Self-stigma coping and treatment-seeking in problem gambling

Stigma has been explored as a cause of reduced and delayed treatment-seeking for problem gambling, a population in which only 1 in 10 seek treatment. The present study examined the effect of perceived public stigma and self-stigma on affect and behavioural coping efforts. Path analysis was used to examine self-stigma in 155 individuals with gambling problems. The majority of participants met criteria for a gambling disorder (93.5%), were current gamblers (69%) and had never sought treatment (54.2%). The data fit the proposed path model well; self-stigma was associated with reduced self-esteem and increased shame. Shame predicted use of secrecy and withdrawal coping. Endorsement of negative stereotypes of 'problem gamblers' was associated with decreased treatment-seeking while greater self-stigma predicted increased treatment-seeking. Additional predictors of increased treatment-seeking included greater gambling problem severity, more positive attitudes towards treatment, male sex and higher income. Self-stigma increased rather than decreased treatment-seeking in this analysis. Efforts to increase treatment-seeking could target women, those with lower income and those with less severe gambling problems.