Problem Gambling Among Spanish University Students: A Gender Perspective Analysis and Its Public Health Relevance.

The present study aimed to analyze the differences in psychopathological symptomatology between men and women who participate in online gambling, as well as to explore the relationship between this symptomatology and different risk profiles. The sample consisted of 382 participants, all university students from a province in Spain, of whom 261 were men (68.3%) and 121 were women (31.7%), with a mean age of 21.8 years (SD = 3.2; range = 18-30 years). Psychopathological symptomatology was assessed using the SAS-45, while gambling risk profiles were determined using an ad hoc questionnaire. The results of the risk profiles were formed by categorizing the SOG-RA Scale scores into non-risk gambler, at-risk gambler, and pathological gambler. The results evidenced that gender and risk profile are determining factors in the manifestation of psychopathological symptoms. It was observed that women tend to internalize their emotional problems, presenting higher levels of depression, anxiety, and interpersonal sensitivity, while men exhibit a greater propensity to externalize their symptoms, manifesting hostility, paranoid ideation, and psychoticism. Furthermore, gamblers with high-risk profiles showed higher scores in both internalizing and externalizing symptoms. Significant correlations were identified between risk profile, psychopathological symptomatology, and cognitive distortions, suggesting the need for comprehensive interventions differentiated by gender. These findings provide valuable information for the design of specific treatments that address the emotional and cognitive needs of problem gamblers, contributing to improving the effectiveness of therapeutic strategies in the context of problem gambling. University gambling is an emerging public health issue with consequences that extend beyond the individual, affecting educational, social, and economic well-being. This study addresses a critical gap by delineating gender-specific psychopathological profiles across gambling risk categories, providing actionable evidence to inform campus-based screening and targeted prevention strategies. The findings underscore the necessity of integrating gender-responsive interventions and upstream measures-such as early detection within student health services and harm-reduction messaging-to effectively mitigate gambling-related harm.