Department of Social Work and Social Administration, University of Hong Kong, Pokfulam Road, Hong Kong, China.
Am J Epidemiol. 2011 Jun 1;173(11):1289-97. doi: 10.1093/aje/kwr017. Epub 2011 Apr 5.
The authors' objective in this study was to examine the role of disordered gambling as a risk factor for the subsequent occurrence of specific Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Axis I psychiatric disorders after adjusting for medical conditions, health-related quality of life, and stressful life events. Community-dwelling respondents from nationally representative US samples (n = 33,231) were interviewed in 2000-2001 and 2004-2005. Past-year disordered gambling at baseline was associated with the subsequent occurrence of any Axis I psychiatric disorder, any mood disorder, bipolar disorder, generalized anxiety disorder, posttraumatic stress disorder, any substance use disorder, alcohol use disorders, and alcohol dependence disorder after adjustment for sociodemographic variables. After simultaneous adjustment for medical conditions, health-related quality of life, and recent stressful life events, disordered gambling remained significantly related to any mood disorder, generalized anxiety disorder, posttraumatic stress disorder, alcohol use disorders, and alcohol dependence. The clinical implications of these findings are that treatment providers need to screen gambling patients for mood, anxiety, and substance use problems and monitor the possible development of later comorbid conditions.
本研究的目的在于，在调整了医疗状况、健康相关生活质量和生活应激事件后，探究赌博障碍作为后续发生特定《精神障碍诊断与统计手册》（第四版）轴 I 类精神障碍的风险因素所起的作用。本研究的调查对象为来自具有全国代表性的美国样本的社区居民（n = 33,231），他们在 2000-2001 年和 2004-2005 年接受了访谈。在调整了社会人口统计学变量后，基线时的过去一年的赌博障碍与随后发生的任何轴 I 类精神障碍、任何心境障碍、双相障碍、广泛性焦虑障碍、创伤后应激障碍、任何物质使用障碍、酒精使用障碍和酒精依赖障碍均相关。在同时调整了医疗状况、健康相关生活质量和近期生活应激事件后，赌博障碍仍与任何心境障碍、广泛性焦虑障碍、创伤后应激障碍、酒精使用障碍和酒精依赖显著相关。这些研究结果具有重要的临床意义，表明治疗提供者需要对赌博障碍患者进行心境、焦虑和物质使用问题的筛查，并监测可能出现的共病情况。
