Unwin B K, Davis M K, De Leeuw J B
Department of Family and Community Medicine, Darnall Army Community Hospital, Fort Hood, Texas 76544, USA.
Am Fam Physician. 2000 Feb 1;61(3):741-9.
Pathologic gambling and problem gambling affect approximately 5 to 15 million Americans and are common in young people. The community-minded family physician is in a good position to identify and assist patients who have gambling-related problems and thereby prevent or treat the resultant personal, family and social disruptions. Provider and community education about the depth and breadth of this condition is crucial for the identification and treatment of a growing problem. As with many psychologic conditions, identification of the disorder and treatment of the patient by the family physician comprise the primary treatment. Screening tools, treatment programs and self-help groups provide additional resources for the family physician. An illustrative case report demonstrates the importance of heightened awareness of and screening for this common condition.
病理性赌博和问题赌博影响着约500万至1500万美国人，且在年轻人中很常见。具有社区意识的家庭医生很适合识别并帮助有赌博相关问题的患者，从而预防或治疗由此产生的个人、家庭和社会混乱。向医疗服务提供者和社区开展关于这种情况的深度和广度的教育，对于识别和治疗这一日益严重的问题至关重要。与许多心理疾病一样，家庭医生对该疾病的识别和对患者的治疗是主要治疗方式。筛查工具、治疗项目和自助小组为家庭医生提供了额外的资源。一份典型病例报告证明了提高对这种常见疾病的认识和进行筛查的重要性。
