Evidence map›Paper›PMID 42742897›Full record

ArticleJournal of gambling studies2026

A Gambling Financial Harm Screener (GFHS) for Payment Institutions: Multi-Method Development and Preliminary Validation.

Nathan Lakew, Jakob Jonsson, Joakim Abdinur Iusuf, Kasra Ghaharian, Philip Lindner

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Article in Journal of gambling studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nathan LakewCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, Stockholm, 113 64, Sweden. nathan.lakew@ki.se.ORCID http://orcid.org/0000-0002-6490-1014
Jakob JonssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, Stockholm, 113 64, Sweden.ORCID http://orcid.org/0000-0003-3908-5841
Joakim Abdinur IusufCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, Stockholm, 113 64, Sweden.ORCID http://orcid.org/0009-0005-7846-2306
Kasra GhaharianInternational Gaming Institute, University of Nevada, Las Vegas, NV, USA.ORCID http://orcid.org/0000-0003-4238-0278
Philip LindnerCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, Stockholm, 113 64, Sweden.ORCID http://orcid.org/0000-0002-3061-501X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disordered gambling, a form of behavioral addiction characterized by persistent gambling despite harmful consequences, is inherently associated with financial harm. While established diagnostic instruments exist, they are primarily designed for clinical or gambling-service contexts and are not readily applicable within financial system infrastructures that process gambling-related transactions. The current study describes the development and initial validation of the Gambling Financial Harm Screener (GFHS), a psychometrically grounded instrument designed to assess gambling-related harm through financial activity patterns. The study drew on two separate datasets: real-world payment transactions (N = 2,301) to establish the feasibility of operationalizing behavioral indicators, and an independent survey-validation sample (N= 324) for psychometric evaluation. Exploratory and confirmatory factor analyses supported a two-factor structure that distinguished Behavioral Financial Harm (BFH) from Subjective Financial Distress (SFD), with high internal consistency across both factors (ordinal α= .887 and .890). The resulting self-report scales (13-, 9-, and 6-item versions) showed strong discrimination of problem gambling (PGSI ≥ 8; test-set AUCs = .89-.94). A transaction-only proof-of-concept version (GFHS-T6), evaluated using self-reported analogues of transaction-derived behaviors, showed good discrimination of problem gambling (PGSI ≥ 8; test-set AUC = .91) and demonstrated the feasibility of identifying harmful behavioral patterns from financial indicators. We conclude that the GFHS provides a structured framework for assessing gambling-related financial harm, whereas the GFHS-T6 demonstrates the potential for transaction-based screening in payment-system environments. Supplementary materials include developer guidance to support staged, non-commercial implementation.

Indexed as

Behavioral addictionFinancial harmProblem gamblingScreening instrumentTransaction data

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.