{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:41:47Z","timestamp":1790671307303,"version":"4.1.0"},"reference-count":90,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2019,1,20]]},"abstract":"<jats:sec sec-type=\"background and aims\">\n          <jats:title>Background and aims<\/jats:title>\n          <jats:p>Deficits in emotion regulation (ER) are associated with mental disorders. To date, there are hardly any studies focusing on the role of ER strategies in the context of gambling behavior. The aim of this study was to investigate the association between specific ER strategies and pathological as well as problematic gambling in a proactively recruited sample.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"methods\">\n          <jats:title>Methods<\/jats:title>\n          <jats:p>A large and unselected sample (<jats:italic>n<\/jats:italic>\u2009=\u20094,928) has been screened proactively and systematically in vocational schools. We assessed the Affective Style Questionnaire to measure ER strategies and the Stinchfield questionnaire for assessing problematic and pathological gambling. Associations were investigated with linear and multinomial logistic regression analyses.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"results\">\n          <jats:title>Results<\/jats:title>\n          <jats:p>The analyses showed a significant negative correlation between the subscales \u201cAdjusting\u201d and \u201cTolerating\u201d and the Stinchfield sum score. Lower scores on these subscales were associated with a higher number of endorsed Stinchfield items. A lower score on the ER strategies \u201cAdjusting\u201d [conditional odds ratio (COR)\u2009=\u20090.95, confidence interval (CI)\u2009=\u20090.91\u20130.99] and \u201cTolerating\u201d [COR\u2009=\u20090.95, CI\u2009=\u20090.92\u201399] led to a higher chance of being classified as a pathological gambler. In problematic gambling, on a subthreshold level, only \u201cTolerating\u201d turned out to be significant [COR\u2009=\u20090.96, CI\u2009=\u20090.93\u20130.99].<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"discussion and conclusions\">\n          <jats:title>Discussion and conclusions<\/jats:title>\n          <jats:p>For the first time, deficits in specific ER strategies were identified as independent risk factors for problematic and pathological gambling in a large and proactively recruited sample. ER skills, especially acceptance-focused strategies, should be considered in prevention and psychotherapy.<\/jats:p>\n        <\/jats:sec>","DOI":"10.1556\/2006.7.2018.136","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T07:39:25Z","timestamp":1548056365000},"page":"94-102","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":13,"title":["Deficits in emotion regulation strategies among problematic and pathological gamblers in a sample of vocational school students"],"prefix":"10.1556","volume":"8","author":[{"given":"Svenja","family":"Orlowski","sequence":"first","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Bischof","sequence":"additional","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of 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