The adaptation of problem gambling and internet addiction questionnaires to raise awareness of problem in Thailand

Transcription

1 Author Name: Suwannapho, Mathurada Co Authors: Nanthasarn, Santipap; Koomsiri, Passakorn; Suksampan, Napada; Kongpon, Thanapond Organisation: Child and Adolescent Mental Health Rajanagarindra Institute, Bangkok, Thailand The adaptation of problem gambling and internet addiction questionnaires to raise awareness of problem in Thailand

2 Introduction 1 Prevalence and related factors of Gambler in Thai s youth : the national survey 2013 Mental health disorder Percent Any minor mental disorder Any substance use disorder Any drug use disorder 6.9 Intermittent explosive 3.05 Any anxiety disorder 2.64 Composite International Diagnosis Interview 3 (CIDI) European Quality of Life-5 Dimensions 5 Levels(EQ-5D-5L) Bipolar I or II 1.18 Any depressive disorder 0.85 *related with QOL( no statistic significant)

3 Introduction 2 Thailand Gambling Treatment, rehabilitation and recovery providence project Gambling helpline center Integrated community management to anti-gambling Program Smart player clinic

4 Introduction 3 Thailand Integrated community management to anti-gambling Program Phase I develop the tool kits to screening and raise awareness of the problems Phase II select the community to try out the tool kits Phase III create a services model of gambling problem and game addiction

5 Introduction 4 THEOBJECTIVESOFTHISSTUDY 1 to explore the gambling problem and internet addiction in community 2 to study the association of gambling problem, internet addiction and mental health problems 3 to raise awareness of the problem in communities member through answering the questionnaires and interview

6 Population & sampling Quantitative quota sampling in 3 areas Qualitative N = 385 subjects collect data by questionnaire N= 12subjects in depth interview to the general population, community leaders, youth and village health volunteers

7 Methodology making relationships collected data from 385 subjects in-depth interview to12 subjects October November December Clarify the purpose and the benefits of research collected data from 385 subjects

8 Questionnaires 1 General information 2 Gambling problem assessment questionnaires The Brief Biosocial Gambling Screen (BBGS) Problem Gambling Severity Index (PGSI) Mental Health Impact Survey 3 Stress Test Questionnaire (ST-5) Depression and suicidal risk screening test(ds8) Substance Use Questionnaire And Game Addiction Screening Test(GAST)

9 Statistics Descriptive Statistics Quality Analysis of Questionnaires frequency and percentage :personal factors, gambling problems, awareness of gambling problems, game addiction & effect of mental health from the problems mean : content validity of the index of item objective congruence Cronbach's alpha coefficient : problem gambling severity index (PGSI), stress test questionnaire (ST-5) & game addiction screening Test (GAST) Kuder-Richardson Formula 20 (KR-20) : the brief biosocial gambling screen (BBGS) & depression and suicidal risk screeningtest (DS8) Inferential Statistic 11.2 Content Analysis component analysis cause and EffectAnalysis sociology Imaginary correlation : gambling problem, game addiction with effect of mental health correlation : the brief biosocial gambling screen (BBGS) and problem gambling severity index (PGSI).

10 Result 1 GENERALINFORMATIONS Age Group and over

11 Result 2 THETYPEOFGAMBLINGPROBLEM 4.8 N = Lottery Game Online Gambling Bet 16.1 * No gambling 51.40

12 Result 3 THERELIABILITYOFQUESTIONNAIRES N = 385 Questionnaire Internal Consistency BBGS-3 : Brief Biosocial Gambling Screen 0.49 PGSI-9 : The Problem Gambling Severity Index 0.94 ST-5 : Stress TestQuestionnaire 0.82 DS-8 : Depression and suicidal risk screening test 0.78 GAST-16 : Game Addiction Screening Test(GAST) 0.93

13 Result 4 THESEVERITYOFPROBLEMS Game Addiction 70 Gambling Problem Problem Moderate Risk Low Risk Non-Problem Problem Moderate Risk Normal

14 Result 5 THECORRELATIONOFQUESTIONNAIRES Correlation BBGS-3 PGSI-9 GAST-16 BBGS-3: Brief Biosocial Gambling Screen - PGSI-9: The Problem Gambling Severity Index.35** - GAST-16 : Game Addiction ScreeningTest mean (N=385) SD ** p <.001

15 Result 6 THECORRELATIONOFPROBLEMS INTHEGAMBLERANDGAMER Correlation BBGS-3 PGSI-9 GAST-16 ST-5 DS-8 (item 1-6) DS-8 (item7-8) PS-2 BBGS-3: Brief Biosocial Gambling Screen - PGSI-9: The Problem Gambling Severity Index.17* - GAST-16 : Game AddictionScreening Test ST-5 : Stress TestQuestionnaire.16.27**.65** - DS-8 : Depression and suicidal risk screening test.10.18*.38**.57** - DS-8 : Depression and suicidal risk screening test.28**.33**.09.28**.26** - PS-2: Phramongkutklao Hospital **.20* mean(n=142) SD *p<.05, ** p <.001

16 Result 7 THERELATIONOFTHEPROBLEMS&STRESS Gambling Problem Game addiction problem low risk moderate risk problem moderate risk highest high moderate low 0 highest high moderate low

17 Result 8 THERELATIONOFTHEPROBLEMS & DEPRESSIONANDSUICIDALRISK Depression Risk Suicidal Risk Problem Gambler Moderate Risk Gambler Low Risk Problem Gamer Moderate Risk Gamer

18 Result 9 THEAWARENESSOFGAMBLINGPROBLEM Questionnaires Percentage Have you felt that you might have a problem with gambling Have you felt guilty about the way you gamble or what happens when you gamble 57 Has gambling caused you any health problems, including stress oranxiety 35.20

19 Result 10 THAI ATTITUDEOFGAMBLING N=12 Denial no gambling in our community it s not their problem Economic free time but more money Culture make a close relationship

20 THENEEDSOFTHAIPEOPLE Result 11 1 Renormalization 2 3 Harmful reduction N=12 Prevention and protection programs

21 Summarize The sample adulthood 33.5youth 13.8 children Type of problems Lottery 31.3 Game 16.1 Online gambling 8.1 The mental health problems Gamers(p=0.01 ) have more mental health problem than gamblers (p=0.5) Tool kits Screening : PGSI-9 & GAST-16 (IC=0.94, 0.93) Comorbidity : ST-5(CI=0.82) & DS-8(CI=0.78)

22 Discussion 1 THESCREENINGANDRAISEAWARENESSTOOLKITS PGSI-9 (IOC=0.94) PGSI-C: Cronbach s alpha = 0.77 (Jasmine M. Y. Loo, 2010) South Africa : screening tools (SharpC,2012) BBG-3 (IOC=0.49) Short form of PGSI must be improved in contentvalidity Self evaluation and confirm by PGSI ( Correlation of Questionnaires = 0.35) GAST-16 (IOC=0.93) a screening tool for excessive gamers for Thai children & adolescent Game addiction protection scale (Game-P) to assess protective factors for game addiction among Thai children and adolescents (Chanvit C,2017)

23 Discussion 2 THEGAMBLINGPROBLEMANDINTERNETADDICTIONINCOMMUNITY half of them can perceive that they have gambling problem more than half feel guilty about gambling or feel guilty about the consequences from it perceive themselves as having health problems, stress or anxiety from gambling problem Itprovethat gambler recognize gamblingasa problem and feel guilty because of human being and re a l i z e d b y t h e p r o c e s s o f intellectual in brain of human ( T h a g o r n Sitthichok, 2015: 90 91).

24 Discussion 3 THEGAMBLINGPROBLEMANDINTERNETADDICTIONINCOMMUNITY Gambling positively correlatedwith problem stress, depression and suicidal risk Game addiction high positive relationship with stress, depression and substance use

25 Benefit The adaptation of problem gambling and internet addiction questionnaires to raise awareness of problem in Thailand Create a health service model to promote, prevent and treat gambler and gamer. Raise awareness of the gambling problem and game addiction in communities. Have the questionnaires to find gambling problem and game addiction for people and public health officer. Bring the policy of gambling and gaming with integration of all in community.

26 Suggestion 1 POLICYADVOCACY There should be a community awareness program on the effect of gambling problem. The research found that the gambler was playing for money. It should solve by giving career for long term solutions. Renormalization Harmful reduction Prevention & protection programs The Use of the brief biosocial gambling screen (BBGS) must be combined with a problem gambling severity index (PGSI) to increase credibility or may be used with interview.

27 Suggestion 2 NEXTRESEARCH The questionnaires used in There should also be a study of other this research should be applied factors that related to gambling problem to other population groups. game addiction and mental health problems. Tool kits Normalization Protective & risk factors To better understand the social and cultural conditions should study to the sample population in another province to represent Thai population.

28 Answer Question? THANK YOU