![]() These factors do not account for the complex interactions of facilitatory and protective factors that affect relapse in problem gambling. Furthermore, the majority of studies exploring relapse in problem gambling have focused mainly on single factors in isolation. Despite these harms, little is understood about relapse in problem gambling and the current literature has limited explanatory power for this complex phenomenon to date. Furthermore, a significant proportion of PGs relapse and, in the majority of these gamblers, relapse will likely result in uncontrolled gambling behaviour with many damaging consequences for the person and those around them. In addition, financial pressures damaged relationships and caused emotional and psychological distress. In one study, the total burden of harms to gamblers was found to be higher than common health conditions such as diabetes and arthritis and, possibly, the levels of anxiety and depressive disorders also. Problem gamblers (PG) experience high levels of depression, anxiety, suicidal ideation, dissociation, and significant harms. Conclusions: These findings provide insights into relapse which has implications for gamblers seeking treatment, assessment and treatment “drop-outs”. Exiting this cycle means PGs must face the consequences of their gambling which for many is overwhelming, and relapse is a way to avoid despair. Once on this “merry go round”, relapse becomes a habitual way of life where behaviour change and learning from the devastation of a gambling relapse is challenging. Results: The avoidance of negative emotions from the consequences of the destructive behaviour associated with repeated relapse leads to a hopeless “merry-go-round”. Interview recordings were analysed using thematic, textual analysis. ![]() The new knowledge obtained was from PGs, significant others, and workers with direct experience of gambling relapse. Methods: The study comprised of ( n = 54) participants purposefully selected who participated in either 1 of 5 focus groups ( n = 35) or in-depth interviews ( n = 19). This paper addresses the phenomenon of repeated gambling relapse shedding some insights into why gamblers continue to relapse. ![]() Paradoxically, regardless of these negative consequences problem gamblers (PGs) continue to relapse, seemingly unable to stop this cycle of harm. Background: Our understanding of gambling relapse is limited despite the damaging consequences affecting many aspects of the gambler’s life. ![]()
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