Langhinrichsen-Rohling Jennifer, Rohling Martin L, Rohde Paul, Seeley John R
University of South Alabama, Mobile, AL 36688-0002, USA.
J Gambl Stud. 2004 Fall;20(3):259-81. doi: 10.1023/B:JOGS.0000040279.26711.ef.
The purpose of this study was to compare the prevalence rate estimates and congruence in classification status derived from two popular measures of adolescent gambling (SOGS-RA and MAGS-7). Adolescents from three states (Alabama, Mississippi, and Oregon) completed an anonymous questionnaire ( n =1846 high school students total). Results indicate that the prevalence of probable adolescent pathological gambling varied both as a function of instrument and cut-off point utilized for classification (range 1.7%-8.2%). Classification groups (non-problem, at-risk, and problem gamblers) generated by both instruments were found to be associated with reports of gambling frequency, amount of money lost in one gambling occasion, and parental gambling problems. However, concern was raised because the MAGS-7 and the SOGS-RA had little congruence in their three-group classification decisions for specific individuals (e.g., only 20.5% agreement for problem gamblers). To improve clinical utility, an empirical case was made for using the SOGS-RA to generate a fourth group of adolescent gamblers, which we labeled "probable pathological gamblers" (SOGS-RA > or = 6). This group was differentiated from the remaining gambling groups on all the validity indices. The implications and limitations of these findings, as well as future directions, are discussed.
本研究的目的是比较两种常用的青少年赌博测量方法(青少年赌博问题筛查量表修订版[SOGS - RA]和青少年赌博严重程度量表7项版[MAGS - 7])得出的患病率估计值和分类状态的一致性。来自三个州(阿拉巴马州、密西西比州和俄勒冈州)的青少年完成了一份匿名问卷(总共1846名高中生)。结果表明,根据所使用的测量工具和用于分类的临界值不同,可能的青少年病理性赌博患病率有所差异(范围为1.7% - 8.2%)。两种测量工具生成的分类组(非问题赌徒、风险赌徒和问题赌徒)都与赌博频率、单次赌博损失金额以及父母的赌博问题报告相关。然而,人们提出了担忧,因为MAGS - 7和SOGS - RA在针对特定个体的三组分类决策中一致性较低(例如,问题赌徒的一致性仅为20.5%)。为了提高临床实用性,我们通过实证案例说明了使用SOGS - RA来划分出第四组青少年赌徒,我们将其标记为“可能的病理性赌徒”(SOGS - RA≥6)。该组在所有效度指标上都与其他赌博组有所区分。本文讨论了这些发现的意义和局限性以及未来的研究方向。