{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:32:05Z","timestamp":1791999125142,"version":"4.4.0"},"reference-count":52,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Individuals with gambling disorder (GD) harbor cognitive distortions and dysfunctional beliefs about gambling that may foster problematic gambling behaviour. Evidence on particularly detrimental attitudes and beliefs is however lacking. To close this knowledge gap, we analysed associations between gambling attitudes and beliefs (Gambling Attitudes and Beliefs Survey (GABS-15)) and severity of gambling disorder (DSM-5 criteria met) in a German cohort of 123 individuals receiving outpatient gambling treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the \"Katamnese-Study\" covering a 36-months timeframe with 5 assessment points was pooled. The multidimensional structure of the GABS-15 was examined using explorative and confirmatory factor analyses, followed by mixed-effect regression models using different operationalizations of the GABS-15.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A three-factorial structure comprising \u201cattitudes while gambling\u201d, \u201csensation-seeking \/ excitement\u201d, and \"gambling fallacies\u201d demonstrated better fit indices than the GABS-15 sum score. Only the \"gambling fallacies \" factor (1.00, p&amp;lt;0.05; 15.36, p &amp;lt; 0.01) was significantly associated with increased severity of GD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>As a one-dimensional conceptualization of gambling-related attitudes and beliefs might not sufficiently guide staff of outpatient treatment facilities regarding priority setting in gambling care, evidence on attitudes with particularly detrimental associations is highly warranted. Here, focussing on mitigating \"gambling' fallacies\" by tailored treatment strategies appears promising.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1481733","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T04:40:57Z","timestamp":1729485657000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gambling-related attitudes and dimensional structure of the GABS-15 in outpatient addiction care patients: associations with gambling disorder"],"prefix":"10.3389","volume":"15","author":[{"given":"Andreas M.","family":"Bickl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna K.","family":"Loy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludwig","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Gr\u00fcne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Hoch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Schwarzkopf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"B1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM-5","year":"2013"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2020.04.003","article-title":"The changing epidemiology of gambling disorder and gambling-related harm public health implications","volume":"184","author":"Abbott","year":"2020","journal-title":"Public Health"},{"key":"B3","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1111\/add.15241","article-title":"Setting limits: gambling, science and public policy\u2014summary of results","volume":"116","author":"Sulkunen","year":"2021","journal-title":"Addiction"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3109\/10826089909039417","article-title":"Cognitive psychopathology of problem gambling","volume":"34","author":"Toneatto","year":"1999","journal-title":"Subst Use Misuse"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(99)00052-5","article-title":"Chasing\u201d in gambling behavior: Personality and cognitive determinants","volume":"27","author":"Breen","year":"1999","journal-title":"Pers Individ Dif"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2003.10.014","article-title":"Faites vos jeux! 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