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Self-Labelling, Causal Attributions and Perceived Stigma in People Negatively Affected by Gambling
Tyler McGinlay1, Paul Delfabbro2, Daniel King3
1School of Psychology, University of Adelaide, Adelaide, SA, Australia.
Journal of Gambling Studies
|October 23, 2025
Summary
People with gambling problems rarely use public health terms, preferring clinical labels like "addicted." Stigma is linked to problem severity but reduced by internal attributions, questioning current public health messaging.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Understanding self-labeling and stigma is crucial for addressing gambling-related problems.
- Current public health approaches emphasize harm-related terminology, but individual preferences for labeling remain under-explored.
Purpose of the Study:
- To compare the use of clinical versus public health labels for gambling harm among individuals with gambling problems.
- To investigate the relationship between stigma, causal attributions, and the adoption of clinical labels.
Main Methods:
- A sample of 300 individuals with current or past substantial gambling problems was surveyed.
- Data collected included self-reported labels used, perceived stigma, and attributions for gambling behavior.
Main Results:
- Public health terminology for gambling harm was rarely adopted by participants.
- Clinical terms like 'addicted' were common self-labels, particularly when discussing issues with others.
- Stigma and clinical label use correlated with gambling problem severity but were lower with internal attributions.
Conclusions:
- Individual preferences significantly influence the adoption of labels for gambling problems.
- The effectiveness of current public health strategies emphasizing harm-related labels requires re-evaluation.
- Careful language use in public health discourse is essential for reducing stigma associated with gambling disorder.
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