'Better understanding of addictions could help develop policies and support'

The University of Plymouth has produced potentially ground-breaking research for the Gambling Commission

The University of Plymouth's Roland Levinsky building at dusk
Author: Andrew KayPublished 9th Feb 2026

A University of Plymouth-backed study suggests the impacts of severe gambling are the equivalent to physical and mental wellbeing as both a chronic health condition or alcohol and illegal drug use.

The research found that experiencing gambling harm can result in a 16% reduction in a person’s ability to carry out everyday tasks (referred to in the study as their capability wellbeing), and a 14% reduction in their quality of life (referred to as their health utility).

The percentages are comparable to those experiencing the highest levels of harm driven by cocaine and alcohol use, as well as those with health conditions including depression and opiate dependence.

Dr James Close, Associate Professor at the University of Plymouth, said: "Gambling is increasingly being recognised as a public health issue, but the need for better understanding and measurement of gambling-related harms is also widely acknowledged.

"Our findings, and the measures we have designed to reach them, represent a paradigm shift in how we understand and measure gambling harms.

"By directly capturing actual harm rather than risk, and by including the voices of affected others and those with first-hand experience, they provide a foundation for evidence-based policy and practice that is fully aligned with public health principles."

Dr Close went on to explain: "Spouses, children, parents, families and close friends also experience substantial “second-hand” harms, the research found, with impacts on their health and wellbeing approaching those experienced by the people who gamble themselves.

"And while cases of severe gambling harms (for example, those experiencing major relationship breakdowns and/or financial crisis) are the most affected individually, the largest share of population harm comes from low and moderate-severity gambling harms (from experiencing low mood and day-to-day financial issues because of their gambling) because they are far more common."

The work was led by academics at the University of Plymouth, in collaboration with the University of Bristol, the National Centre for Social Research and others working across the sector. It was funded as part of the Gambling Commission’s Regulatory Settlement Fund and represents the first comprehensive effort to measure and understand the true extent of gambling-related harms in Great Britain through a public health lens.

The researchers involved say their results show how tools currently used to identify “problem gambling” underestimate the full extent of harm it causes to individuals and those close to them.

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