Gambling, health and age: data from the National Epidemiologic Survey on Alcohol and Related Conditions.

The health effects of recreational gambling are presently unclear, particularly across age groups. Theories of healthy aging suggest that social activities, including gambling, may be beneficial to the health of older adults. Using cross-sectional data from the National Epidemiologic Survey on Alcohol and Related Conditions (N=43,093), the authors examined associations between gambling (categorized as nongambling, recreational gambling, or problem/pathological gambling) and health and functioning measures stratified by age (40-64 years and >/=65). Problem/pathological gambling was uniformly associated with poorer health measures among both younger and older adults. Among younger respondents, poorer health measures were also found among recreational gamblers. However, among older respondents, recreational gambling was associated not only with some negative measures (e.g., obesity) but also with some positive measures (e.g., better physical and mental functioning). Longitudinal studies are needed to clarify the relationship between gambling and health in older adults in the context of healthy aging.     

Religion and Gambling Among U.S. Adults: Exploring the Role of Traditions,Beliefs, Practices,and Networks*

Opportunities for legal gambling of various types have expanded rapidly in the United States in recent years. Our study develops a series of theoretical arguments linking multiple dimensions of religious involvement—traditions, beliefs, practices, and networks—with the frequency of gambling activity. Relevant hypotheses are then tested using data from the Panel Study of American Religion and Ethnicity (PS‐ARE), a recent nationwide probability sample of U.S. adults. Findings underscore the importance of co‐religionist networks in deterring gambling. In addition, biblical inerrantists and members of conservative Protestant and sectarian groups are relatively disinclined to gamble. Religious attendance is also inversely associated with gambling frequency. Differences in gambling by religious tradition are amplified among persons with strong co‐religionist networks. Several study limitations are noted, and promising future research directions on the dynamics and functioning of church‐based networks are identified.     

Disposable Time and Disposable Income: Problem Casino Gambling Behavior in Older Adults

Increasing numbers of retirees spend their leisure time in the ever-growing number of gambling casinos in this country. For most older adults, casino gambling is a new form of excitement and entertainment. However, for some retirees, especially those vulnerable to depression from the changes and losses that can occur in aging, casino gambling can become disordered, problematic, and/or an addiction. Although prevalence studies have examined the incidence of problem gambling in other age groups, little attention has been directed to the impact of casino gambling on older adults. The authors discuss problem and pathological gambling in retired older adults, and provide clinical case examples of a growing number of older adults with problem gambling behaviors seen in an outpatient geriatric psychiatry clinic. Finally, they urge that an evaluation of gambling behaviors be a routine portion of geriatric clinical evaluations.     

COMT gene polymorphisms,cognitive performance,and physical fitness in older adults

ObjectiveIt is well known that genetic predispositions might influence cognitive performance, particularly in older adults. One gene related to executive functioning is the COMT gene with met/met carriers outperforming val/val carriers in cognitive tasks. Further, it has been shown that fitness is positively related to cognitive functioning in older adults. As both, the COMT genotype and physical exercise have been shown to influence dopamine availability and as changes in dopamine metabolism seem to play a key role in cognitive aging, the aim of this study was to analyze the association of the COMT gene polymorphisms with the relationship between fitness and cognition.DesignWe used a cross-sectional design.MethodSixty-eight healthy older adults between 62 and 79 years of age were analyzed in this study. DNA was extracted from capillary blood samples. Participants performed a modified version of the Flanker Task as an indicator of executive control and a battery of motor and physical tests as indicators of fitness.ResultsHierarchical regression analyses revealed a positive influence of overall fitness and an interactive effect of fitness and COMT polymorphisms on Flanker accuracy performance. Val/val carriers revealed the highest positive correlation between fitness and cognition.ConclusionsOur data suggest that particularly val/val allele carriers benefit from exercise by improved cognitive functioning whereas met/met carriers already perform closer at their optimum level.     

Casino Gambling and the Family: Exploring the Connections and Identifying Consequences

Although sanctioned by state governments and widely popular across the United States, gambling remains a controversial activity. For example, casino gambling may be legal and popular, but many believe squandering money is harmful and deviant. People from all backgrounds visit casinos. However, older adults comprise a major portion of the gambling clientele. Along with this have come reports of a wide variety of negative outcomes. Yet, few studies have investigated the relationship between gambling and the family. We use a qualitative in-depth interview grounded theory approach with 34 adults aged 62–88 to investigate the relationship between gambling and family consequences. We explore the impact of gambling on the family with the active aging concept as well as the codependency and sociocultural models of addiction. They offer new ways to understand mild to serious deviance among older adults.     

Gambling Sponsorship and Advertising in British Football: A Critical Account

ABSTRACT

Problem gambling is a growing public health issue in the UK. In this paper, we argue that football plays a problematic role in the promotion and normalisation of gambling. Given that sport broadcasts offer gambling (and alcohol) companies a loophole to avoid the post-watershed guidelines, children and young people are also exposed. By marketing gambling in general and to children in particular, football contributes to an increase in the overall ‘amount’ of gambling in society. In turn, this contributes to an increase in the prevalence of problem gambling (including gambling disorder) and all the associated harms. Furthermore, we argue that a significant amount of gambling profits come from problem gamblers. Therefore, football benefits from, and contributes to, the addictive consumption of gamblers.     

Religion and Gambling Among Young Adults in the United States: Moral Communities and the Deterrence Hypothesis

Despite voluminous research examining religion as an integrative force and a mechanism of social control, relatively few studies have examined the association between religion and proscribed or morally ambiguous behaviors beyond crime and drug use. The present exploratory study examines the role of religion, at both the individual and county levels, in predicting self‐reported gambling problems. Hierarchical linear models are employed to examine religion and self‐reported gambling problems using the restricted use data of the National Longitudinal Study of Adolescent Health. A negative association between religious attendance and problem gambling (at the individual level) is strongest when church adherents per capita is relatively high (measured at the county level). However, when the number of conservative Protestants per capita is relatively high, religious attendance (measured at the individual level) is associated with an increased risk of gambling problems. These countervailing findings are interpreted as supportive of the bonding and bridging capital thesis.     

The moderating role of executive functioning in older adults' responses to a reminder of mortality

In previous research, older adults responded to mortality salience (MS) with increased tolerance, whereas younger persons responded with increased punitiveness. One possible explanation for this is that many older adults adapt to challenges of later life, such as the prospect of mortality, by becoming more flexible. Recent studies suggest that positively oriented adaptation is more likely for older adults with high levels of executive functioning. Thus, we hypothesized that the better an older adult's executive functioning, the more likely MS would result in increased tolerance. Older and younger adults were randomly assigned to MS or control conditions, and then evaluated moral transgressors. As in previous research, younger adults were more punitive after reminders of mortality; executive functioning did not affect their responses. Among older adults, high functioning individuals responded to MS with increased tolerance rather than intolerance, whereas those low in functioning became more punitive.     

Executive Dysfunctions Across Adulthood: Measurement Properties and Correlates of the DEX Self-Report Questionnaire

ABSTRACT

Difficulties in executive processes can disturb daily life functioning. Using data obtained from two independent community-dwelling samples (n ₁?=?468, n ₂?=?669, 18–97 years), we examined the factor structure of the Dysexecutive Functioning Questionnaire (DEX) and explored the frequencies and potential correlates of self-reported executive difficulties. Our results revealed that executive problems are parsimoniously described with one underlying factor. Everyday executive dysfunctions were moderately frequent throughout adulthood. Reports of executive problems were associated with individual difference characteristics including age, subjective health, personality, affect, and cognition. We also found that, although executive functions are known to decline with advancing adult age, younger age groups reported more problems than older groups, an effect that was partially mediated by a negative affect factor. We discuss implications for the validity of the instrument as well as directions for future research on executive functioning difficulties in everyday life.     

Characteristics of problem gamblers 56 years of age or older: a statewide study of casino self-excluders

Gambling among older adults appears to be increasing, though little is known about the characteristics of older adult problem gamblers. The purpose of this study was to compare older adults to younger and middle-aged adults in a cohort of problem gamblers participating in a state-administered casino self-exclusion program. Self-reported problem gamblers (N = 1,601) who voluntary banned themselves from Missouri casinos from 2001 to 2003 were categorized by age as younger adults (ages 21 to 35; n = 490), middle-aged adults (ages 36 to 55; n = 950), and older adults (ages 56 to 79; n = 161), and were compared with respect to demographic variables, gambling participation, and reasons for self-exclusion. Older adult self-excluders typically began gambling in midlife, experienced gambling problems around age 60, reported preferences for nonstrategic forms of gambling, and identified fear of suicide as the primary reason for self-excluding. Implications for intervention, prevention and treatment are discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

Spiritual Activities for Adults with Alzheimer's Disease: The Cognitive Components of Dementia and Religion

SUMMARY

Engaging adults with Alzheimer's disease in activities can prevent disease related agitation. Finding meaningful and enjoyable activities proves to be a difficult task due to severe damage to explicit memory and executive functioning. Fortunately, many spiritual and religious activities rely on more resilient cognitive features such as procedural memory and limbic system aspects of attachment and motivation. Such spiritual activities, if properly selected, can be used to engage adults with dementia. This approach, called Procedural and Emotional Religious Activity Therapy, can be used by various religious traditions and extended to multiple therapeutic venues.     

Risk Factors of Adolescent Pathological Gambling: Permissive Gambling Culture and Individual Factors

This study investigated the relationships between types of gambling activity, problem behaviors, and self-esteem with adolescent problem gambling in Hong Kong. From a sample of 2,258 students aged between 12 and 17, study results showed that playing Poker and gaming in Amusement Game Centers (entertainment venues with gaming machines) had the strongest predictive value, implying a gambling-permissive culture regarding gambling as an entertainment, with parental and societal support and availability of gambling opportunities, has more impact on adolescent problem gambling than other personal risk factors like problem behaviors and low self-esteem. Prevention strategies at individual and societal levels are discussed.     

Problem Gambling Features and Gendered Gambling Domains Amongst Regular Gamblers in a Swedish Population-Based Study

This study aimed to investigate, from a gender perspective, how different features of problem gambling present in men and women who gamble regularly in Sweden were distributed in four domains based on gambling type (chance or strategy) and setting (public or domestic). Problem gambling features were based on the nine items in the Problem Gambling Severity Index (PGSI). It was hypothesized that men and women gamble in different domains. Further, it was hypothesized that male gamblers overall experienced more problems with gambling than female gamblers, although in the same domains they would report the same level of problems. A further hypothesis predicted that regular female gamblers would experience more health and social problems and men would experience more financial difficulties. Interviews with a subsample of gamblers (n?=?3191) from a Swedish nationally representative sample (n?=?8179) was used to examine how features of problem gambling correspond with gender and the domains. Only the first hypothesis was fully supported. Men were more likely to participate in forms of gambling requiring strategy in a public setting, and women were more likely to participate in chance-based gambling in a domestic setting. Male and female gamblers had similar levels of problem gambling in the bi-variate analysis, but if controlling for age and gambling in multiple domains, women were more at risk than men. Additionally, men and women presented similar health and economic situations. The differences between male and female gamblers in Sweden have implications for research and prevention.     

The influence of functional social support on executive functioning in middle-aged African Americans

ABSTRACT

Social support has a positive influence on cognitive functioning and buffers cognitive decline in older adults. This study examined the relations between social support and executive functioning in middle-aged adults. A community-based sample of African Americans completed the Interpersonal Support Evaluation List, a measure of functions of social support, and two measures of executive functioning, the Stroop Color and Word Test and the Wisconsin Card Sorting Test (WCST). Hierarchical regression analyses were used to explore the hypothesis that different facets of perceived social support influence performance on measures of executive functioning. After controlling for age, gender, and education, social support facets including belonging support, selfesteem support, appraisal support, and tangible support were significant predictors of Stroop performance. In addition, tangible support significantly predicted WCST performance. These findings add to previous literature on social support and cognition; however, findings for middle-aged adults are unique and suggest that social support has a positive influence on some executive functions in African Americans prior to old age.     

Aging, Executive Functioning, and Social Control

ABSTRACT— Aging is associated with atrophy of the frontal lobes of the brain, which are the seat of executive functions. Because successful social functioning often requires executive control, aging can lead to unintended social changes via deficits in executive control. In this article I review evidence that, due to losses in executive control, aging leads to increased prejudice and social inappropriateness and, under certain circumstances, increased depression and problem gambling. I then discuss theory and research suggesting possible interventions that might ameliorate unwanted social changes brought about by executive decline.     

Age-Related Changes in Executive Function: An Event-Related Potential (ERP) Investigation of Task-Switching

ABSTRACT

Older adults have difficulty when executive control must be brought on line to coordinate ongoing behavior. To assess age-related alterations in executive processing, task-switching performance and event-related potential (ERP) activity were compared in young and older adults on switch, post-switch, pre-switch, and no-switch trials, ordered in demand for executive processes from greatest to least. In stimulus-locked averages for young adults, only switch trials elicited fronto-central P3 components, indicative of task-set attentional reallocation, whereas in older adults, three of the four trial types evinced frontal potentials. In response-locked averages, the amplitude of a medial frontal negativity (MFN), a component reflecting conflict monitoring and detection, increased as a function of executive demands in the ERPs of the young but not those of the older adults. These data suggest altered executive processing in older adults resulting in persistent recruitment of prefrontal processes for conditions that do not require them in the young.     

A bilingual advantage for episodic memory in older adults

The ability to remember events—referred to as episodic memory—is typically subject to decline in older adulthood. Episodic memory decline has been attributed in part to less successful executive functioning, which may hinder an older adult's ability to implement controlled encoding and retrieval processes. Since bilingual older adults often show more successful executive functioning than monolinguals, they may be better able to maintain episodic memory. To examine this hypothesis, we compared bilingual and monolingual older adults on a picture scene recall task (assessing episodic memory) and a Simon task (assessing executive functioning). Bilinguals exhibited better episodic memory than their monolingual peers, recalling significantly more items overall. Within the bilingual group, earlier second language acquisition and more years speaking two languages were associated with better recall. Bilinguals also demonstrated higher executive functioning, and there was evidence that level of executive functioning was related to memory performance. Results indicate that extensive practice controlling two languages may benefit episodic memory in older adults.     

Age-related differences and complexity of ongoing activities in time- and event-based prospective memory

Aging is presumed to disrupt self-initiated processing, and a time-based prospective memory task (i.e., action to be performed at a particular time) entails more self-initiated activities than an event-based prospective memory task (i.e., action to be performed to a critical event). Accordingly, older participants are predicted to be particularly bad in a time-based prospective memory task. However, the prediction is not always confirmed. Self-initiated activities entail central executive functioning. We therefore predicted the age deficit to emerge more clearly when the performance on the ongoing task also involved more central executive functioning. Time-based prospective memory among older adults collapsed when the complexity of the ongoing task increased. However, an age deficit was also obtained when the pacing of the event-based prospective memory task was high because of the general slowing of functioning by older adults.     

Judgments of blame and forgiveness: A comparison of young adults,older adults,and older adults with dementia

IntroductionAlzheimer's disease may modify moral judgment.ObjectiveIn two studies, we assessed the impact of dementia on blame and forgiveness. Study 1 compared the ways in which young adults, older adults, and older adults with dementia cognitively integrated two factors. Study 2 assessed the number of different factors that older adults with dementia were able to integrate during these moral judgments.MethodThe participants recorded their moral judgements in a blame task and in a forgiveness task. In study 1, the two questionnaires contained scenarios built from the combination of two factors. In study 2, the participants were confronted with the same tasks under three different conditions with scenarios that combined three, four or five factors.ResultsThe data from study 1 showed that the older adults with dementia did not combine the two factors in the same way as young adults did: the combination depended on the type of moral judgment. Study 2 revealed differences in moral judgment between older adults with dementia and adults without dementia in all tasks (i.e. with three, four or five factors combined).ConclusionDementia has an impact on moral judgments. Moral judgment among people with dementia is both task- and condition-dependant.     

Decisional styles and risk of problem drinking or gambling

Addictive behaviours indicate a deficit in self regulation, with a general predisposition towards addiction implied by comorbid addictive behaviours. To determine whether common or differing decisional styles were associated with alcohol and gambling problems university students (n = 462) completed online the Melbourne Decision Making Questionnaire, Alcohol Use Disorders Identification Test, and the South Oaks Gambling Screen to assess their alcohol use, and gambling patterns. There was some comorbidity between those at risk for alcohol and gambling-related problems, with both groups frequenting more gaming venues, however, participants at risk for alcohol related problems differed in their decisional styles from those at risk for gambling problems. A greater risk of alcohol related problems was linked to lower vigilance scores and increased tendencies towards procrastination. A higher risk of gambling problems was associated with lower decisional self-esteem and an increased proneness to hypervigilance or panic. Therefore, while a predisposition towards addiction manifests as a preference for addictive behaviour, it is associated with different decisional styles. Problem drinkers are more likely to have an avoidant decisional style, while problem gamblers are not confident in their ability to make decisions, and their decisions feel pressured.