2-126B MEB, University of Iowa, Carver College of Medicine, Iowa City, IA 52242, USA.
J Clin Psychiatry. 2012 Oct;73(10):1293-7. doi: 10.4088/JCP.12m07800.
Pathological gambling is a prevalent public health problem associated with depression, substance misuse, crime, and suicide. Despite these challenges, little attention has been directed to examining its negative consequences on families and marriages, including divorce rates, childhood maltreatment, and family dysfunction.
From February 2005 to June 2010, subjects with DSM-IV-defined pathological gambling and community controls were assessed for marital and family variables and indices of childhood maltreatment. The Family Assessment Device (FAD) was used to evaluate family functioning.
Ninety-five subjects with DSM-IV pathological gambling and 91 control subjects without pathological gambling were recruited and assessed. They were similar in age, gender, and employment status. Persons with pathological gambling were more likely than controls to have ≥ 1 divorce (odds ratio [OR] = 2.56; 95% CI, 1.35-4.87; P = .004), to live alone (OR = 4.49; 95% CI, 1.97-10.25; P < .001), and to report any type of childhood maltreatment (OR = 4.02; 95% CI, 2.12-7.64; P < .001). They did not differ on number of siblings or ordinal position among siblings. Pathological gambling subjects reported significantly worse family functioning than control subjects as assessed by all 7 FAD subscales. On the FAD general functioning subscale, 55% of pathological gambling families and 33% of control families were rated "unhealthy" (OR = 2.17; 95% CI, 1.14-4.12; P = .018). Severity of gambling was positively correlated with divorce, childhood maltreatment, and the FAD roles subscale.
People with pathological gambling are more likely than controls to have been divorced, to live alone, and to report having experienced childhood maltreatment than controls. They also report greater family dysfunction.
病理性赌博是一种普遍存在的公共卫生问题，与抑郁、物质滥用、犯罪和自杀有关。尽管存在这些挑战，但很少有人关注研究其对家庭和婚姻的负面影响，包括离婚率、儿童期虐待和家庭功能障碍。
从 2005 年 2 月到 2010 年 6 月，对符合 DSM-IV 定义的病理性赌博者和社区对照组进行了婚姻和家庭变量以及儿童期虐待指数的评估。使用家庭评估工具（FAD）评估家庭功能。
共招募和评估了 95 名 DSM-IV 病理性赌博者和 91 名无病理性赌博对照组。他们在年龄、性别和就业状况方面相似。病理性赌博者比对照组更有可能有≥1 次离婚（优势比[OR] = 2.56；95%置信区间，1.35-4.87；P =.004）、独居（OR = 4.49；95%置信区间，1.97-10.25；P <.001）和报告任何类型的儿童期虐待（OR = 4.02；95%置信区间，2.12-7.64；P <.001）。他们在兄弟姐妹数量或兄弟姐妹中的顺序位置上没有差异。病理性赌博者在所有 7 个 FAD 子量表上的家庭功能均显著差于对照组。在 FAD 一般功能子量表上，55%的病理性赌博家庭和 33%的对照组家庭被评为“不健康”（OR = 2.17；95%置信区间，1.14-4.12；P =.018）。赌博的严重程度与离婚、儿童期虐待和 FAD 角色子量表呈正相关。
与对照组相比，病理性赌博者更有可能离婚、独居和报告儿童期虐待经历。他们还报告了更大的家庭功能障碍。
