Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0178036
Title: Cognitive distortions among older adult gamblers in an Asian context
Authors: Subramaniam M. 
Chong S.A. 
Browning C.
Thomas S.
Keywords: adult
aged
Article
Chinese
clinical article
cognitive defect
controlled study
ethnicity
female
gambling
human
illusion
interview
male
perception
sampling
Singapore
Singaporean
skill
social behavior
social belief
thematic analysis
Asian continental ancestry group
cognitive defect
complication
gambling
middle aged
psychology
questionnaire
Aged
Asian Continental Ancestry Group
Cognition Disorders
Female
Gambling
Humans
Interviews as Topic
Male
Middle Aged
Surveys and Questionnaires
Issue Date: 2017
Publisher: Public Library of Science
Citation: Subramaniam M., Chong S.A., Browning C., Thomas S. (2017). Cognitive distortions among older adult gamblers in an Asian context. PLoS ONE 12 (5) : e0178036. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0178036
Abstract: Aims: The study aims to describe the construct of cognitive distortions based on the narratives of older adult gamblers (aged 60 years and above) in Singapore. Methods: Singapore residents (citizens or permanent residents) aged 60 years and above, who were current or past regular gamblers were included in the study. Participants were recruited using a combination of venue based approach, referrals from service providers as well as by snowball sampling. In all, 25 in-depth interviews were conducted with older adult gamblers. The six-step thematic network analysis methodology was adopted for data analysis. Results: The mean age of the participants was 66.2 years. The majority were male (n = 18), of Chinese ethnicity (n = 16), with a mean age of gambling initiation at 24.5 years. Among older adult gamblers, cognitive distortions emerged as a significant global theme comprising three organizing themes-illusion of control, probability control and interpretive control. The organizing themes comprised nine basic themes: perception of gambling as a skill, near miss, concept of luck, superstitious beliefs, entrapment, gambler's fallacy, chasing wins, chasing losses, and beliefs that wins are more than losses. Conclusions: Cognitive distortions were endorsed by all gamblers in the current study and were shown to play a role in both maintaining and escalating the gambling behaviour. While the surface characteristics of the distortions had a culture-specific appearance, the deeper characteristics of the distortions may in fact be more universal than previously thought. Future research must include longitudinal studies to understand causal relationships between cognitive distortions and gambling as well as the role of culture-specific distortions both in the maintenance and treatment of the disorder. © 2017 Subramaniam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Source Title: PLoS ONE
URI: https://scholarbank.nus.edu.sg/handle/10635/166009
ISSN: 19326203
DOI: 10.1371/journal.pone.0178036
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