The high occurrence of cross-sectional studies does not allow us to clearly define the relationship’s direction between psychological distress and problem gambling. It is difficult to establish whether the former is a risk factor or an outcome of the latter. For example, it is unclear whether a high level of psychological distress is a consequence of frequent gambling or conversely whether people with psychological distress are particularly attracted to gambling. Predictably, a higher level of psychological distress was found in em linha gamblers more at risk of problem gambling than in low-risk gamblers (Gainsbury et al., 2014b; Granero et al., 2020; Hing et al., 2017; Hopley & Nicki, 2010). Anxiety and depression were the main experiences studied and reported by pathological gamblers at higher rates (Barrault & Varescon, 2013a; Barrault et al., 2017; Hopley & Nicki, 2010; Khazaal et al., 2017). In addition, mood disturbances such as hypomanic experiences and mood elevation are reported to a greater extent in the most problematic cluster (Lloyd et al.
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A further relevant result was shown by Goldstein et al. (2016), who monitored the mood of a sample of young adults for 30 consecutive days. The data collected show that those who used the Net to gamble experienced greater negative affect, with higher frequency and intensity, during the observation compared to nononline gamblers.
In conclusion, aiming to fill the literature gap on preventive factors for em linha gambling, the results of this literature review can provide the basis for developing efficient preventive strategies that go beyond responsible gambling options offered by gambling platforms (Gainsbury et al., 2014a; Velasco et al., 2021). These findings contribute to identifying the groups most attracted to on-line gambling and most vulnerable to the development of problem gambling. These people should be the focus of future research and targeted individualized interventions. From a more general prevention perspective, more coordination between research evidence, agencies, and institutions is needed to support policies and a social culture unfavourable to gambling to protect the health of em linha gamblers. Specifically, given the commonalities between risk and protective factors for on-line and offline gambling, it does not seem necessary to create new prevention interventions dedicated directly to em linha gambling. On the one hand, given the presence of aspects related only to em linha gamblers and given the differences in terms of socioanagraphic variables, it would seem to make sense to reevaluate some of the interventions to adapt them to these specificities.
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This paper provides a synthesis of knowledge regarding the risk and protective factors of bdg win online gambling in the adult population. From the analysis carried out, several critical elements emerge, which may offer indications for future studies. Regarding the methodology used in the studies, two critical issues emerge concerning the population and the method. Most of the papers use nonrepresentative samples. For future research, it would be desirable to use representative samples of the population. In addition, most of the papers are cross-sectional studies, whereas it would be desirable to conduct longitudinal studies to achieve a greater understanding of the relationship between variables.
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To synthesize and systematize the results regarding risk and protective factors, two types of comparisons were made: comparison of factors that distinguish offline gamblers from on-line gamblers (C1) and comparison of nonproblematic on-line gamblers from problematic online gamblers (C2). In addition, a further comparison was carried out to highlight whether similarities or differences emerged with respect to the factors studied between the first and second comparisons (C3). The results are systematized and presented in tables at the end of the paper, see Appendix A.
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