Duhig Amy M, Maciejewski Paul K, Desai Rani A, Krishnan-Sarin Suchitra, Potenza Marc N
Indiana University Purdue University--Indianapolis, IN, USA.
Addict Behav. 2007 Jan;32(1):80-9. doi: 10.1016/j.addbeh.2006.03.021. Epub 2006 Jul 11.
A preliminary examination of mental health and gambling characteristics as a function of alcohol use in adolescents was conducted in a nationally representative sample of 16- and 17-year-olds using data from the 1998 Gambling Impact and Behavior Study. Adolescents were stratified by past-year alcohol use into abstainers/low-frequency (ALF) drinkers and moderate to high-frequency (MHF) drinkers as done previously [Desai, R. A., Maciejewski, P. K., Pantalon, M. V., & Potenza, M. N. (in press). Gender differences among recreational gamblers: Association with the frequency of alcohol use. Psychology of Addictive Behaviors]. A greater proportion of MHF drinkers reported past-year gambling than did ALF drinkers (66.1% vs. 38.2%). In the ALF drinking group but not the MHF one, past-year gambling was associated with dysphoria/depression (odds ratio for ALF: 1.94, odds ratio for MHF: 0.88) and drug use (odds ratio for ALF: 2.57, odds ratio for MHF: 0.49). A significant gambling-by-alcohol-use group interaction was observed for drug use (p<0.01). Among past-year gamblers, MHF drinkers were more likely than ALF ones to report frequent gambling. These results suggest a complex relationship between gambling alcohol use, drug use, and mental health in adolescents.
利用1998年赌博影响与行为研究的数据，在一个具有全国代表性的16岁和17岁青少年样本中，对心理健康和赌博特征作为青少年饮酒情况的函数进行了初步研究。青少年按照过去一年的饮酒情况被分为戒酒者/低频饮酒者（ALF）和中高频饮酒者（MHF），分类方式与之前相同[德赛，R.A.，马切耶夫斯基，P.K.，潘塔隆，M.V.，&波滕扎，M.N.（即将发表）。娱乐性赌徒中的性别差异：与饮酒频率的关联。成瘾行为心理学]。报告过去一年有赌博行为的MHF饮酒者比例高于ALF饮酒者（66.1%对38.2%）。在ALF饮酒组而非MHF饮酒组中，过去一年的赌博行为与烦躁/抑郁相关（ALF的优势比：1.94，MHF的优势比：0.88）以及药物使用相关（ALF的优势比：2.57，MHF的优势比：0.49）。在药物使用方面观察到了饮酒组与赌博行为之间显著的交互作用（p<0.01）。在过去一年有赌博行为的人群中，MHF饮酒者比ALF饮酒者更有可能报告频繁赌博。这些结果表明青少年的赌博、饮酒、药物使用和心理健康之间存在复杂的关系。
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