(PS1-16) Gambling Knowledge in Problem and Responsible Gambling: A Review and Considerations for Clinical Practice

With recent technological advancements and legislative changes in the U.S. gambling landscape, there has been a growing emphasis on research into responsible and problem gambling (Winters et al., 2022). One relevant fact may be gambling-related knowledge, which has been framed as a protective factor against problem gambling and a potential avenue for harm reduction and recovery (Keen et al., 2017). However, emerging evidence suggests that perceived knowledge—particularly in sports gambling—may contribute to increased risk-taking and problematic gambling behaviors (Connolly et al., in preparation). The widespread legalization of sports betting, coupled with a surge in gambling-related advertising, has amplified the perception that player knowledge is a key component of successful gambling, potentially influencing engagement patterns and risk perception.

Despite its significance, gambling knowledge remains an underexplored construct, with studies varying widely in how they define and measure it. The present systematic review synthesizes existing research on gambling knowledge, with a particular focus on its conceptualization, measurement, and associations with both responsible and problematic gambling behaviors. Special attention is given to differences in how knowledge is operationalized (e.g., objective knowledge vs. perceived knowledge) and its relationship to gambling outcomes. Findings suggest that while some forms of gambling knowledge may promote responsible play, overestimation of one’s knowledge—especially in skill-based gambling contexts—may contribute to riskier gambling behavior.

By identifying trends and gaps in the literature, this review aims to provide insights into the role of gambling knowledge in player behavior and its implications for clinical practice. Understanding how different dimensions of gambling knowledge influence decision-making and risk perception can help refine responsible gambling initiatives and inform prevention and intervention strategies. This review contributes to the broader conversation on gambling literacy and harm reduction, particularly in the rapidly evolving sports gambling landscape.