Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Eur Addict Res. 2012;18(6):265-74. doi: 10.1159/000337442. Epub 2012 Jul 3.
The main objective of this study was to compare the clinical characteristics and differences in response to treatment of two groups of pathological gamblers: with comorbid Parkinson's disease (PG + PD) and without (PG - PD).
Clinical and psychopathological profiles and response to cognitive-behavioral treatment were assessed in 15 PG + PD and 45 PG - PD individuals consulting a specialized hospital Unit.
Statistically significant differences were observed between the two groups on a series of clinical variables. PG + PD patients were older and presented later onset of problematic gambling behaviors, lower alcohol consumption and higher bingo playing than PG - PD patients. No significant differences were noted in psychopathology except for lower measures of hostility in the PG + PD group. No statistical differences were detected between groups in terms of response to treatment.
These results may provide guidance for obtaining accurate diagnostic information in pathological gamblers by properly identifying patients with specific needs that may be targeted with treatment.
本研究的主要目的是比较两组病理性赌博者（合并帕金森病的病理性赌博者[PG+PD]和不合并帕金森病的病理性赌博者[PG-PD]）的临床特征和治疗反应差异。
对咨询专门医院的 15 名 PG+PD 和 45 名 PG-PD 个体进行临床和心理病理特征以及认知行为治疗反应评估。
两组在一系列临床变量上存在统计学显著差异。PG+PD 患者年龄较大，出现问题性赌博行为的时间较晚，酒精摄入量较低，比 PG-PD 患者更喜欢玩宾果游戏。除了 PG+PD 组的敌意得分较低外，两组在心理病理方面没有显著差异。两组在治疗反应方面没有检测到统计学差异。
这些结果可能为病理性赌博者提供了获得准确诊断信息的指导，通过正确识别具有特定治疗需求的患者。
