Department of Psychology, University of Calgary, Calgary, AB, Canada.
Lancet. 2011 Nov 26;378(9806):1874-84. doi: 10.1016/S0140-6736(10)62185-X. Epub 2011 May 18.
Gambling disorders, including pathological gambling and problem gambling, have received increased attention from clinicians and researchers over the past three decades since gambling opportunities have expanded around the world. This Seminar reviews prevalence, causes and associated features, screening and diagnosis, and treatment approaches. Gambling disorders affect 0·2-5·3% of adults worldwide, although measurement and prevalence varies according to the screening instruments and methods used, and availability and accessibility of gambling opportunities. Several distinct treatment approaches have been favourably evaluated, such as cognitive behavioural and brief treatment models and pharmacological interventions. Although promising, family therapy and support from Gamblers Anonymous are less well empirically supported. Gambling disorders are highly comorbid with other mental health and substance use disorders, and a further understanding is needed of both the causes and treatment implications of this disorder.
赌博障碍，包括病态赌博和问题赌博，自过去三十年来，随着全球赌博机会的增加，受到了临床医生和研究人员的更多关注。本研讨会综述了赌博障碍的患病率、病因和相关特征、筛查和诊断以及治疗方法。赌博障碍影响全球 0.2-5.3%的成年人，尽管测量和患病率因使用的筛查工具和方法以及赌博机会的可及性而异。已经有几种不同的治疗方法得到了有利的评估，例如认知行为和简短治疗模型以及药物干预。尽管有希望，但家庭治疗和匿名赌徒的支持在经验上得到的支持较少。赌博障碍与其他精神健康和物质使用障碍高度共病，需要进一步了解这种障碍的病因和治疗意义。
