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病理性彩票和刮刮乐赌博者的强迫特征

Obsessive-compulsive features in pathological lottery and scratch-ticket gamblers.

作者信息

Frost R O, Meagher B M, Riskind J H

机构信息

Department of Psychology, Smith College, Northampton, MA 01063, USA.

出版信息

J Gambl Stud. 2001 Spring;17(1):5-19. doi: 10.1023/a:1016636214258.

DOI:10.1023/a:1016636214258
PMID:11705017
Abstract

The results of this study support the notion that pathological gamblers drawn from the community would score higher on all three scores from the YBOCS than light gamblers. Consistent with hypotheses, pathological gamblers (lottery and scratch ticket) reported more obsessions, compulsions, and avoidance behavior than the light gamblers, and also reported having more urges to engage in injurious behaviors to themselves and others. These findings provide evidence that pathological gambling falls in a spectrum or family of disorders which have obsessive-compulsive disorder at its core. These findings support McElroy, Hudson, Philips, et al.'s (1993) suggestions of similarities between OCD and Impulse Control Disorders, and extend Blaszczynski (1999) findings of overlap between pathological gamblers and OCD in a treatment population. Heavy gamblers also reported significantly more hoarding symptoms and compulsive buying than light gamblers. More research in this area may show further evidence of a spectrum of disorders with obsessive compulsive disorder at its core, and show further links between impulse control disorders (such as pathological gambling) and OCD.

摘要

本研究结果支持以下观点

从社区招募的病态赌徒在耶鲁布朗强迫症状量表(YBOCS)的所有三项得分上均高于轻度赌徒。与假设一致,病态赌徒(彩票和刮刮乐玩家)报告的强迫观念、强迫行为和回避行为比轻度赌徒更多,并且还报告有更多对自己和他人实施伤害行为的冲动。这些发现提供了证据,表明病态赌博属于以强迫症为核心的一系列或一组障碍。这些发现支持了麦克尔罗伊、哈德森、菲利普斯等人(1993年)关于强迫症与冲动控制障碍之间相似性的观点,并扩展了布拉斯钦斯基(1999年)在治疗人群中病态赌徒与强迫症重叠的研究结果。重度赌徒报告的囤积症状和强迫性购物也明显多于轻度赌徒。该领域的更多研究可能会进一步证明以强迫症为核心的一系列障碍的存在,并揭示冲动控制障碍(如病态赌博)与强迫症之间的更多联系。

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