Petry Nancy M
Department of Psychiatry, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030-3944, USA.
Addict Behav. 2003 Aug;28(6):1049-62. doi: 10.1016/s0306-4603(02)00233-2.
Although Gamblers Anonymous (GA) is a popular intervention for gamblers, many attendees later present for professional treatment. This study evaluated gambling and psychosocial problems in individuals seeking professional treatment for gambling and compared those with and without a history of GA attendance. At intake to treatment, 342 pathological gamblers completed the Addiction Severity Index (ASI) and South Oaks Gambling Screen (SOGS). Fifty-four percent attended GA previously. Compared to non-GA attendees, GA attendees were older, had higher incomes, and were less likely to be single. They had higher SOGS scores, more years of gambling problems, and larger debts. GA attendees also had more serious family conflicts and less serious drug problems. Individuals with a history of GA attendance were more likely to be abstinent from gambling 2 months after treatment initiation. Logistic regression revealed that the number of professional sessions and GA meetings attended during treatment was independently associated with short-term abstinence. These data suggest that individuals entering professional treatment for gambling with a history of GA attendance differ from those who do not, and these differences may impact treatment recommendations and outcomes.
尽管匿名戒赌会（GA）是一种广受欢迎的针对赌徒的干预方式，但许多参加者后来还是会寻求专业治疗。本研究评估了寻求赌博专业治疗的个体的赌博及心理社会问题，并比较了有和没有参加过匿名戒赌会经历的个体。在开始治疗时，342名病态赌徒完成了成瘾严重程度指数（ASI）和南橡树赌博筛查量表（SOGS）。54%的人之前参加过匿名戒赌会。与未参加过匿名戒赌会的人相比，参加过的人年龄更大、收入更高，而且不太可能单身。他们的南橡树赌博筛查量表得分更高、有赌博问题的时间更长，且债务更多。参加过匿名戒赌会的人还存在更严重的家庭冲突，而药物问题没那么严重。有参加过匿名戒赌会经历的个体在开始治疗2个月后更有可能戒赌。逻辑回归分析显示，治疗期间参加的专业疗程数量和匿名戒赌会会议次数与短期戒赌独立相关。这些数据表明，有匿名戒赌会参会经历且进入专业赌博治疗的个体与没有该经历的个体不同，而这些差异可能会影响治疗建议和治疗效果。
