Maccallum Fiona, Blaszczynski Alex
Psychological Medicine Program, Liverpool Hospital, Sydney, Australia.
Aust N Z J Psychiatry. 2002 Jun;36(3):411-5. doi: 10.1046/j.1440-1614.2001.01005.x.
The objective of this study was to determine the rates of substance use problems in a sample of diagnosed pathological gamblers seeking treatment in a university teaching hospital cognitive behavioural outpatient clinic.
A semistructured interview schedule and the composite international diagnostic interview (CIDI-auto) were administered to assess substance dependence in a sample of 75 poker-machine gamblers meeting DSM-IV and South Oaks gambling screen (SOGS) criteria for pathological gambling. Both the self-reported rates and the proportion meeting criteria for a psychiatric disorder were determined.
The rates for substance use disorder within a sample of treatment-seeking pathological gamblers is higher as compared to general population figures. Gender differences were found with more current alcohol-abuse problems reported among male than female participants. Non-alcohol-related substance abuse was relatively lower than rates reported by other studies in the literature.
Substance abuse is a common comorbid condition of pathological gambling and therefore should be screened for in routine clinical assessments. Failure to identify and treat comorbid substance-use disorders in gamblers may lead to higher relapse rates.
本研究的目的是确定在一所大学教学医院认知行为门诊寻求治疗的确诊病态赌徒样本中的物质使用问题发生率。
采用半结构化访谈时间表和综合国际诊断访谈（CIDI-auto），对75名符合DSM-IV和南橡树赌博筛查（SOGS）病态赌博标准的扑克机赌徒样本进行物质依赖评估。确定自我报告率和符合精神障碍标准的比例。
与一般人群数据相比，寻求治疗的病态赌徒样本中的物质使用障碍发生率更高。发现存在性别差异，男性参与者中报告的当前酒精滥用问题比女性更多。与酒精无关的物质滥用相对低于文献中其他研究报告的发生率。
物质滥用是病态赌博的常见共病情况，因此应在常规临床评估中进行筛查。未能识别和治疗赌徒中共病的物质使用障碍可能导致更高的复发率。
