识别问题赌徒和强迫性赌徒。
Identifying problem and compulsive gamblers.
作者信息
van Es R
机构信息
Iona College Gambling Institute, University of Windsor, Ontario.
出版信息
Can Fam Physician. 2000 Jun;46:1323-31.
OBJECTIVE
To present a meta-analysis of current research on the prevalence, identification, and treatment of problem and compulsive gamblers.
QUALITY OF EVIDENCE
Problem and compulsive gambling was not a socio-scientific concern until the last two decades. Hence research on this topic is limited. The summary and analysis for this paper relied on computer searches of journal and news abstracts in addition to direct contact with organizations addressing the identification and treatment of compulsive gamblers.
MAIN MESSAGE
An estimated 5% of those who gamble run into problems. About 1% of those who gamble are predicted to experience serious problems. Successful treatment of problem and compulsive gambling continues to be a challenge. Although cognitive therapy has been the favoured approach, a combination of several therapeutic approaches is advocated.
CONCLUSIONS
Problem and compulsive gambling can present a real health threat. As with other addictions, treatment strategies continue to be a baffling social problem. Aware and informed physicians can have a pivotal role in the difficult process of identifying, acknowledging, and remediating problem and compulsive gambling.
目的
对当前关于问题性赌博和强迫性赌博的患病率、识别及治疗的研究进行荟萃分析。
证据质量
直到过去二十年，问题性赌博和强迫性赌博才成为社会科学关注的问题。因此，关于该主题的研究有限。除了直接联系处理强迫性赌博识别与治疗的组织外，本文的总结与分析还依赖于对期刊和新闻摘要的计算机检索。
主要信息
估计有5%的赌博者会出现问题。预计约1%的赌博者会遭遇严重问题。成功治疗问题性赌博和强迫性赌博仍然是一项挑战。尽管认知疗法一直是首选方法，但提倡采用多种治疗方法相结合。
结论
问题性赌博和强迫性赌博可能对健康构成真正威胁。与其他成瘾行为一样，治疗策略仍然是一个棘手的社会问题。有见识且了解情况的医生在识别、承认和纠正问题性赌博和强迫性赌博这一艰难过程中可发挥关键作用。
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