Institute of Psychology, Gdansk University, Gdansk, Poland.
Med Sci Monit. 2011 Nov;17(11):CR669-675. doi: 10.12659/msm.882054.
Severe problem gambling is most often related to income producing offences such as larceny and embezzlement. In addition, the high rate of relapse to gambling problems and the link between gambling debts and crime have clinical, forensic and penitentiary implications. Considering the data from the literature presented here I decided to form and empirically verify a hypothesis that incarcerated men with a diagnosis of pathological gambling are characterized by psychopathic personality disorders, alcohol problems and criminality.
MATERIAL/METHODS: The groups of participants encompassed 90 men 26-52 years of age, serving a criminal sentence. All participants had to fulfil the following clinical criteria: a) be interviewed by a psychiatrist and diagnosed with pathological gambling and/or antisocial personality disorders b) obtain a result in the PCL-R test; c) estimate the relationship between gambling problems and crime. Taking into consideration the abovementioned criteria three patient test groups were formed: Group 1, which included those for whom gambling had led to crime; Group 2, where gambling was a part of a criminal lifestyle, and Group 3, in which the mutual relationship between gambling and crime was unclear.
The participants were diagnosed as pathological gamblers (DSM-IV-TR, ICD-10) and psychopaths (PCL-R). Those tested differed with regard to the intensification of the personality disturbance tested, the co-occurrence of other disturbances, particularly psychoactive addictions, the motivations for taking up gambling, and the type of criminal activity.
The hypothesis was confirmed that incarcerated men with a diagnosis of pathological gambling are characterized by psychopathic personality disorders, alcohol problems and criminality.
严重的赌博问题通常与盗窃和贪污等创收犯罪有关。此外,赌博问题复发率高,赌博债务与犯罪之间存在关联,这对临床、法医和监狱都有影响。考虑到这里呈现的文献数据,我决定形成并通过实证检验一个假设,即被诊断为病理性赌博的监禁男性具有精神病态人格障碍、酒精问题和犯罪倾向。
材料/方法:参与者群体包括 90 名 26-52 岁的服刑男性。所有参与者必须符合以下临床标准:a)由精神科医生进行访谈并被诊断为病理性赌博和/或反社会人格障碍;b)通过 PCL-R 测试;c)评估赌博问题与犯罪之间的关系。考虑到上述标准,形成了三个患者测试组:第 1 组,包括因赌博而犯罪的人;第 2 组,赌博是犯罪生活方式的一部分;第 3 组,赌博和犯罪之间的相互关系不清楚。
参与者被诊断为病理性赌博者(DSM-IV-TR、ICD-10)和精神病患者(PCL-R)。测试结果显示,人格障碍的严重程度、其他障碍的共同发生、特别是精神活性物质成瘾、参与赌博的动机以及犯罪活动的类型存在差异。
证实了被诊断为病理性赌博的监禁男性具有精神病态人格障碍、酒精问题和犯罪倾向的假设。