Implications of gambling problems for family and interpersonal adjustment: results from the Quinte Longitudinal Study.

ABSTRACT

AIMS: To evaluate (1) whether gambling problems predict overall trajectories of change in family or interpersonal adjustment and (2) whether annual measures of gambling problems predict time-specific decreases in family or interpersonal adjustment, concurrently and prospectively. DESIGN: The Quinte Longitudinal Study (QLS) involved random-digit dialling of telephone numbers around the city of Belleville, Canada to recruit 'general population' and 'at-risk' groups (the latter oversampling people likely to develop problems). Five waves of assessment were conducted (2006-10). Latent Trajectory Modelling (LTM) estimated overall trajectories of family and interpersonal adjustment, which were predicted by gambling problems, and also estimated how time-specific problems predicted deviations from these trajectories. SETTING: Southeast Ontario, Canada. PARTICIPANTS: Community sample of Canadian adults (n = 4121). MEASUREMENTS The Problem Gambling Severity Index (PGSI) defined at-risk gambling (ARG PGSI 1-2) and moderate-risk/problem gambling (MR/PG PGSI 3+). Outcomes included (1) family functioning, assessed using a seven-point rating of overall functioning; (2) social support, assessed using items from the Non-support subscale of the Personality Assessment Inventory; and (3) relationship satisfaction, measured by the Kansas Marital Satisfaction Scale. FINDINGS: Baseline measures of ARG and MR/PG did not predict rates of change in trajectories of family or interpersonal adjustment. Rather, the annual measures of MR/PG predicted time-specific decreases in family functioning (estimate -0.11, P < 0.01), social support (estimate -0.28, P < 0.01) and relationship satisfaction (estimate -0.53, P < 0.01). ARG predicted concurrent levels of family functioning (estimate -0.07, P < 0.01). There were time-lagged effects of MR/PG on subsequent levels of family functioning (estimate -0.12, P < 0.01) and social support (estimate -0.24, P < 0.01). CONCLUSIONS: In a longitudinal study of Canadian adults, moderate-risk/problem gambling did not predict overall trajectories of family or interpersonal adjustment. Rather, the annual measures of moderate-risk/problem gambling predicted time-specific and concurrent decreases in all outcomes, and lower family functioning and social support across adjacent waves.