Predicting Relapse in Treatment-Seeking Pathological Gamblers using Impulsivity and Compulsivity Assays

Lead Research Organisation: University of Cambridge
Department Name: Psychology

Abstract

Gambling is a widespread behaviour that around 70% of the British population engage in at least occasionally. In some individuals, gambling spirals out of control and takes on the features of an addiction. Research into the causes of drug addiction in humans is hampered by the fact that the drugs themselves often have a damaging effect on the brain, so that it is very difficult to separate the causes from the consequences of the addiction. As a ?behavioural addiction? where no drug is consumed, problem gambling may offer some important insights into the mechanisms by which all addictions develop. The current proposal is concerned with ?pathological gambling?, the most severe form of the disorder, and we will recruit a large group of these subjects as they begin a treatment program at a specialist NHS clinic in London. Little is known about the psychological make-up of pathological gamblers in the UK, because few treatment facilities were available until recently. We will compare pathological gamblers (n=100) against healthy non-gamblers (n=50) on questionnaire measures and a computerised assessment of impulsivity (the tendency to make quick or unplanned actions) and compulsivity (the tendency to repeat an action when it is no longer productive). These psychological constructs are central to recent theories of addiction. We expect that around half our gamblers will also be addicted to either alcohol, nicotine or illicit drugs, and we will compare gamblers with and without substance addictions on the psychological assessment. We will monitor how the gamblers? symptoms improve with treatment, at a 12- and 24- week follow-up, in order to test whether psychological function at the beginning of treatment can be used to predict which gamblers will respond best. Finally, we will recruit 6 gamblers and 6 non-gamblers for a brain scan using a radioactivity-labelled dopamine drug, in order to measure levels of dopamine function in the gamblers. Changes in dopamine function are a robust finding in the substance addictions, but have not been examined in the behavioural addictions. The brain imaging data will constitute a feasibility pilot study for a larger funding bid to look at brain chemistry in problem gambling.

Technical Summary

Pathological gambling (PG) is a putative ?behavioural addiction? where a healthy and legal activity becomes dysfunctional, characterised by a pre-occupation with gambling, repeated attempts to reduce or quit gambling, and consequent functional impairment (e.g. relationships, debt, employment). Very little is known about the characteristics of treatment-seeking PG individuals in the UK, given that few treatment facilities existed until recently. The substantial cultural variability in gambling means that it is vital to corroborate international data at a national level. More broadly, research into PG also has the potential to provide key insights into vulnerability mechanisms and aetiological processes across the addictions, in brains that are not confounded by the damaging effects of chronic drug consumption. This 2-year proof-of-concept application aims to characterise the neurocognitive profile associated with PG, in treatment-seeking individuals attending the newly-established CNWL National Problem Gambling Clinic. We will compare 100 PG subjects against 50 healthy non-gamblers on a research assessment comprising clinical scales, psychometric questionnaires, and computerised neurocognitive tests that converge on the twin constructs of impulsivity and compulsivity, which are central to current theoretical models of addiction. By testing a large and clinically-representative sample, we will be able to compare PG individuals with and without co-existing substance use problems including nicotine and alcohol dependence. We will test PG subjects within two weeks of initiating a cognitive-behavioural treatment program, and we will monitor treatment response at 12- and 24- weeks to examine whether impulsivity and compulsivity measures predict which patients meet short-term treatment objectives. Finally, we will recruit a small group of PG subjects (n=6) and non-gambling controls (n=6) for a Positron Emission Tomography scan using the dopamine radioligand [18F]fallypride, in order to directly measure central dopamine neurotransmission in a behavioural addiction for the first time. Changes in dopamine function are a robust finding in substance addiction, and may underpin the impulsivity and compulsive features that are thought to characterise these disorders. The PET feasibility data will form the basis for larger funding bids to elucidate the neurochemical basis of PG.

Publications

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Bowden-Jones H (2011) Pathological gambling: a neurobiological and clinical update. in The British journal of psychiatry : the journal of mental science

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Chase HW (2010) Gambling severity predicts midbrain response to near-miss outcomes. in The Journal of neuroscience : the official journal of the Society for Neuroscience

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Lindberg A (2014) Problem Gambling

 
Description Centre for Social Justice
Geographic Reach National 
Policy Influence Type Participation in a national consultation
 
Description Invited member of expert panel (Luke Clark) and review by Ontario Problem Gambling Research Centre / Gambling Research Exchange Ontario
Geographic Reach North America 
Policy Influence Type Participation in a advisory committee
URL http://greo.ca/knowledge-transfer/conceptual-framework
 
Description LC input on BC Government information package on public health risks of gambling
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a advisory committee
URL https://www2.gov.bc.ca/gov/content/sports-culture/gambling-fundraising/news-updates/2018-02-14
 
Description Luke - Conceptual Framework v3
Geographic Reach North America 
Policy Influence Type Participation in a advisory committee
URL https://www.greo.ca/Modules/EvidenceCentre/Details/conceptual-framework-of-harmful-gambling-third-ed...
 
Description Luke - Municipal info sheet
Geographic Reach National 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
URL https://www2.gov.bc.ca/gov/content/sports-culture/gambling-fundraising/news-updates/2018-02-14
 
Description Medical Advisor to GamCare
Geographic Reach National 
Policy Influence Type Participation in advisory committee
 
Description New Trends in Addiction (RC Psych workgroup)
Geographic Reach National 
Policy Influence Type Membership of a guidance committee
 
Description RCPsych Eductional Leaflet on Problem Gambling
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Responsible Gambling Strategy Board
Geographic Reach National 
Policy Influence Type Participation in advisory committee
 
Description Royal College of Psychiatrists
Geographic Reach National 
Policy Influence Type Participation in advisory committee
 
Description Cambridge University PhD studentship
Amount £50,313 (GBP)
Organisation University of Cambridge 
Sector Academic/University
Country United Kingdom
Start  
 
Description Discovery Award 'The psychological and neural basis of money in risky decision-making'
Amount $195,000 (CAD)
Funding ID RGPIN-2017-04069 
Organisation Natural Sciences and Engineering Research Council of Canada (NSERC) 
Sector Public
Country Canada
Start 04/2017 
End 03/2021
 
Description Neural basis of gambling cognitions : relevance for vulnerability and treatment of gambling addiction
Amount £627,000 (GBP)
Funding ID G1100554 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 02/2012 
End 06/2015
 
Description Newton Trust Research Grant
Amount £7,272 (GBP)
Organisation University of Cambridge 
Department Isaac Newton Trust
Sector Academic/University
Country United Kingdom
Start  
 
Description Personal award to HBJ
Amount £225,000 (GBP)
Organisation Charles Wolfson Charitable Trust 
Sector Charity/Non Profit
Country United Kingdom
Start  
 
Description Project Grant 'The effects of reward cues on risky decision making: the role of dopamine and relevance to addiction'
Amount $612,000 (CAD)
Organisation Canadian Institutes of Health Research 
Sector Public
Country Canada
Start 03/2018 
End 02/2021
 
Description Research Grant 'Do ambitious and exploratory behaviours drive creativity in bipolar disorder? The quest for a mechanism' (PI: Sheri Johnson)
Amount $9,995 (USD)
Organisation The Sean Costello Memorial Fund for Bipolar Research 
Start 06/2017 
End 05/2019
 
Description Research Grants 2010 R2
Amount £13,882 (GBP)
Organisation The Royal Society 
Sector Academic/University
Country United Kingdom
Start  
 
Title Problem Gambling Research Consortium 
Description LC, HBJ and A Lingford-Hughes (Imperial) have instigated a consortium of researchers and clinicians who work with the National Problem Gambling Clinic. The consortium meet quarterly to review new collaborations, project proposals at the clinic, and future funding directions. Given that the clinic is the only NHS facility for gambling, the research consortium is now recognised as the only evidence-based research body in the field. 
Type Of Material Improvements to research infrastructure 
Year Produced 2010 
Provided To Others? Yes  
Impact We anticipate a number of funding bids in 2011 based on collaborations fostered through this consortium 
 
Description Amsterdam Medical Center 
Organisation Academic Medical Center
Country Netherlands 
Sector Academic/University 
PI Contribution LC hosted Ruth van Holst's post-doctoral studentship, valued 40000 Euro, from the ECNP
Collaborator Contribution Ruth van Holst was awarded a European College of Neuropsychopharmacology post-doctoral studentship to work in LC's lab for a 9 month period, and contributed expertise in assessing treatment outcomes in gamblers.
Impact A Goudriaan is a consultant on the new MRC grant (G1100554).
Start Year 2010
 
Description Imperial College 
Organisation Imperial College London
Department Faculty of Medicine
Country United Kingdom 
Sector Academic/University 
PI Contribution LC and HBJ are collaborating with an addiction imaging group at Imperial looking at neurotransmitter involvement in pathological gamblers.
Collaborator Contribution Expertise in PET imaging methodology and analysis from the MRC Cyclotron Unit at Imperial.
Impact LC and HBJ are collaborators on an MRC Programme Grant to D Nutt and A Lingford-Hughes (2011-2016, G1002226 'Neurotransmitters in opiate and alcohol addiction') to run further PET imaging studies in pathological gamblers. A Lingford-Hughes (Imperial) is a co-investigator on LC's recent MRC award (2011-2014, G1100554 'Neural basis of gambling cognitions').
Start Year 2009
 
Description UBC 
Organisation University of British Columbia
Country Canada 
Sector Academic/University 
PI Contribution Luke Clark has moved to UBC in July 2014 but is continuing to collaborate with Cambridge and London, and we are exploring avenues for multi-site research in problem gambling.
Collaborator Contribution LC applied for and was appointed as the inaugural Director of the Centre for Gambling Research at UBC.
Impact None
Start Year 2014
 
Description 15th International Conference on Gambling and Risk Taking 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Symposium talk:
Clark L 'Gambling distortions and the brain reward system' at the 15th International Conference on Gambling and Risk Taking, Las Vegas, 28 June 2013. This is the largest conference specialising in gambling and problem gambling


Collaborations with North American groups and translation of research findings to responsible gambling
Year(s) Of Engagement Activity 2013
URL http://www.unlv.edu/igi/conference/
 
Description BBC Documentary 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact HBJ and LC were interviewed by a TV production team from Matchlight for a documentary 'Gambling, Addiction and Me: The Real Hustler' aired on 22nd March 2012

further media interest and invitations to present
Year(s) Of Engagement Activity 2011
 
Description BNA 'Festival of Science' - HBJ 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact HBJ live interview for the Barbican / Wellcome Trust sponsored 'Packed Lunch' event on Arts and Science on the Brain

Increased visibility of gambling research and London clinic
Year(s) Of Engagement Activity 2013
 
Description Bowden-Jones: Student BMJ Career Interview 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach National
Primary Audience Health professionals
Results and Impact HBJ interviewed by S Ginn 'Up the ante: A psychiatrist who treats problem gamblers' for the Student British Medical Journal (BMJ) 20: e2763 (May 2012).

None
Year(s) Of Engagement Activity 2012
 
Description Bowden-Jones: Westminster 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact HBJ gave Westminster keynote seminar on 'Problem Gambling: a Patient's Journey', to MPs and Lords on the illness and the National Problem Gambling Clinic.

Increased awareness of illness and treatment provision
Year(s) Of Engagement Activity 2012
 
Description Bowden-Jones: media interviews on FOBTs 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact HBJ has provided media commentary on the public concern about Fixed Odds Betting Terminals (FOBTs), drawing on her experiences at the National Problem Gambling Clinic.

Interviews on Channel 4 Dispatches (Aug 2012), and in Daily Mirror (3 May 2012) and The Guardian Society (23rd April).
Year(s) Of Engagement Activity 2012
 
Description Bowden-Jones: media on NPGC 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact HBJ provides ongoing public awareness about the National Problem Gambling Clinic, in media interviews for BBC Panorama (20 July 2012), the Evening Standard (12 April), the Financial Times (11 Sept 2012, 29 Oct 2012).

Improved public awareness about National Problem Gambling Clinic
Year(s) Of Engagement Activity 2012
 
Description Cafe Scientifique 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact LC gave evening lecture to 40 members of the local public, with subsequent discussion, entitled 'Gambling on the Brain'.

The activity was recorded by the Naked Scientists, along with an interview, to be made available through the Naked Scientists website.
Year(s) Of Engagement Activity 2010
 
Description Cambridge Mental Wealth 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact Invited talk on 'Gambling and the Brain' about the risks of gambling and gambling addiction, as part of 'Mental Health Week' organised by the University of Cambridge Student Union, and sponsored by Mental Wealth UK

student engagement
Year(s) Of Engagement Activity 2013
 
Description Cambridge Science Week 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Around 100 members of the public attended lecture on Gambling, with discussion afterwards. Title: 'the Psychology of Gambling'

Invitations to speak at regional schools and media enquiries from advertising of talk
Year(s) Of Engagement Activity 2012
 
Description Clinic presentation (London) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact Fifteen patients with Pathological Gambling attended a 'Friends of the Clinic' meeting. Presentation of our data was on the agenda, along with discussion of the clinic practices. In response to our presentation, many of the patients in attendance were very interested in our findings, and responded that our research was very relevant to their experiences as gamblers.

For those in attendance, they reported an increased understanding of the research we are carrying out. In addition, many asked for information on a research study that we are currently carrying out (at least three individuals asked for leaflets).
Year(s) Of Engagement Activity 2014
 
Description Financial Times magazine 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Financial Times publish an interview with Henrietta on her work at the NHS clinic she founded ('The Risk Addicts'. FT Magazine, Feb 1st 2013)

Increased visibility of gambling research and London clinic
Year(s) Of Engagement Activity 2013
 
Description LATELAB: Casino scienza (Edinburgh) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Over 100 members of the public attended this event at the Edinburgh Science Festival. A talk on studying gambling in the lab (by Eve Limbrick-Oldfield) formed part of an evening that included the chance to try casino games for 'play' money and a talk on the public understanding of mathematics.

The audience gained an understanding og how gambling can be investigated in a laboratory, and with an understanding of some of our main findings.
Year(s) Of Engagement Activity 2014
 
Description LC gave colloquium talk, UBC Neuropsychiatry Grand Rounds 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact LC invited colloquium talk, University of British Columbia (Vancouver) Neuropsychiatry Grand Rounds: 'Problem Gambling and the 'Player - Product' Interaction', May 2017
Year(s) Of Engagement Activity 2017
 
Description LC gave research seminar at UCSF Alcohol & Addiction Research Group 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact LC invited talk at UC San Francisco, Alcohol and Addiction Research Group seminar series (San Francisco, May 2017): 'Gambling Disorder and the interplay between personal vulnerability and game features'
Year(s) Of Engagement Activity 2017
 
Description LC, Department Talks - 2012 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact LC was an invited speaker in the following department seminar series (average attendance: 50 people):
Institute of Cognitive Neuroscience (UCL): 5th Nov 2012
Department of Psychology, University of Bristol: 28th Nov 2012.
Department of Psychiatry, University of Cambridge: 2nd Nov 2012
Institute of Psychiatry, Kings College London: 31st May 2012
Department of Psychology, Universite Louvain-de-Neuve, Belgium: 19th Dec 2011



Dissemination of research outputs
Year(s) Of Engagement Activity 2012
 
Description Luke - Radio 5 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact BBC Radio5live Stephen Nolan show: live interview (25 mins) with Luke Clark on modern gambling machine design and personal risk factors for problem gambling, 19 Nov 2018 https://www.bbc.co.uk/programmes/b0070jd4
Year(s) Of Engagement Activity 2018
 
Description Luke - WealthSimple 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Luke Clark interview with WealthSimple 'Why Our Brains Like Gambling', 7 Feb 2019
Year(s) Of Engagement Activity 2019
URL https://www.wealthsimple.com/en-ca/magazine/data-gambling-psychology
 
Description Media Coverage of Research Study 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact We issued a press release on the Psychological Medicine paper (Michalczuk et al 2011). This was covered in at least 10 news pieces including the Daily Mail Online and the British Psychological Society website.

Raised profile of National Problem Gambling Clinic, and prompted enquiries from potential PhD students
Year(s) Of Engagement Activity 2011
 
Description Media coverage of Murch et al (2017) paper on slot machine immersion 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Widespread media coverage of one of our research papers (Murch et al 2017 Psychology of Addictive Behaviors), including CBC News website and Daily Mail:Roundhouse Radio - live interview on Mornings with Martin Strong, 16 February 2017. At: http://cirh2.streamon.fm/listen-pl-8063
CFAX 1070 Radio (Victoria, BC) - live interview with Adam Stirling, 23 February 2017.
The Province / Times Colonist "Lost in the slot machine zone", 20 February 2017. http://www.timescolonist.com/life/problem-gamblers-enter-trancelike-zone-when-they-play-slots-study-1.10131444
Vancouver Sun "Problem gamblers enter a trancelike 'zone' when they play slots, UBC study finds" by Randy Shore. 20 February 2017. http://vancouversun.com/news/local-news/problem-gamblers-enter-a-trancelike-zone-when-they-play-slots-ubc-study-finds
CBC News British Columbia "Redesign slot machines to be less attractive to problem gamblers", 20 February 2017. http://www.cbc.ca/news/canada/british-columbia/ubc-research-slot-machine-addiction-1.3991111
Global BC1, TV interview, 20 February 2017.
CBC Radio live interview on 'All Points West', 20 February 2017.
CKNW Radio (Vancouver), live interview on Charles Adler Tonight, 20 February 2017.
Newsbeat 1010 (Toronto Radio station), live interview, 20 February 2017.
Daily Mail "Slot machines really do lull gambling addicts into a trance, researchers find", 22 February 2017. http://www.dailymail.co.uk/sciencetech/article-4247192/Slot-machines-lull-gambling-addicts-trance.html
Year(s) Of Engagement Activity 2017
 
Description Media interviews on video gaming 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact LC and HBJ provided commentary to the Science Media Centre on a new paper in Translational Psychiatry using brain imaging in adolescence video gamers (Kuhn et al 2012)

LC and HBJ widely quoted in media including national newspapers (Daily Mail, Telegraph), BBC online, and Reuters online.
Year(s) Of Engagement Activity 2011
 
Description NHS Trustees Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact HBJ presentation to the Trustees of the Central and North West London NHS Trust, on the National Problem Gambling Clinic

Increased status and security of clinic.
Year(s) Of Engagement Activity 2011
 
Description National Problem Gambling Clinic - 1st Annual Conference 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact HBJ has organised the 1st conference of the National Problem Gambling Clinic in December 2010 as a means of disseminating research findings to health professionals, policymakers, academics and clients with gambling problems. HBJ and LC will both give presentations at the meeting, and the meeting will be attended by the other grant co-applicants and consultants.

None at present
Year(s) Of Engagement Activity 2010
 
Description Pittsburgh Talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact LC spoke in the Translational Neuroscience Program seminar series in the University of Pittsburgh Medical Center, to an audience of 50 academic and clinical researchers. Title 'Neural Substrates of Distorted Cognition in Gambling Addiction'

Dissemination of research outputs
Year(s) Of Engagement Activity 2012
 
Description Radio Interviews 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Media (as a channel to the public)
Results and Impact LC was interviewed about the ongoing research at the National Problem Gambling Clinic on Radio 4's 'All in the Mind' (also available as a podcast) and on BBC Radio Cambridgeshire in July 2011. HBJ was interviewed by Smooth Radio (UK) on the clinic's research in Sept 2011.

Raised visibility of clinic and MRC research
Year(s) Of Engagement Activity 2011
 
Description Research2Reality feature on Luke Clark 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Luke Clark videoed for Research2Reality 2016 discussing "What makes gambling addictive?". This is national website featuring innovative science aimed at early career scientists in Canada.
Year(s) Of Engagement Activity 2016
URL http://research2reality.com/science-society/what-makes-gambling-addictive/
 
Description Royal Opera House 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact LC published article 'The Wheel of Fortune', as an invited piece for the programme for the Royal Opera House production of Dostoevsky's 'The Gambler'.

None
Year(s) Of Engagement Activity 2010
 
Description School Visit - Bedford 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Around 50 pupils attended a talk + discussion entitled 'A Safe Bet? The Psychology of Gambling and Gambling Addiction' as a part of a series of after-school science talks


A number of pupils contacted me to discuss possibilities for studying Psychology at university (as this was not a taught A-level course within the school) and also possibilities for studying at Cambridge.
Year(s) Of Engagement Activity 2011
 
Description School visit (Little Chalfont) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Schools
Results and Impact Approx 200 sixth form students attended a science talk, with additional discussion about careers in psychology and at Cambridge

School became aware of new 3 year psychology degree offered by Cambridge, starting 2013.
Year(s) Of Engagement Activity 2012
 
Description Seminar to professional sports associations 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Board members from the Professional Footballers Association, the FA, UK Cricketers and UK Rugby Players Associations attended a seminar on problem gambling by HBJ at the NCPG.

Some research underway looking at gambling behaviour in footballers
Year(s) Of Engagement Activity 2011
 
Description TEDMED talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact HBJ invited to give a TEDMED Lecture 'Treating Addiction Against all Odds'

Increased visibility of gambling research and London clinic
Year(s) Of Engagement Activity 2013
URL http://www.tedmedliveimperial.com/