Grant Jon E, Odlaug Brian L, Mooney Marc E
Department of Psychiatry and Behavioral Neuroscience, University of Chicago, IL 60637, USA.
J Nerv Ment Dis. 2012 Nov;200(11):996-8. doi: 10.1097/NMD.0b013e3182718a4d.
The course of pathological gambling (PG) in women has been described as having a later age of initiation but a shorter time to problematic gambling ("telescoped"). This study examined evidence for telescoping and its relationship with comorbidities. Seventy-one treatment-seeking individuals with PG underwent a diagnostic interview to examine gambling behaviors, age at initiation of gambling, and time from initiation to meeting criteria for PG. The women had a higher mean age at gambling initiation compared with that of the men (mean [SD] age, 31.3 [13.0] years, compared with 22.4 [7.9] years; p = 0.0003) and a significantly shorter time from initiation of gambling to meeting the criteria for PG (8.33 [8.7] years compared with 11.97 [9.1] years; p = 0.0476) after controlling for demographic and clinical variables. This study presents evidence for a gender-specific course of PG unrelated to psychiatric comorbidities and suggests a need for greater clinical focus on the gender differences of gambling behavior.
女性病理性赌博（PG）的病程被描述为起始年龄较晚，但发展到问题赌博的时间较短（“时间压缩”）。本研究检验了时间压缩的证据及其与共病的关系。71名寻求治疗的PG患者接受了诊断访谈，以检查赌博行为、赌博起始年龄以及从起始到符合PG标准的时间。与男性相比，女性的赌博起始平均年龄更高（平均[标准差]年龄，31.3[13.0]岁，男性为22.4[7.9]岁；p = 0.0003），在控制了人口统计学和临床变量后，从赌博起始到符合PG标准的时间显著更短（8.33[8.7]年，男性为11.97[9.1]年；p = 0.0476）。本研究提供了与精神共病无关的PG性别特异性病程的证据，并表明需要在临床上更加关注赌博行为的性别差异。
