑based gambling prevention programs for adolescents. Asian J Gambl Issues Public Health. 2017;7:4. doi: 10.1186/s40405‑017‑0024‑5

Keen B, Blaszczynski A, Anjoul F. Systematic Review of Empirically Evaluated School‑Based Gambling Education Programs. J Gambl Stud. 2017;33:301‑25. doi: 10.1007/s10899‑016‑9641‑7.

Williams RJ, Wood RT, Currie SR. Stacked Deck: an effective, school‑based program for the prevention of problem gambling. J Prim Prev. 2010;31:109‑25. doi:

1007/s10935‑010‑0212‑x.

Todirita IR, Lupu V. Gambling prevention program among children. J Gambl Stud. 2013;29:161‑9. doi: 10.1007/s10899‑012‑9293‑1.

Melo R, Leonardo J, Roque A, Abraão I, Buco C, Frazão C, et al. Linhas Orientadoras do Programa Eu e os Outros. Lisboa: SICAD; 2017. Available at www.sicad.pt

Forrest D, McHale IG. Gambling and problem gambling among young adolescents in Great Britain. J Gambl Stud. 2012; 28: 607‑22. doi: 10.1007/s10899‑011‑9277‑6.

Langham E, Thorne H, Browne M, Donaldson P, Rose J, Rockloff M. Understanding gambling related harm: a proposed definition, conceptual framework, and taxonomy of harms. BMC Public Health. 2016;16:80. doi: 10.1186/s12889‑016‑2747‑0.

World Health Organization. International Classification of Diseases 11th Revision. WHO. .[Accessed Jan 2019] Available at: http://www.icd.who.int

Griffiths MD, Nuyens F. An Overview of Structural Characteristics in Problematic Video Game Playing. Curr Addict Rep. 2017;4:272‑83. doi: 10.1007/s40429‑017‑0162‑y.

De Pasquale C, Dinaro C, Sciacca F. Relationship of Internet gaming disorder with dissociative experience in Italian university students. Ann Gen Psychiatry. 2018;17:28. doi: 10.1186/s12991‑018‑0198‑y.

Imperatori C, Innamorati M, Bersani FS, Imbimbo F, Pompili M, Contardi A, et al. The Association among Childhood Trauma, Pathological Dissociation and Gambling Severity in Casino Gamblers. Clin Psychol Psychother. 2017;24:203‑211. doi: 10.1002/cpp.1997.

Delfabbro PH, Borgas M, King D. Venue staff knowledge of their patrons’ gambling and problem gambling. J Gambl Stud. 2012; 28:155–69.

Cartmill T, Slatter T, Wilkie B. The role of anxiety and dissociation in young Australian gamblers. J Gambl Stud. 2015; 31:1215–26.

Blaszczynski A, Cowley E, Anthony C, Hinsley K.Breaks in play: Do they achieve intended aims? J Gambl Stud. 2016;32:789‑800. doi:10.1007/s10899‑015‑9565‑7.

Harris A, Griffiths M. A Critical Review of the Harm‑Minimisation Tools Available for Electronic Gambling. J Gambl Stud. 2017;33: 187–221.

Bailey BP, Konstan JA, Carlis JV. The effects of interruptions on task performance, annoyance, and anxiety in the user interface. In Proceedings of IFIP TC.13 international conference on human–computer interaction. Amsterdam: IOS Press; 2001.

Johns RJ, Dale N, Lubna Alam S, Keating B. Impact of gambling warning messages on advertising perceptions. Melbourne: Victorian Responsible Gambling Foundation; 2017.

Floyd K, Whelan JP, Meyers AW. Use of warning messages to modify gambling beliefs and behavior in a laboratory investigation. Psychol Addict Behav. 2006;20:69‑74.

Palmer du Preez K, Landon J, Bellringer M, Garret N, Abbott M. The effects of pop‑up messages minimization messages on electronic gaming machine gambling behaviour in New Zealand. J Gambl Stud. 2014; 32: 1115‑26.

Stewart MJ, Wohl MJ. Pop‑up messages, dissociation, and craving: how monetary limit reminders facilitate adherence in a session of slot machine gambling. Psychol Addict Behav. 2013;27:268‑73. doi: 10.1037/a0029882.

Harris A, Parke A. The interaction of gambling outcome and gambling harm‑minimisation strategies for electronic gambling: The efficacy of computer generated self‑appraisal messaging. Int J Mental Health Addiction. 2016; 14: 597–617. doi:10.1007/s11469‑015‑9581‑y.

Monaghan S, Blaszczynski A. Impact of mode of display and message content of responsible gambling signs for electronic gaming machines on regular gamblers. J Gambl Stud. 2010; 26: 67‑88.

Yzer M. Does perceived control moderate attitudinal and normative effects on intention? A review of conceptual and methodological issues. In: Ajzen I, Albarracin D, Hornik R, editors. Prediction and change of health behavior: Applying the reasoned action approach . Mahwah: Erlbaum; 2007. p. 107–23.

Southwell B, Marco Y. When (and Why) Interpersonal Talk Matters for Campaigns. Communication Theory. 2009;19.

Auer M, Griffiths MD. Voluntary limit setting and player choice in the most in‑tense online gamblers: An empirical study of gambling behaviour. J Gambl Stud. 2013; 29: 647–60. doi:10.1007/s10899‑012‑9332‑y.

Hing N, Russell A, Tolchard B, Nuske E. Are there distinctive outcomes from self‑exclusion? An exploratory study comparing gamblers who have self‑excluded, received counselling, or both. Int J Mental Health Addiction. 2015; 13: 481‑96. doi:10.1007/s11469‑015‑9554‑1.

Shaffer HJ, Peller AJ, LaPlante DA, Nelson SE, LaBrie RA. Research using actual behavior encourages and confirms accurate self‑report: a response to

Griffiths’ (2010) further comments. Addiction Res Theory. 2011; 19: 87–8.

Victorian Responsible Gambling Foundation. Study of gambling and health in Victoria findings from the Victorian prevalence study 2014. Melbourne: Victorian Responsible Gambling Foundation. [accessed Jan 2019] Available at: http://www.responsiblegambling.vic.gov.au

Motka F, Grüne B, Sleczka P, Braun B, Örnberg JC, Kraus L. Who uses self‑exclusion to regulate problem gambling? A systematic literature review. J Behav Addict. 2018;7:903‑16.

doi: 10.1556/2006.7.2018.96.

Dragicevic S, Percy C, Kudic A, Parke J. A descriptive analysis of demographic and behavioral data from internet gamblers and those who self‑exclude from online gambling platforms. Journal of Gambling Stud. 2015; 31:105–32.

Nelson SE, Kleschinsky JH, LaBrie RA, Kaplan S, Shaffer HJ. One decade of self‑exclusion: Missouri casino self‑excluders four to tem years after enrollment. J Gambl Stud. 2010; 26: 129–44.

Nower L, Blaszczynski A. Characteristics and gender differences among self‑excluded casino problem gamblers: Missouri data. J Gambl Stud. 2006;22:81‑99.

Hing N, Cherney L, Blaszczynski A, Gainsbury N, Lubman D. Do advertising and promotions for online gambling increase gambling consumption? An exploratory study. Int Gambl Stud.2014; 14: 394‑409. doi: 10.1080/14459795.2014.903989.

LaBrie RA, Nelson SE, LaPlante DA, Peller A, Caro G, Shaffer HJ. Missouri casino self‑excluders: distributions across time and space. J Gambl Stud. 2007; 23: 231–43.

KKotter R, Kräplin A, Pittig A, Bühringer G. A Systematic Review of Land‑Based Self‑Exclusion Programs: Demographics, Gambling Behavior, Gambling Problems, Mental Symptoms, and Mental Health. J Gambl Stud. 2019;35:367‑394. doi: 10.1007/s10899‑018‑9777‑8.

Hing N, Nuske E. Responding to problem gamblers in the venue: role conflict, role ambiguity, and challenges for hospitality staff. J Hum Res Hospitality Tourism. 2012; 11: 146–64.

Ladouceur R, Sylvain C, Boutin C, Lachance S, Doucet C, Leblond J, et al. Cognitive treatment of pathological gambling. J Nerv Ment Dis. 2001;189:774‑80. doi:10.1097/00005053‑200111000‑00007

Ladouceur R, Shaffer P, Blaszczynski A, Shaffer HJ. Responsible gambling: a synthesis of the empirical evidence. Addiction Res Theory. 2017; 25: 225‑35. doi: 10.1080/16066359.2016.1245294.

Rintoul A, Deblaquiere J, Thomas J. Responsible gambling codes of conduct: lack of harm minimisation intervention in the context of venue self regulation. Addiction Res Theory. 2017; 25: 451‑61. doi: 10.1080/16066359.2017.1314465.

Parker J, Rigbye J. Self‑Exclusion as a Gambling Harm Minimisation Measure in Great Britain: An Overview of the Academic Evidence and Perspectives from Industry and Treatment Professionals. London: The Responsible Gambling Trust; 2014.

Williams R, West B, Simpson R. Prevention of Problem Gambling: A comprehensive review of the evidence and identified best practices. Report prepared for the Ontario Problem Gambling Research Centre and the Ontario Ministry of Health and Long Term Care. Ontario: OPGRC, OMHLTC; 2012.

Caillon J, Grall‑Bronnec M, Perrot B, Leboucher J, Donnio Y, Romo L, et al. Efectiveness of AtRisk Gamblers’ Temporary SelfExclusion from Internet Gambling Sites. J Gambl Stud. 2019;35:601‑15. doi: 10.1007/s10899‑018‑9782‑y.

Gainsbury S, King D, Abarbanel B, Delfabbro P, Hing N. Convergence of Gambling and Gaming in Digital Media. Victorian Responsible Gambling Foundation, Victoria, Australia. [accessed Jan 2019] Available at: http://www.responsiblegambling.vic.gov.au

Kim SH, Wohl MJ, Stewart MJ, Sztainert T, Gainsbury S M. Limit your time, gamble responsibly: Setting a time limit (via pop‑up message) on an electronic gaming machine reduces time on device. Int Gambl Stud. 2014; 14:266–78. doi:10.1080/14459795.2014.910244.

Carran M, Griffiths M. Gambling and social gambling: An exploratory study of young people’s perceptions and behaviour. Aloma Rev Psicol Ciènc Educ Esport. 2015; 33:101‑13.

Organisation for Economic Co‑operation and Development, OECD. Children & Young People’s Mental Health in the Digital Age ‑ Shaping the Future. Geneve: OECD; 2018.

Ólafsson K, Livingstone S, Haddon L. Children’s Use of Online Technologies in Europe. A review of the European evidence base. London: LSE, EU Kids Online; 2014.

Auer MM, Griffiths MD. Testing normative and self‑appraisal feedback in an online slot‑machine pop‑up in a real‑world setting. Front Psychol. 2015;6:339. doi: 10.3389/fpsyg.2015.00339.

Publicado
2020-01-27
Como Citar
Torrado, M. V., Dinis, S., Nicolau, L. B., Eusébio, S., & Ouakinin, S. (2020). Jogo Responsável e Saúde Mental: Tópicos para uma Estratégia Integrada na Prevenção e Redução de Danos das Adições Comportamentais. Revista Portuguesa De Psiquiatria E Saúde Mental, 5(4), 62-75. Obtido de https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/89
Secção
Artigos de Revisão