过去一年赌博问题与精神疾病之间关联的性别差异。
Gender differences in the associations between past-year gambling problems and psychiatric disorders.
作者信息
Desai Rani A, Potenza Marc N
机构信息
Dept. of Psychiatry and Women and Addictive Disorders, Core of Women's Health Research, Yale University School of Medicine, New Haven, CT, USA.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):173-83. doi: 10.1007/s00127-007-0283-z. Epub 2007 Dec 15.
Abstract
BACKGROUND
Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood.
AIM
To examine whether the association between psychiatric disorders and past-year gambling problems is stronger in women than men.
METHODS
Data from the national epidemiological survey of alcoholism and related disorders (NESARC) (n = 43,093) were analyzed.
RESULTS
Increasing severity of past-year gambling problems was associated with increasing odds of most past-year Axis I and lifetime Axis II disorders, regardless of gender. Associations between gambling problems and major depression, dysthymia, panic disorder, and nicotine dependence were statistically stronger in women than in men.
CONCLUSIONS
A severity-related association exists between past-year gambling problems and psychiatric disorders. The stronger associations in women suggest that gambling research, prevention and treatment efforts consider gender differences.
摘要
背景
精神疾病常与病理性赌博同时出现。这种共病现象在赌博亚综合征水平上的延伸程度，或在男性和女性之间的差异，目前尚未完全明确。
目的
研究精神疾病与过去一年赌博问题之间的关联在女性中是否比男性更强。
方法
对全国酒精中毒及相关障碍流行病学调查（NESARC）的数据（n = 43,093）进行分析。
结果
无论性别如何，过去一年赌博问题严重程度的增加与过去一年大多数轴I障碍及终生轴II障碍的患病几率增加相关。赌博问题与重度抑郁症、心境恶劣障碍、惊恐障碍及尼古丁依赖之间的关联在女性中比男性在统计学上更强。
结论
过去一年赌博问题与精神疾病之间存在与严重程度相关的关联。女性中更强的关联表明，赌博研究、预防和治疗工作应考虑性别差异。
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