Gomes Kevin, Pascual-Leone Antonio
University of Windsor, 401 Sunset Avenue, Windsor, Ontario Canada.
J Gambl Stud. 2009 Mar;25(1):1-17. doi: 10.1007/s10899-008-9111-y. Epub 2008 Nov 18.
To successfully facilitate the treatment of problem gambling, change processes should be examined in order to identify those variables that differentiate good versus poor treatment outcomes. The current study explored the change facilitating effects of certain characteristics or conditions of an individual being treated: emotional support, instrumental support, emotional awareness, GA involvement, and depressed affect. These conditions were hypothesized to be predictive of a change-oriented mindset (i.e., "resources for change") measured by abstinence self-efficacy, motivation for change, and readiness for change. Participants were 60 outpatients (54.2% male; M age = 46.7 years) with problem gambling recruited from several treatment centres throughout Ontario, Canada. Results indicated that: (1) depressed affect and emotional support seem to influence self-efficacy for abstinence, (2) emotional support alone appears to influence motivation for change, and (3) GA involvement, depressed affect, and emotional awareness, together, seem to influence readiness for change. These findings have implications for promoting change oriented dispositions in problem gambling individuals.
为成功推动问题赌博的治疗，应审视改变过程，以识别那些区分良好与不佳治疗结果的变量。本研究探讨了接受治疗个体的某些特征或状况所产生的促进改变的效果：情感支持、工具性支持、情感意识、参加匿名戒酒互助会（GA）以及抑郁情绪。这些状况被假定为能够预测一种以改变为导向的思维模式（即“改变的资源”），该思维模式通过戒断自我效能感、改变动机和改变准备度来衡量。参与者为60名来自加拿大安大略省多个治疗中心的患有问题赌博的门诊患者（男性占54.2%；平均年龄 = 46.7岁）。结果表明：（1）抑郁情绪和情感支持似乎会影响戒断自我效能感，（2）仅情感支持似乎会影响改变动机，以及（3）参加GA、抑郁情绪和情感意识共同作用，似乎会影响改变准备度。这些发现对促进问题赌博个体形成以改变为导向的倾向具有启示意义。
