Shek Daniel T L, Chan Elda M L, Wong Ryan H Y
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong.
ScientificWorldJournal. 2012;2012:571434. doi: 10.1100/2012/571434. Epub 2012 Jun 18.
Problem gambling is complex and often comorbid with other mental health problems. Unfortunately, gambling studies on comorbid psychiatric disorders among Chinese communities are extremely limited. The objectives of this study were to (a) determine the prevalence of comorbid psychiatric disorders among treatment-seeking pathological gamblers; (b) compare the demographic profiles and clinical features of pathological gamblers with and without comorbid psychiatric disorders; (c) explore the associations between pathological gambling and psychiatric disorders and their temporal relationship. Participants (N = 201) who sought gambling counseling were examined by making Axis-I diagnoses including mood disorders, schizophrenia spectrum disorders, substance use disorders, anxiety disorders, and adjustment disorder. Results showed that 63.7% of participants had lifetime comorbid psychiatric disorder. The most common comorbid psychiatric mental disorders were mood disorders, adjustment disorder, and substance use disorders. Pathological gamblers with psychiatric comorbidities were significantly more severe in psychopathology, psychosocial functioning impairment, and gambling problems than those without the disorders.
问题赌博情况复杂，且常常与其他心理健康问题并存。遗憾的是，针对华人社区中共病精神障碍的赌博研究极为有限。本研究的目的在于：（a）确定寻求治疗的病态赌徒中共病精神障碍的患病率；（b）比较有和没有共病精神障碍的病态赌徒的人口统计学特征和临床特征；（c）探究病态赌博与精神障碍之间的关联及其时间关系。对寻求赌博咨询的201名参与者进行了轴I诊断检查，包括心境障碍、精神分裂症谱系障碍、物质使用障碍、焦虑障碍和适应障碍。结果显示，63.7%的参与者有终生共病精神障碍。最常见的共病精神障碍是心境障碍、适应障碍和物质使用障碍。有精神共病的病态赌徒在精神病理学、心理社会功能损害和赌博问题方面比没有这些障碍的赌徒严重得多。
