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Despite the above findings, many studies use a methodology that makes it difficult to separate relevant factors, including the frequency of participation in each form and access to gambling. First, some studies have measured Internet gambling as individual gambling activities rather than a form of access to specific gambling activities (e.g., [15, 42]), making it impossible to identify the impact of specific Internet gambling on the problem. Second, the study statistically controls engagement in multiple forms by using the sum of the gambled activities while retaining the original or transformed activity indicators in the regression model. This may lead to biased results because of the collinearity between the scale of complex involvement and the scale of activity derived directly from it . In addition, this method of control of involvement essentially controls the participation in individual activities and may distort and suppress the estimation of the impact of problem gambling.
Problem While the severity of gambling is an important factor to consider in establishing the impact of a particular activity, overall psychological distress is also important. Several studies have shown that reduced mental health and psychological distress predict a higher severity of problem gambling [2, 44]. One study in Australia suggested that land-based gamblers reported greater psychological distress than internet-based gamblers  and that there could be covariates associated with distress in addition to the experience of the problem. Although gambling disorders are highly coexisting with other mental disorders [4, 45, 46], most studies have not observed the direction of causality. Therefore, it is important to consider the inherent relationship between psychological distress and participation in a particular gambling activity and a particular mode of access. Purpose of this study
Participants were asked how often they gambled online with real money in lottery, EGM, sports betting, e-sports betting, race betting, poker, casino card/table games and other activity types in the past four weeks. For each activity type, participants could indicate whether they have gambled in the activity. Four: “Not in the past four weeks” (1), “At least once in the past four weeks” (2), “At least once a week” (3), and “At least once a day” (4). Seniority Co
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