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. 2015 Nov 3;3:1–8. doi: 10.1016/j.abrep.2015.10.001

Table 1.

Ratings for stigma-related barriers to help-seeking by gender.

Males Females
Financial consequences
Continue to gamble to cover losses (6) High High
Use money from your own business/disability money to gamble (35) High High
Job loss (48) High Moderate
Financial ruin (49) High High
Debt/financial losses/bankruptcy (55) High Moderate
Embezzle money from your employer (64) High High
Stealing (73) High Moderate



Escape from reality
Feels good like drugs and alcohol (1) Low Moderate
Feel lucky (4) Low High
Receive VIP treatment (16) Low Moderate
Gambling reduces stress (24) Low Moderate
Casino tricks you into thinking you can win (25) Low Moderate
People use excuses or illogical reasons to gamble (26) High Moderate
Hypnotic/lose sense of time (no clocks on floor, lots of noise/lights/colour) (32) Low Moderate
Perception that the games are rigged (36) Low Low
Fun (39) Moderate Moderate
Can forget worries and find peace (46) Moderate Moderate
Constant highs and lows (47) High Moderate
Physiologically arousing (59) Moderate Moderate
Gambling relieves boredom (60) Low Moderate
Thrilling to win (65) Moderate Moderate
Gambling is an escape from reality (66) Moderate Moderate
Entertaining (68) Low High
No language barrier (69) Low Low



Seductions of gambling
Believe the casino can be beat (5) Low High
Can help resolve your financial problems (9) High High
Casinos make you feel important when you spend lots of money (12) Low Moderate
Casino is an uplifting environment (21) Low Moderate
Acquire large sums of money quickly (27) High High
Gambling is a way to kill time (30) Moderate Moderate
Can meet people but do not have to develop relationship (37) Low Low
Meet people/friends (44) Low Moderate
Enjoy perks of casinos (e.g. good food, free shows, alcohol, open long hours, incentives to play, easy access) (62) Moderate High



Gambling is addictive
Gambling is a worse addiction (e.g. don't get sick like with drugs and alcohol) (10) High Moderate
Use gambling as a ways to cope (18) High Low
Blame others for losing (29) Moderate Low
Blame ourselves for the loss (31) Low Moderate
Binge gambling (33) High Moderate
Can't stop even if you want to (43) High Moderate
Can't accept losses (52) Moderate Moderate
Get a gut feeling if you will win or lose (53) High High
Gambling takes over your life (54) High High
Don't want to admit you are addicted (56) Moderate Moderate
Gambling is always on your mind (constant thought of it) (58) High Moderate



Emotional responses to the addiction
Feel isolated (7) Moderate Moderate
Gambling increases alcohol and drug use (8) Low Moderate
Lose self-respect/self-esteem (13) High Moderate
Frustrated when losing (14) High Low
Get physical pain when your lose (feel sick) (17) Moderate Low
Sense of failure (19) High Moderate
Gambling is like alcoholism (22) Moderate Moderate
Shame (28) High Moderate
Can lead to desperation (34) High Moderate
Gambling leads to anger at self (40) Moderate Low
Deep down people don't feel good about themselves (42) Moderate Moderate
Will go insane if you stop gambling (50) Moderate Moderate
Anxiety (51) High Moderate
Gambling can lead to suicide (63) High Moderate
Depression (67) Moderate Moderate
Physiologically and mentally exhausting (70) Moderate Low



Destruction of family and relationships
The severity of the problem is a shock for families (2) High Low
Creates rifts/conflicts in relationships (3) High Moderate
Feel pressure from spouse/friends to gamble (11) Low Moderate
Loss of trust of family members (15) Moderate Moderate
Use money meant for family (20) Moderate Moderate
Anger from families (23) High Moderate
Emotional neglect of children (38) Moderate Moderate
Material neglect of children (41) Low Moderate
Destroys relationships/marriages (45) High Moderate
Dishonesty (e.g. lie to family, at work, etc.) (57) High High
Lose friendships (61) Moderate Low
Hide the problem from family (71) Moderate Moderate
Children may be apprehended due to parental gambling (72) Low Moderate

Note: Bracketed numbers represent statement numbers from 1 to 73.