RESEARCH SYNOPSIS Arthur, D., Tong, W. L., Chen, C. P., Hing, A., Y., Sagara-Rosemeyer, M., Kua, E. H., Ignacio, J. (2008). The validity and reliability of four measures of gambling behaviour in a sample of Singapore university students. Journal of Gambling Studies, 24, 451-462. RESEARCH QUESTIONS Are the Diagnostic Statistical Manual-IV (DSM-IV) criteria for Pathological Gambling (PG), South Oaks Gambling Screen (SOGS), Gamblers Anonymous 20 (GA-20), and Canadian Problem Gambling Index (CPGI) valid (i.e., accurate) and reliable (i.e., consistent) measures of problem gambling in university students in Singapore? PURPOSE Among the studies on problem gambling, there are four diagnostic and screening instruments (i.e., DSMIV, GA-20, SOGS and CPGI) with convincing psychometric properties. The primary purpose of the present study was to determine the reliability and validity of these four instruments for detecting problem gambling in university students in Singapore. HYPOTHESIS None stated. PARTICIPANTS Participants were 148 university students (47% male) 21 years of age and older in Singapore. PROCEDURE In order to select respondents from a representative cross-section of faculties across campus, research assistants visited common areas frequently visited by potential participants such as Student Services Centre, Health and Wellness Centre, Entrance to Computer Centre, Entrance to Co-op Bookshops. In addition to the four measures of interest, the questionnaire also collected demographic and gambling activity information. MAIN OUTCOME MEASURES The DSM-IV criteria assess pathological gambling as an impulse control disorder. It focuses on the psychological motivations that underlie problem gambling and consists of ten diagnostic criteria which are presented as a checklist. People meeting 5 out of 10 criteria are labeled as practicing pathological problem gamblers or potential pathological gamblers. The GA-20 assessing the severity of an actual gambler’s problems related to gambling behaviour. The 20 dichotomous items on this questionnaire are primarily descriptions of typical pathological gamblers and mainly focus on financial aspects of gambling behaviour. Scoring is such that participants who score 1–6 points are considered problem gamblers, and those who score 7 or more points are classified as compulsive gamblers. The SOGS assess gambling problems. Respondents circle a ‘‘yes’’ or no’’ in response to initial items regarding gambling behaviour and in later items, choose from a list of responses pertaining to frequency of gambling and amount of money spent on gambling. Respondents who score 3 or above are classified as problem gamblers and those who score 5 or more are classified as probable pathological gamblers. The CPGI is a multi-component measure with specific information on type of gambling. It is made up of 42 questions requiring various responses such as yes/no, frequency and degree of agreement, actual amount and actual time. Four domains comprise the questions in the CPGI: gambling involvement, problem gambling behaviour, adverse consequences and problem gambling correlates. The studies using the CPGI classify persons with a score from 3 to 7 as ‘‘moderate problem gambling’’ and a score of 8 or higher as ‘‘severe problem gambling.” KEY RESULTS All measures demonstrated moderate to high reliability. The CPGI demonstrated the highest reliability and there was strong convergent validity (i.e., measured same construct) demonstrated especially between SOGS and CPGI. The findings suggested that CPGI was useful for identifying, not only problem gambling, but other issues such as depression, suicide, drinking and financial problems related to gambling. Of the four measures, only the CPGI demonstrated construct validity (i.e., measures what intended to). The majority of students who reported themselves as gamblers differed in numbers depending on the instrument used. Gamblers (32%) were easily identified by SOGS and the numbers of gamblers varied from 14% to 32% depending on the questionnaire used. LIMITATIONS Participants routinely asked ‘what do you mean gambling behaviour?’, and ‘I have played Mahjong with my family, but it was only during Chinese New Year’ will this be considered as gambling behaviour?’ The high rejection rate of the CPGI was significant while for the other instruments it was negligible. While the CPGI is longer than the others there clearly may have been an order effect as the CPGI was the last of the four instruments to be administered. Participants were reluctant to expose their gambling history. CONCLUSIONS The findings suggest screening instrument strong psychometric dimensional structure sample. that CPGI is the most valid for problem gambling having features and a solid unifor use in a local Singapore KEYWORDS: gambling, validity, reliability, DSM-IV, GA-20, SOGS, CPGI, psychometric property URL: http://dx.doi.org/10.1007/s10899-008-9103-y
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