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How are illness representations of gambling disorder associated with gambling behaviors? A latent profile analysis
Yang, Hong Mian1,2; Lau, Joseph T.F.3,4; Fong, Lawrence Hoc Nang5,6; Cheung, Shu Fai1; Wu, Anise M.S.1,5
2025
Source PublicationAddictive Behaviors
ISSN0306-4603
Volume160
AbstractGambling disorder (GD) is a behavioral addiction that causes serious harm to individuals’ mental health and social functioning. This study aimed to explore whether gamblers’ illness representations (IR) for GD are related to disordered and/or controlled patterns of gambling under the framework of commonsense model of self-regulation (CSM). Based on CSM, different facets of IR do not exist in isolation but together form a total illness schema; we hence used a person-centered analysis method, latent profile analysis (LPA), to classify gamblers by their overall IR for GD (including consequences, personal and treatment control, timeline cyclical, emotional representations, and coherence) into groups and then tested whether these groups differed in GD symptoms, controlled gambling behaviors, and help-seeking intention. An anonymous online survey was conducted on a social media platform, and valid responses from 589 past-year adult gamblers were collected. LPA results supported a four-profile model, revealing four profiles of GD representations: the weak-perception profile, average profile, tensed-up profile, and rational profile. Significant differences were found in all outcome variables in these four profile groups. In particular, the rational group exhibited the lowest levels of GD symptoms and impaired behavioral control, the highest levels of responsible and controlled gambling, and the highest levels of help-seeking intention, whereas the weak-perception group reported the lowest levels of responsible and controlled gambling behaviors. The findings provide empirical support for the application of CSM to addictive behaviors, as well as preliminary evidence for the potential use of CSM-based interventions for GD prevention.
KeywordCommonsense model Gambling disorder Help-seeking intention Illness perception Latent profile analysis
DOI10.1016/j.addbeh.2024.108149
URLView the original
Language英語English
Scopus ID2-s2.0-85203434667
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Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Affiliation1.Department of Psychology, Faculty of Social Sciences, University of Macau, Macao
2.Faculty of Health and Wellness, City University of Macau, Macao
3.Public Mental Health Center, School of Mental Health, Wenzhou Medical University, Wenzhou, China
4.Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, China
5.Centre for Cognitive and Brain Sciences, University of Macau, Macao
6.Department of Integrated Resort and Tourism Management, Faculty of Business Administration, University of Macau, Macao
First Author AffilicationFaculty of Social Sciences;  University of Macau
Recommended Citation
GB/T 7714
Yang, Hong Mian,Lau, Joseph T.F.,Fong, Lawrence Hoc Nang,et al. How are illness representations of gambling disorder associated with gambling behaviors? A latent profile analysis[J]. Addictive Behaviors, 2025, 160.
APA Yang, Hong Mian., Lau, Joseph T.F.., Fong, Lawrence Hoc Nang., Cheung, Shu Fai., & Wu, Anise M.S. (2025). How are illness representations of gambling disorder associated with gambling behaviors? A latent profile analysis. Addictive Behaviors, 160.
MLA Yang, Hong Mian,et al."How are illness representations of gambling disorder associated with gambling behaviors? A latent profile analysis".Addictive Behaviors 160(2025).
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