Clinical Research Department, Center for Addiction and Mental Health, Toronto, ON, Canada.
Community Ment Health J. 2009 Dec;45(6):468-75. doi: 10.1007/s10597-009-9244-1. Epub 2009 Sep 20.
This study compared sex differences in related treatment outcomes and processes in a community sample of outpatient problem gambling treatment-seekers. Participants attended approximately seven sessions of cognitive-behavioral treatment. Women were more likely to have a history of psychiatric comorbidity, prefer non-strategic/non-skill forms of gambling, and have a more rapid progression towards a gambling problem than did men. At the 6-month post-treatment follow-up, men were found to have improved to a significantly greater degree on measures of gambling severity and rates of abstinence in comparison to women. Moreover, men rated treatment components to be more helpful, whereas women found specific gambling-related treatment interventions (e.g., identification of high-risk situations, gambling beliefs and attitudes) to be less helpful. Implications for identifying treatment needs of women seeking problem gambling treatment are discussed.
本研究比较了社区门诊赌博问题治疗寻求者样本中与治疗相关的结局和治疗过程的性别差异。参与者接受了大约七次认知行为治疗。与男性相比，女性更有可能有精神疾病共病史，更喜欢非策略性/非技能性的赌博形式，并且更有可能迅速发展为赌博问题。在治疗后 6 个月的随访中，与女性相比，男性在赌博严重程度和戒断率方面的改善程度显著更高。此外，男性认为治疗内容更有帮助，而女性则认为特定的与赌博相关的治疗干预措施（例如，识别高危情况、赌博信念和态度）帮助较小。讨论了确定寻求赌博问题治疗的女性的治疗需求的意义。
