Kerber Cindy Sullivan, Schlenker Emily, Hickey Kari
Mennonite College of Nursing, Illinois State University, Normal, IL 61790-5815, USA.
J Psychosoc Nurs Ment Health Serv. 2011 Jun;49(6):38-43. doi: 10.3928/02793695-20110503-04. Epub 2011 May 18.
Pathological gambling is becoming an increasing problem in today's culture, particularly because opportunities and inducements to gamble abound. This article describes symptoms, consequences, and comorbidities experienced by pathological gamblers. Gambling pathology is often invisible because pathological gamblers seldom disclose gambling problems to their primary care provider. Thus, nurses will benefit from knowledge of the physical and emotional signs of the disorder. A two-question assessment tool, the Lie/Bet Questionnaire, is useful in helping nurses identify pathological gamblers. Interventions and treatment options, including group therapy and environmental modification, are also discussed. As always, education concerning problems and consequences of pathological gambling is a first step. Because research has indicated that visits to casinos by older adults have doubled since 1975, the authors use an example of an older adult to clarify the issues. Although the article's content is applicable to clients across the life span, it has particular significance for older adults.
在当今文化中，病理性赌博正成为一个日益严重的问题，尤其是因为赌博的机会和诱因比比皆是。本文描述了病理性赌徒所经历的症状、后果和共病情况。赌博病理往往不易被察觉，因为病理性赌徒很少向他们的初级保健提供者透露赌博问题。因此，护士若了解该疾病的身体和情绪迹象将有所助益。一种包含两个问题的评估工具——“说谎/赌博问卷”，有助于护士识别病理性赌徒。文中还讨论了干预措施和治疗选择，包括团体治疗和环境改善。一如既往，关于病理性赌博问题及后果的教育是第一步。由于研究表明，自1975年以来老年人去赌场的次数翻了一番，作者以一位老年人为例来阐明这些问题。尽管本文内容适用于各年龄段的客户，但对老年人尤其具有重要意义。
