Sullivan Sean, McCormick Ross, Lamont Michael, Penfold Alison
Abacus Counselling Training and Supervision Ltd, Auckland.
N Z Med J. 2007 Jun 29;120(1257):U2605.
To identify the health effects, including depression, on problem gambling patients and family members, and their perception of their GP as a help provider for problem gambling.
1580 patients from practices in Auckland, Taranaki, and Rotorua completed an anonymous questionnaire containing brief screens for problem gambling, effects on family of gambling, and depression. Patients were asked to assess their GP as a help provider for problem gambling.
7.5% of patients were positive for problem gambling, ranging from 3% of NZ European patients to 24% of Pacific patients; 18% of patients were affected by another's gambling. Less than one in four problem gambling patients, and one in three family positives, did not perceive their GP as a suitable help provider for problem gambling issues. Problem gambling patients were more likely than other patients to approve their GP as a help-provider. Patients affected by problem gambling were more depressed than other patients. No other disease indicators were found. Patients over 54 years are less likely than others to be problem gamblers.
Problem gambling is associated with depression in patients. GPs are an important complementary resource for brief interventions for gambling problems, and for some possibly a more acceptable alternative than attending specialist problem gambling treatment providers.
确定问题赌博对患者及其家庭成员的健康影响（包括抑郁），以及他们对全科医生作为问题赌博帮助提供者的看法。
来自奥克兰、塔拉纳基和罗托鲁瓦诊所的1580名患者完成了一份匿名问卷，其中包含问题赌博的简短筛查、赌博对家庭的影响以及抑郁情况。患者被要求评估他们的全科医生作为问题赌博帮助提供者的情况。
7.5%的患者问题赌博呈阳性，从新西兰欧洲裔患者的3%到太平洋岛民患者的24%不等；18%的患者受到他人赌博的影响。不到四分之一的问题赌博患者和三分之一的家庭阳性者认为他们的全科医生不是问题赌博问题的合适帮助提供者。问题赌博患者比其他患者更有可能认可他们的全科医生作为帮助提供者。受问题赌博影响的患者比其他患者更抑郁。未发现其他疾病指标。54岁以上的患者比其他人更不可能成为问题赌徒。
问题赌博与患者的抑郁有关。全科医生是赌博问题简短干预的重要补充资源，对于一些人来说，可能是比寻求专业问题赌博治疗提供者更可接受的选择。
