Kim Suck Won, Grant Jon E, Eckert Elke D, Faris Patricia L, Hartman Boyd K
Department of Psychiatry, University of Minnesota Medical School, F282/2A West, 2450 Riverside Avenue, Minneapolis, 55454, USA.
J Affect Disord. 2006 May;92(1):109-16. doi: 10.1016/j.jad.2005.12.040. Epub 2006 Jan 27.
The rapidly expanding gambling business has resulted in an increasing number of gamblers, and the problem is likely to get worse in the future. Traditionally, mood and gambling symptoms have been known to overlap. In the present review we attempt to examine the diagnostic associations and implications for treatment.
Selected published papers on the frequencies of mood disorders among patients who have gambling disorder or gambling disorder among patients who have mood disorder have been reviewed. Recently emerging new treatment methods for gambling disorder have been reviewed and a brief summary has been added.
SCID based study results show a close link between gambling and mood disorders. The prevalence of manic disorder reaches to approximately one fourth of the pathological gambling disorder population. The prevalence of depression is much higher, reaching to over half of the population in some studies.
The studies included in the present paper involve inpatients, outpatients, subjects recruited through advertisements and prison populations. Thus the data need to be interpreted as such. Standardized assessment instruments are not used in all studies. Methodological issues such as primary or secondary nature of depression have not been addressed adequately in these studies. The findings, however, offer new insights for the assessment and treatment of complicated gambling disorder cases.
A high prevalence rate of manic and depressive disorders has been recorded among pathological gambling disorder patients. A rational treatment approach to each defined subset of complicated gambling disorder is discussed.
迅速扩张的赌博行业导致赌徒数量不断增加，而且这一问题在未来可能会变得更糟。传统上，人们已知情绪和赌博症状存在重叠。在本综述中，我们试图研究诊断关联及对治疗的影响。
对已发表的关于患有赌博障碍的患者中情绪障碍的发生率，或患有情绪障碍的患者中赌博障碍的发生率的论文进行了综述。对最近出现的赌博障碍新治疗方法进行了综述并添加了简要总结。
基于《精神疾病诊断与统计手册》的研究结果表明赌博与情绪障碍之间存在密切联系。躁狂症的患病率达到病理性赌博障碍人群的约四分之一。抑郁症的患病率要高得多，在一些研究中达到超过一半的人群。
本文纳入的研究涉及住院患者、门诊患者、通过广告招募的受试者和监狱人群。因此，数据需要据此进行解读。并非所有研究都使用标准化评估工具。这些研究中尚未充分解决诸如抑郁症的原发性或继发性等方法学问题。然而，这些发现为复杂赌博障碍病例的评估和治疗提供了新的见解。
在病理性赌博障碍患者中记录到了较高的躁狂症和抑郁症患病率。讨论了针对复杂赌博障碍每个明确亚组的合理治疗方法。
