Ladd George T, Petry Nancy M
Department of Psychiatry, University of Connecticut School of Medicine, USA.
Exp Clin Psychopharmacol. 2003 Aug;11(3):202-9. doi: 10.1037/1064-1297.11.3.202.
This study evaluated the prevalence and correlates of substance abuse histories in 341 consecutive admissions to gambling treatment programs. After controlling for gender, income, and site, gamblers with substance abuse treatment histories (SATH; 31%) had more severe problems than gamblers with no substance abuse treatment histories (NSATH) on the Gambling, Alcohol, Drug, Psychiatric, and Employment scales of the Addiction Severity Index. The SATH group had more years of gambling problems and gambled more days in the month prior to initiating gambling treatment. The SATH gamblers were also more likely to be receiving treatment for mental health problems and reported greater lifetime psychiatric distress than NSATH gamblers. These data suggest that pathological gamblers with substance abuse treatment histories may present more persistent and severe gambling dysfunction and psychiatric problems than those without such histories.
本研究评估了连续341名进入赌博治疗项目的患者药物滥用史的患病率及其相关因素。在对性别、收入和治疗地点进行控制后，有药物滥用治疗史（SATH）的赌徒（占31%）在成瘾严重程度指数的赌博、酒精、药物、精神和就业量表上比无药物滥用治疗史（NSATH）的赌徒存在更严重的问题。SATH组在开始赌博治疗前有更多年的赌博问题，且每月赌博天数更多。SATH赌徒也更有可能正在接受心理健康问题治疗，并且报告的终生精神痛苦程度比NSATH赌徒更高。这些数据表明，有药物滥用治疗史的病态赌徒可能比没有此类病史的赌徒表现出更持久、更严重的赌博功能障碍和精神问题。
