Howard Shaffer

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. ncbi request reprint Gambling, drinking, smoking and other health risk activities among casino employees
    H J Shaffer
    Harvard Medical School, Division on Addictions, Boston, MA 02115 5729, USA
    Am J Ind Med 36:365-78. 1999
  2. ncbi request reprint Correlates of college student gambling in the United States
    Richard A LaBrie
    Division on Addictions, Harvard Medical School, Boston, Massachusetts 02215, USA
    J Am Coll Health 52:53-62. 2003
  3. ncbi request reprint Men & women playing games: gender and the gambling preferences of Iowa gambling treatment program participants
    Debi A LaPlante
    Division on Addictions, Harvard Medical School, Medford, MA 02155, USA
    J Gambl Stud 22:65-80. 2006
  4. doi request reprint Disordered gambling: etiology, trajectory, and clinical considerations
    Howard J Shaffer
    Harvard Medical School, Boston, Massachusetts 02115, USA
    Annu Rev Clin Psychol 7:483-510. 2011
  5. ncbi request reprint From disabling to enabling the public interest: natural transitions from gambling exposure to adaptation and self-regulation
    Howard J Shaffer
    Harvard Medical School and the Cambridge Health Alliance, Division on Addictions, The Landmark Center, 401 Park Drive, Boston, MA 02215, USA
    Addiction 100:1227-30; discussion 1235. 2005
  6. ncbi request reprint The Iowa Gambling Treatment Program: treatment outcomes for a follow-up sample
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, USA
    J Gambl Stud 21:59-73. 2005
  7. ncbi request reprint Trends in gambling studies research: quantifying, categorizing, and describing citations
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, 101 Station Landing, Medford, MA 02155, USA
    J Gambl Stud 22:427-42. 2006
  8. ncbi request reprint The road less travelled: moving from distribution to determinants in the study of gambling epidemiology
    Howard J Shaffer
    Department of Psychiatry, The Cambridge Health Alliance, MA, USA
    Can J Psychiatry 49:504-16. 2004
  9. ncbi request reprint The epidemiology of psychiatric disorders among repeat DUI offenders accepting a treatment-sentencing option
    Howard J Shaffer
    Department of Psychiatry, Harvard Medical School, Boston, MA, USA
    J Consult Clin Psychol 75:795-804. 2007
  10. ncbi request reprint Laying the foundation for quantifying regional exposure to social phenomena: considering the case of legalized gambling as a public health toxin
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, Cambridge, MA, USA
    Psychol Addict Behav 18:40-8. 2004

Research Grants

Detail Information

Publications43

  1. ncbi request reprint Gambling, drinking, smoking and other health risk activities among casino employees
    H J Shaffer
    Harvard Medical School, Division on Addictions, Boston, MA 02115 5729, USA
    Am J Ind Med 36:365-78. 1999
    ..This study examined the prevalence of level 3 (pathological) gambling and a variety of other health risks among casino employees...
  2. ncbi request reprint Correlates of college student gambling in the United States
    Richard A LaBrie
    Division on Addictions, Harvard Medical School, Boston, Massachusetts 02215, USA
    J Am Coll Health 52:53-62. 2003
    ..The concordance of characteristics associated with both gambling and binge drinking suggested a disposition to take risks that is independent of the risk objects...
  3. ncbi request reprint Men & women playing games: gender and the gambling preferences of Iowa gambling treatment program participants
    Debi A LaPlante
    Division on Addictions, Harvard Medical School, Medford, MA 02155, USA
    J Gambl Stud 22:65-80. 2006
    ..This finding suggests that for understanding gambling patterns, gender is less informative than descriptive gambler profiles...
  4. doi request reprint Disordered gambling: etiology, trajectory, and clinical considerations
    Howard J Shaffer
    Harvard Medical School, Boston, Massachusetts 02115, USA
    Annu Rev Clin Psychol 7:483-510. 2011
    ..We suggest that identifying these markers will allow clinicians to make earlier diagnoses, recommend targeted treatments, and advance secondary prevention efforts...
  5. ncbi request reprint From disabling to enabling the public interest: natural transitions from gambling exposure to adaptation and self-regulation
    Howard J Shaffer
    Harvard Medical School and the Cambridge Health Alliance, Division on Addictions, The Landmark Center, 401 Park Drive, Boston, MA 02215, USA
    Addiction 100:1227-30; discussion 1235. 2005
  6. ncbi request reprint The Iowa Gambling Treatment Program: treatment outcomes for a follow-up sample
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, USA
    J Gambl Stud 21:59-73. 2005
    ..Although more extensive follow-up efforts are needed to properly evaluate the effectiveness of the IGTP, these results suggest that the IGTP shows promise...
  7. ncbi request reprint Trends in gambling studies research: quantifying, categorizing, and describing citations
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, 101 Station Landing, Medford, MA 02155, USA
    J Gambl Stud 22:427-42. 2006
    ....
  8. ncbi request reprint The road less travelled: moving from distribution to determinants in the study of gambling epidemiology
    Howard J Shaffer
    Department of Psychiatry, The Cambridge Health Alliance, MA, USA
    Can J Psychiatry 49:504-16. 2004
    ..That said, given the problems with the current diagnostic screens, investigators need to refine their theoretical concepts and the epidemiologic tools used to examine them before the field can travel down this new road...
  9. ncbi request reprint The epidemiology of psychiatric disorders among repeat DUI offenders accepting a treatment-sentencing option
    Howard J Shaffer
    Department of Psychiatry, Harvard Medical School, Boston, MA, USA
    J Consult Clin Psychol 75:795-804. 2007
    ..Lifetime and past-year comorbidity rates were higher among participants than in the general population. These results suggest that clinicians should consider multimorbidity within DUI treatment protocols...
  10. ncbi request reprint Laying the foundation for quantifying regional exposure to social phenomena: considering the case of legalized gambling as a public health toxin
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, Cambridge, MA, USA
    Psychol Addict Behav 18:40-8. 2004
    ..This article demonstrates how the strategic REM, modified to examine gambling exposure, uses standardized indices of exposure to social phenomena at the regional level to quantify social constructs...
  11. ncbi request reprint Gambling disorders among homeless persons with substance use disorders seeking treatment at a community center
    Howard J Shaffer
    Division of Addiction, Harvard Medical School, Boston, Massachusetts 02115, USA
    Psychiatr Serv 53:1112-7. 2002
    ..This study examined the prevalence of disordered gambling and its association with treatment of psychiatric and substance use disorders among a cohort of homeless people seeking treatment at a community services program...
  12. ncbi request reprint "Computer addiction": a critical consideration
    H J Shaffer
    Division on Addictions, Harvard Medical School, Boston, USA
    Am J Orthopsychiatry 70:162-8. 2000
    ..Greater caution and rigor are urged in investigating and treating problems related to intemperate computer use...
  13. ncbi request reprint Smoking behavior among casino employees: self-report validation using plasma cotinine
    H J Shaffer
    Harvard Medical School, Division on Addictions, Boston, MA 02115 5729, USA
    Addict Behav 25:693-704. 2000
    ..Further, discordance rates of self-reported tobacco use vary according to operational definitions of tobacco use. These findings highlight the methodological importance of recognizing the inherent heterogeneity of smoking behavior...
  14. ncbi request reprint Reducing resistance and denial by exercising ambivalence during the treatment of addiction
    H J Shaffer
    Division on Addictions and Department of Psychiatry, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    J Subst Abuse Treat 20:99-105. 2001
    ..A general discussion of the resistance reduction model, ambivalence, and how clients present for treatment precedes clinical case examples...
  15. ncbi request reprint The natural history of gambling and drinking problems among casino employees
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, Boston, MA 02115, USA
    J Soc Psychol 142:405-24. 2002
    ....
  16. ncbi request reprint Temporal progression of cocaine dependence symptoms in the US National Comorbidity Survey
    Howard J Shaffer
    Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA
    Addiction 97:543-54. 2002
    ..This paper examines the retrospective recall of DSM-III-R cocaine dependence symptom progression among a large sample of cocaine users and the relationship of these symptoms to psychiatric comorbidity...
  17. ncbi request reprint Gambling and related mental disorders: a public health analysis
    Howard J Shaffer
    Division on Addictions, Harvard Medical School, 350 Longwood Avenue, Suite 200, Boston, Massachusetts 02115, USA
    Annu Rev Public Health 23:171-212. 2002
    ..The enduring value of a public health perspective is that it applies different 'lenses' for understanding gambling behaviour, analysing its benefits and costs, as well as identifying strategies for action. Harvey A. Skinner (160, p. 286)..
  18. ncbi request reprint Updating and refining prevalence estimates of disordered gambling behaviour in the United States and Canada
    H J Shaffer
    Division on Addictions, Harvard Medical School, 220 Longwood Avenue, Boston, MA 02115 5729, USA
    Can J Public Health 92:168-72. 2001
    ..This study updates prevalence estimates of gambling-related disorders in the United States and Canada, identifies differences in prevalence estimates among population segments, and identifies changes in prevalence over the past 25 years...
  19. pmc Persistence pays off: follow-up methods for difficult-to-track longitudinal samples
    John H Kleschinsky
    Division on Addictions, Cambridge Health Alliance, Medford, Massachusetts 02155, USA
    J Stud Alcohol Drugs 70:751-61. 2009
    ..We review the effectiveness of methods to maximize completion rates in a 1-year longitudinal study of repeat driving-under-the-influence (DUI) offenders...
  20. doi request reprint How do gamblers end gambling: longitudinal analysis of Internet gambling behaviors prior to account closure due to gambling related problems
    Ziming Xuan
    Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA
    J Gambl Stud 25:239-52. 2009
    ..To examine behavioral patterns of actual Internet gamblers who experienced gambling-related problems and voluntarily closed their accounts...
  21. ncbi request reprint Substance and psychiatric disorders among men and women repeat driving under the influence offenders who accept a treatment-sentencing option
    Debi A LaPlante
    Harvard Medical School, Boston, Massachusetts, USA
    J Stud Alcohol Drugs 69:209-17. 2008
    ..Because psychiatric histories could be important to recovery and likely differ substantially between men and women, the present study examined psychiatric and substance-use histories of male and female DUI repeat offenders in treatment...
  22. ncbi request reprint Stability and progression of disordered gambling: lessons from longitudinal studies
    Debi A LaPlante
    Research Faculty, Division on Addictions, Cambridge Health Alliance, Harvard Medical School, Medford, Massachusetts, USA
    Can J Psychiatry 53:52-60. 2008
    ..The objective of this study was to examine these assumptions...
  23. doi request reprint Understanding the influence of gambling opportunities: expanding exposure models to include adaptation
    Debi A LaPlante
    Division on Addictions, Cambridge Health Alliance, Harvard Medical School, Medford, MA 02155, USA
    Am J Orthopsychiatry 77:616-23. 2007
    ..These studies suggest that some people and some places might have adapted to the risks and hazards of gambling (i.e., the adaptation effect). This evaluation suggests that social context is an important moderator of exposure processes...
  24. doi request reprint Real limits in the virtual world: self-limiting behavior of Internet gamblers
    Sarah E Nelson
    Harvard Medical School, Boston, MA, USA
    J Gambl Stud 24:463-77. 2008
    ..Time spent gambling, not just money spent, appears to be an important indicator of gambling problems. Self-limit programs appear to be promising options for Internet gamblers at-risk for gambling problems...
  25. doi request reprint Inside the virtual casino: a prospective longitudinal study of actual Internet casino gambling
    Richard A LaBrie
    Harvard Medical School, Boston, MA, USA
    Eur J Public Health 18:410-6. 2008
    ..This article reports the results of the first prospective longitudinal study of actual Internet casino gambling behaviour...
  26. doi request reprint One decade of self exclusion: Missouri casino self-excluders four to ten years after enrollment
    Sarah E Nelson
    Division on Addictions, Cambridge Health Alliance, 101 Station Landing, Medford, MA 02155, USA
    J Gambl Stud 26:129-44. 2010
    ....
  27. doi request reprint Thirty years of lottery public health research: methodological strategies and trends
    Debi A LaPlante
    Division on Addictions, Cambridge Health Alliance, Harvard Medical School, 101 Station Landing, Medford, MA 02155, USA
    J Gambl Stud 26:301-29. 2010
    ..Currently, we know more about what research participants tell us they do with respect to lottery gambling than we do about their real-life lottery gambling behavior...
  28. doi request reprint Gambling problem symptom patterns and stability across individual and timeframe
    Sarah E Nelson
    Harvard Medical School, Division on Addictions, Cambridge, Massachusetts, USA
    Psychol Addict Behav 23:523-33. 2009
    ..The differential diagnostic value of various reported symptoms, as well as their lack of stability, has implications for both researchers and clinicians...
  29. ncbi request reprint Criminality and continued DUI offense: criminal typologies and recidivism among repeat offenders
    Richard A LaBrie
    Division of Addictions, Second Floor, 101 Station Landing, 2nd Floor, Medford, MA 02155, USA
    Behav Sci Law 25:603-14. 2007
    ..New and innovative DUI offender policies and practices are needed to better engage the heterogeneous offender population, and reduce the incidence of repeat DUI...
  30. ncbi request reprint Implementation of a computerized psychiatric assessment tool at a DUI treatment facility: a case example
    Sarah E Nelson
    Division on Addictions, Cambridge Health Alliance, 101 Station Landing, 2nd Floor, Medford, MA 02155, USA
    Adm Policy Ment Health 34:489-93. 2007
    ..This paper discusses the barriers the authors encountered and the strategies they used to implement a standardized mental health assessment at a state-licensed Driving Under the Influence (DUI) offender treatment program...
  31. ncbi request reprint Toward a syndrome model of addiction: multiple expressions, common etiology
    Howard J Shaffer
    Harv Rev Psychiatry 12:367-74. 2004
  32. ncbi request reprint Missouri casino self-excluders: distributions across time and space
    Richard A LaBrie
    Harvard Medical School, Boston, MA 02115, USA
    J Gambl Stud 23:231-43. 2007
    ..These findings have important implications for public health and the development of public health interventions for disordered gamblers...
  33. ncbi request reprint Implementation of a consumer-directed approach in behavioral health care: problems and prospects
    Richard A LaBrie
    Harvard Medical School, Division on Addictions, Cambridge Health Alliance, 10 Presidents Landing, Medford, MA 12155, USA
    Psychiatr Serv 58:300-2. 2007
    ..This column describes important components of consumer-directed care and the unique barriers that behavioral health care creates for those components. Possible best practices are suggested for surmounting those barriers...
  34. doi request reprint Using the theory of planned behavior to predict gambling behavior
    Ryan J Martin
    Division on Addictions, Cambridge Health Alliance, 101 Station Landing, 2nd Floor, Medford, MA 02155, USA
    Psychol Addict Behav 24:89-97. 2010
    ..e., subjective norms), personal approval of gambling behavior (i.e., attitudes), and perceived behavioral control to better manage gambling behavior in various situations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)...
  35. doi request reprint Self-treatment: illicit buprenorphine use by opioid-dependent treatment seekers
    Zev Schuman-Olivier
    Cambridge Health Alliance, Department of Psychiatry, Harvard Medical School, United States
    J Subst Abuse Treat 39:41-50. 2010
    ..These data also suggest that the use of illicit buprenorphine rarely represents an attempt to attain euphoria. Rather, illicit use is associated with attempted self-treatment of symptoms of opioid dependence, pain, and depression...
  36. doi request reprint Parameters for safer gambling behavior: examining the empirical research
    Allyson J Peller
    Division on Addictions, Cambridge Health Alliance, 101 Station Landing 2nd Floor, Medford, MA, 02155, USA
    J Gambl Stud 24:519-34. 2008
    ....
  37. ncbi request reprint A science-based framework for responsible gambling: the Reno model
    Alex Blaszczynski
    University of Sydney and Westmead Hospital, Sydney, NSW 2006, Australia
    J Gambl Stud 20:301-17. 2004
    ....
  38. ncbi request reprint Gambling participation and social support among older adults: a longitudinal community study
    Joni Vander Bilt
    Western Psychiatric Institute and Clinic, 230 McKee Place, Room 407, Pittsburg, PA 15213, USA
    J Gambl Stud 20:373-89. 2004
    ..Longitudinally, age, sex, social support, alcohol use, and gambling are predictive of future gambling activity. The results revealed that gambling may offer a forum of social support to older adults who are often isolated as they age...
  39. ncbi request reprint Treating problem gamblers: working towards empirically supported treatment
    Robert Ladouceur
    Ecole de Psychologie, Universite Laval, Ste Foy, QC, Canada, G1K 7P4
    J Gambl Stud 21:1-4. 2005
    ..This paper introduces this special issue of the Journal of Gambling Studies and identifies some of the key issues that confront clinicians and researchers interested in evidence based treatment for gambling related disorders...
  40. ncbi request reprint Gambling with adolescent health
    Richard A LaBrie
    J Adolesc Health 40:387-9. 2007
  41. ncbi request reprint Sports betting and other gambling in athletes, fans, and other college students
    Toben F Nelson
    School of Public Health, University of Minnesota, Division of Epidemiology and Community Health, 55454, USA
    Res Q Exerc Sport 78:271-83. 2007
    ..Athletes, sports fans, and students attending schools with high "sports interest" are appropriate targets for prevention efforts...
  42. ncbi request reprint Shifting perspectives on gambling and addiction
    Howard J Shaffer
    J Gambl Stud 19:1-6. 2003
  43. ncbi request reprint The socioeconomic impact of gambling: the Whistler Symposium
    Harold J Wynne
    University of Alberta, Edmonton, Alberta, Canada
    J Gambl Stud 19:111-21. 2003

Research Grants3

  1. Toward Evidence Based Treatments to Reduce DUI Relapse
    Howard Shaffer; Fiscal Year: 2006
    ..By identifying risk factors associated with relapse, this study will provide the foundation for new evidence-based treatment efforts that can curtail the rate of DUI [reoffense.] ..