DOI QR코드

DOI QR Code

Verification of the Theory of Planned Behavior that Predicts the Intention for Gambling Abstinence of Problem Gamblers

문제도박자의 단도박 의도를 예측하는 계획된 행동 이론 검증

  • Park, Keun-Woo (Center on Gambling Problems, Kyungnam of Korea) ;
  • Seo, Mi-kyung (Department of Social Welfare, Gyeongsang National University)
  • 박근우 (한국도박문제관리센터 경남센터) ;
  • 서미경 (경상대학교 사회복지학과)
  • Received : 2019.07.22
  • Accepted : 2019.11.01
  • Published : 2019.11.30

Abstract

The purpose of this study is to verify the feasibility of a model, based on the Theory of Planned Behavior (TPB), that predicts the intention of a problem gambler to abstain from gambling. In order to investigate attitudes toward gambling abstinence, subjective norms, perceived behavior control, and intentions to abstain from gambling, we surveyed 100 problem gamblers who used community-based service centers. Furthermore, we analyzed by the structural equation model whether attitude toward gambling abstinence, subjective norms, and perceived behavior control can influence the intention to abstain from gambling. The analysis of the study model revealed that the most powerful predictor of the gambling abstinence intention is perceived behavior control, followed by a positive attitude toward gambling abstinence. In contrast, subjective norms did not show a significant influence on intentions for gambling abstinence. Based on these results, we propose cognitive-behavioral interventions to improve attitudes and self-efficacy toward gambling abstinence in order to help problem gamblers recover. In other words, continuous support and coping-skills training are needed to reinforce the belief that people can recover from a gambling problem, and information and education on problem gambling to improve positive attitudes can also be helpful. Therefore, it is possible to consider not only the treatment of gambling problems, but also to provide preventive interventions centering on the addiction management institution.

본 연구는 계획된 행동이론에 근거하여 문제도박자의 단도박 의도를 예측하는 모형의 적용가능성을 검증하기 위함이다. 지역사회 기관을 이용하는 문제도박자 100명을 대상으로 단도박 태도, 주관적 규범, 지각된 통제력과 단도박 의도를 조사하였다. 그리고 계획된 행동이론에 기반한 모형검증을 위해 단도박 태도, 주관적 규범, 지각된 통제력이 단도박 의도에 영향을 미치는지 구조방정식 모형으로 분석하였다. 연구모형 분석결과 단도박 의도에 가장 강력한 예측요인은 지각된 통제력이고 그다음이 단도박 태도였다. 그러나 주관적 규범은 단도박 의도에 의미 있는 영향력을 가지지 않았다. 이러한 결과를 바탕으로 본 연구자들은 문제도박자의 회복을 위해 단도박 효능감과 단도박 행동에 대한 긍정적 태도를 향상시키기 위한 인지행동적 개입을 제안하였다. 즉, 도박문제로부터 회복할 수 있다는 신념 강화를 위해 지속적인 지지와 대처기술훈련이 필요하고, 긍정적 태도를 향상하기 위한 도박문제 정보제공과 교육 역시 도움이 될 수 있다. 따라서 중독관리기관을 중심으로 도박문제에 대한 치료뿐만 아니라 예방 차원의 개입을 고려해 볼 수 있다.

Keywords

References

  1. The National Gaming Control Commission, Investigation of Usage Condition of Gambling Industry in South Korea, The National Gaming Control Commission, Korea, 2018.
  2. H. C. Cho, K. W. Park, "A comparative study of different age groups about the effects of ecological systematic factors on the onset of adolescents' gambling behavior: Applying discrete-time survival analysis", Korean Journal of Youth Studies, Vol.24, No.10, pp.309-338, 2017. https://doi.org/10.21509/kjys.2017.10.24.10.309
  3. N. Hing, A. Russell, E. Nuske, S. Gainsbury, The Stigma of Problem Gambling: Causes, Characteristics and Consequences, Victorian Responsible Gambling Foundation, Australia, 2015.
  4. L. Evans, P. Delfabbro, "Motivators for change and barriers to help-seeking in Australian problem gamblers", Journal of Gambling Studies, Vol.21, No.2, pp.133-155, 2005. DOI: https://doi.org/10.1007/s10899-005-3029-4
  5. H. Suurvali, D. Hodgins, T. Toneatto, J. Cunningham, "Treatment seeking among Ontario problem gamblers: Results of a population survey", Psychiatric Services, Vol.59, No.11, pp.1343-1346, 2008. DOI: https://doi.org/10.1176/appi.ps.59.11.1343.
  6. H. Tavares, S. S. Martins, M. L. Zilberman, N. el-Guebaly, "Gamblers seeking treatment: Why haven't they come earlier?", Addictive Disorders and Their Treatment, Vol.2, No.1, pp.65-69, 2002. DOI: https://doi.org/10.1097/00132576-200206000-00005
  7. D. C. Hodgins, J. N. Stea, J. E. Grant, "Gambling disorders", The Lancet, Vol.378, No.9806, pp. 1874-1884, 2011. DOI: https://doi.org/10.1016/S0140-6736(10)62185-X
  8. I. Ajzen, "Perceived behavioral control, self‐efficacy, locus of control, and the Theory of Planned Behavior", Journal of Applied Social Psychology, Vol.32, No.4, pp.665-683, 2002. DOI: https://doi.org/10.1111/j.1559-1816.2002.tb00236.x
  9. M. K. Seo, "Health-management behavior among persons with mental illness: An application of the Theory of Planned Behavior", Korean Journal of Social Welfare, Vol.70, No.4, pp.191-213, 2018. https://doi.org/10.20970/kasw.2018.70.4.008
  10. R. R. C. McEachan, M. Conner, N. J. Taylor, R. J. Lawton, "Prospective prediction of health-related behaviours with the Theory of Planned Behaviour: A meta-analysis", Health Psychology Review, Vol.5, No.2, pp.97-144, 2011. DOI: https://doi.org/10.1080/17437199.2010.521684
  11. T. Stecker, M. P. McGovern, B. Herr, "An intervention to increase alcohol treatment engagement: A pilot trial", Journal of Substance Abuse Treatment, Vol.43, No.2, pp.161-167, 2012. DOI: https://doi.org/10.1016/j.jsat.2011.10.028
  12. S. E. Zemore, I. Ajzen, "Predicting substance abuse treatment completion using a new scale based on the Theory of Planned Behavior", Journal of Substance Abuse Treatment, Vol.46, No.2, pp. 174-182, 2014. DOI: https://doi.org/10.1016/j.jsat.2013.06.011
  13. G. J. Westerhof, M. Maessen, R. de Bruijn, B. Smets, "Intentions to seek(preventive) psychological help among older adults: An application of the Theory of Planned Behavior", Aging and Mental Health, Vol.12, No.3, pp.317-322, 2008. DOI: https://doi.org/10.1080/13607860802120797
  14. P. K. H. Mo, W. W. S. Mak, "Help-seeking for mental health problems among Chinese", Social Psychiatry and Psychiatric Epidemiology, Vol.44, No.8, pp.675-684, 2009. DOI: https://doi.org/10.1007/s00127-008-0484-0
  15. G. Schomerus, H. Matschinger, M. C. Angermeyer, "Attitudes that determine willingness to seek psychiatric help for depression: A representative population survey applying the Theory of Planned Behaviour", Psychological Medicine, Vol.39, No.11, pp.1855-1865, 2009. DOI: https://doi.org/10.1017/S0033291709005832
  16. S. J. Kwon, K. H. Kim, J. W. ChoI, "Awareness of adult gambling and predictors of gambling behavior in Children", Korean Journal of Health Psychology: Health, Vol.11, No.1, pp.147-162, 2006.
  17. M. Conner, K. Black, P. Stratton, "Understanding drug compliance in a psychiatric population: An application of the Theory of Planned Behavior", Psychology, Health and Medicine, Vol.3, No.3, pp.337-344, 2007. DOI: https://doi.org/10.1080/13548509808400607
  18. A. Kopelowicz, R. Zarate, C. J. Wallace, R. P. Liberman, S. R. Lopez, J. Mintz, "Using the Theory of Planned Behavior to improve treatment adherence in Mexican Americans with schizophrenia", Journal of Consulting and Clinical Psychology, Vol.83, No.5, pp.985-993, 2015. DOI: http://dx.doi.org/10.1037/a0039346
  19. M. K. Lee, D. W. Han, "A Test of model to explaining restrained eating behavior: Exploring the modified Theory of Planned Behavior Model", Korean Journal of Health Psychology: Health, Vol.6, No.2, pp.173-190, 2001.
  20. I, Ajzen, "Constructing a TPB questionnaire: Conceptual and Methodological Considerations 2006", Available From: http://www.unix.oit.umass.edu/tpb.measurement (accessed Feb, 10, 2018)
  21. S. E. Zemore, L. A. Kaskutas, "Development and validation of the Alcoholics Anonymous intention measure", Drug and Alcohol Dependence, Vol.104, No.3, pp.204-211, 2009. DOI: https://doi.org/10.1016/j.drugalcdep.2009.04.019
  22. J. C. Anderson, D. W. Gerbing, "Structural equation modeling in practice: A review and recommended two-step approach", Psychological Bulletin, Vol.103, No.3, pp.411-423, 1998. DOI: https://doi.org/10.1037/0033-2909.103.3.411
  23. M. Corbiere, S. Zaniboni, T. Lecomte, G. Bond, P. Y. Gilles, A. Lesage, E. Goldner, "Job acquisition for people with severe mental illness enrolled in supported employment programs: A theoretically grounded empirical study", Journal of Occupational Rehabilitation, Vol.21, No.3, pp.342-354, 2011. DOI: https://doi.org/10.1007/s10926-011-9315-3
  24. B. T. Mausbach, R. C. Moore, T. Davine, V. Cardenas, C. R. Bowie, J. Ho, D. V. Jeste, T. L. Patterson, "The use of the Theory of Planned Behavior to predict engagement in functional behaviors in schizophrenia", Psychiatry Research, Vol.205, No.1-2, pp.36-42, 2013. DOI: https://doi.org/10.1016/j.psychres.2012.09.016
  25. F. Aguirre, Understanding Help-seeking Behavior in College Students of Mexican Origin Who are Suffering from Anxious and/or Depressive Symptoms, ph.D dissertation, University of Texas, Austin, USA, 2012.
  26. L. M. Bohon, K. A. Cotter, R. L. Kravitz, P. C. Cello Jr, E. Fernandez y Garcia, "The Theory of Planned Behavior as it predicts potential intention to seek mental health services for depression among college students", Journal of American College Health, Vol.64, No.8, pp.593-603, 2016. DOI: https://doi.org/10.1080/07448481.2016.1207646
  27. B. M. Booth, K. E. Stewart, G. M. Curran, A. M. Cheney, T. F. Borders, "Beliefs and attitudes regarding drug treatment: Application of the Theory of Planned Behavior in African-American cocaine users", Addictive Behaviors, Vol.39, No.10, pp.1441-1446, 2014. DOI: https://doi.org/10.1016/j.addbeh.2014.05.012
  28. M. Ataee, T. A. Jouybari, M. M. Alavijeh, A. Aghaei, M. Mahboubi, F. Z. Motlagh, "Factors related with intention to methadone maintenance treatment among Iranian men addicts", Life Science Journal, Vol.11, No.4s, pp.228-231, 2014.
  29. N. H. Kim, A Study on Drug Users' Intention to Use Treatment Services : Application of the Behavioral Model of Health Services Use and the Theory of Planned Behavior, ph.D dissertation, Seoul National University, Seoul, Korea, 2015.
  30. P. Skogstad, F. P. Deane, J. Spicer, "Social‐cognitive determinants of help‐seeking for mental health problems among prison inmates", Criminal Behaviour and Mental Health, Vol.16, No.1, pp.43-59, 2006. DOI: https://doi.org/10.1002/cbm.54