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成年病理性赌瘾患者的临床性别差异。

Clinical gender differences among adult pathological gamblers seeking treatment.

机构信息

CIBERSAM and Department of Clinical Psychology, University of the Basque Country, Avda. de Tolosa 70, San Sebastián, Spain.

出版信息

J Gambl Stud. 2011 Jun;27(2):215-27. doi: 10.1007/s10899-010-9205-1.

DOI:10.1007/s10899-010-9205-1
PMID:20532964
Abstract

This study aimed to examine the gender-related differences in demographics, gambling measures, psychological functioning, and motivation for therapy in an outpatient sample of pathological gamblers seeking treatment. Participants in this multisite study included 103 adult outpatients (51 women and 52 men) meeting current DSM-IV-TR criteria for PG. Logistic regression was used to examine if gender was related together to categorical and continuous independent variables. Female gamblers were older than men and more likely to be divorced or widowed and to have a lower annual income. Women became more dependent on bingo and men on slot machines. Gambling motivation and the course of illness for both sexes were also different. Female gamblers were more anxious and with a poorer self-esteem than male gamblers and more affected by depressive symptoms; in turn, men were more impulsive and higher sensation seekers than women and more affected by drug/alcohol abuse. The 68.6% of female gamblers reported being victims of intimate partner violence. There were no gender differences about the motivation for treatment. Future research should examine gambling behaviors and psychological functioning and suggest treatment approaches to address specific goals according to these gender-related differences.

摘要

本研究旨在探讨门诊寻求治疗的病理性赌博者样本中,与性别相关的人口统计学、赌博措施、心理功能和治疗动机差异。本多地点研究的参与者包括 103 名符合 DSM-IV-TR 病理性赌博标准的成年门诊患者(51 名女性和 52 名男性)。逻辑回归用于检查性别是否与分类和连续自变量相关。女性赌徒比男性年长,更有可能离婚或丧偶,收入也较低。女性更依赖宾果游戏,男性更依赖老虎机。赌博动机和两性的病程也不同。女性赌徒比男性赌徒更焦虑,自尊心更低,受抑郁症状影响更大;相反,男性比女性更冲动,更寻求刺激,受药物/酒精滥用影响更大。68.6%的女性赌徒报告曾遭受亲密伴侣暴力。治疗动机没有性别差异。未来的研究应该检查赌博行为和心理功能,并根据这些性别差异提出针对特定目标的治疗方法。

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The relationship of gambling to intimate partner violence and child maltreatment in a nationally representative sample.在全国代表性样本中,赌博与亲密伴侣暴力和儿童虐待的关系。
J Psychiatr Res. 2010 Apr;44(5):331-7. doi: 10.1016/j.jpsychires.2009.07.010. Epub 2009 Aug 20.
2
Sex differences among treatment-seeking adult pathologic gamblers.寻求治疗的成年病态赌徒中的性别差异。
Compr Psychiatry. 2009 Mar-Apr;50(2):173-80. doi: 10.1016/j.comppsych.2008.07.005. Epub 2008 Sep 23.
3
Late-onset pathological gambling: clinical correlates and gender differences.
LGBTQ+群体中的赌博行为:性别及性别认同的作用
J Gambl Stud. 2024 Jun;40(2):1037-1060. doi: 10.1007/s10899-023-10272-5. Epub 2023 Dec 11.
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What explains the link between romantic conflict with gambling problems? Testing a serial mediational model.如何解释浪漫冲突与赌博问题之间的联系?检验一个系列中介模型。
Front Psychol. 2023 Jul 12;14:1018098. doi: 10.3389/fpsyg.2023.1018098. eCollection 2023.
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Clinical differences between men and women in a Swedish treatment-seeking population with gambling disorder.瑞典寻求治疗的赌博障碍人群中男性与女性的临床差异。
Front Psychiatry. 2023 Jan 4;13:1054236. doi: 10.3389/fpsyt.2022.1054236. eCollection 2022.
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An integrative review of research on gambling and domestic and family violence: Fresh perspectives to guide future research.赌博与家庭暴力研究的综合综述:指导未来研究的新视角。
Front Psychol. 2022 Oct 13;13:987379. doi: 10.3389/fpsyg.2022.987379. eCollection 2022.
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Differences in problem and pathological gambling: A narrative review considering sex and gender.问题赌博与病态赌博的差异:一项考虑性别因素的叙述性综述
J Behav Addict. 2022 May 2;11(2):267-89. doi: 10.1556/2006.2022.00019.
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Adult Gambling Problems and Histories of Mental Health and Substance Use: Findings from a Prospective Multi-Wave Australian Cohort Study.成人赌博问题与心理健康及物质使用史:一项前瞻性多波次澳大利亚队列研究的结果
J Clin Med. 2021 Apr 1;10(7):1406. doi: 10.3390/jcm10071406.
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Arch Womens Ment Health. 2021 Apr;24(2):271-279. doi: 10.1007/s00737-020-01056-6. Epub 2020 Jul 29.
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Neuropsychiatr. 2020 Sep;34(3):116-129. doi: 10.1007/s40211-020-00341-1. Epub 2020 Mar 3.
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