Fernández-Montalvo Javier, Echeburúa Enrique
Departamento de Psicología y Pedagogía, Universidad Pública de Navarra, Campus de Arrosadía, 31006 Pamplona, Spain.
J Pers Disord. 2004 Oct;18(5):500-5. doi: 10.1521/pedi.18.5.500.51326.
This article describes the most frequent personality disorders related to pathological gambling. Participants included 50 pathological gamblers assessed with the IPDE, and 50 normative subjects from the general population with the same demographic features (age, sex, and socioeconomic level). Thirty-two percent of the clinical sample (vs. the 8% of the normative sample) showed at least one personality disorder. The most prevalent disorders were Borderline (16%), followed by Antisocial, Paranoid, Narcissistic, and Non-specified (8% each). Gamblers with personality disorders presented an average of 1.5 disorders and they reported higher gambling severity and more severe symptoms of anxiety, depression and alcohol abuse. The implications of this study for clinical practice and research are discussed.
本文描述了与病态赌博相关的最常见人格障碍。研究参与者包括50名通过国际人格障碍检查表（IPDE）评估的病态赌博者，以及50名来自普通人群、具有相同人口统计学特征（年龄、性别和社会经济水平）的正常受试者。临床样本中有32%（相比正常样本的8%）至少患有一种人格障碍。最常见的障碍是边缘型人格障碍（16%），其次是反社会型、偏执型、自恋型和未特定型人格障碍（各占8%）。患有多种人格障碍的赌博者平均患有一种人格障碍，他们报告的赌博严重程度更高，焦虑、抑郁和酒精滥用症状也更严重。本文还讨论了该研究对临床实践和研究的意义。
