Marazziti Donatella, Picchetti Michela, Baroni Stefano, Consoli Giorgio, Ceresoli Diana, Massimetti Gabriele, Catena Dell'Osso Mario
Riv Psichiatr. 2014 Mar-Apr;49(2):95-9. doi: 10.1708/1461.16149.
Although the precise nature of pathological gambling (PG) is still elusive, currently it is considered an impulse-control disorder that shares several features with substance dependence, such as deficit in self-regulation and impaired impulsivity. The aim of this study was to evaluate the impulsivity of PG patients by means of the Barratt Impulsivity Scale, version 11 (BIS-11), as compared with healthy control subjects, and to explore the possible correlations with gambling severity.
Thirty-five outpatients (all men) with a diagnosis of PG were recruited at their first psychiatric interview in a psychiatric outpatient ward, and compared with a similar group of healthy control subjects. The severity of PG was assessed by means of the South Oaks Gambling Screen (SOGS).
The results showed that the BIS-11 total score, as well as the scores of different factors (motor impulsity and cognitive complexity) and subscales (motor and non-planning impulsivity) were significantly higher in PG patients than in control subjects. In addition, positive correlations were detected between the SOGS and the BIS-11 total scores, and the attention and cognitive instability factor scores, or the attentional and motor impulsivity (rs=0.459, p=.021) subscale scores.
These findings support the notion that impulsivity represents a core element of PG linked to the severity of the clinical picture.
尽管病理性赌博（PG）的确切本质仍不清楚，但目前它被认为是一种冲动控制障碍，与物质依赖有若干共同特征，如自我调节缺陷和冲动性受损。本研究的目的是通过Barratt冲动性量表第11版（BIS - 11）评估PG患者的冲动性，并与健康对照者进行比较，同时探讨其与赌博严重程度的可能相关性。
在一家精神科门诊病房，对35名首次接受精神科访谈且被诊断为PG的门诊患者（均为男性）进行招募，并与一组类似的健康对照者进行比较。通过南橡树赌博筛查量表（SOGS）评估PG的严重程度。
结果显示，PG患者的BIS - 11总分以及不同因子（运动冲动性和认知复杂性）和分量表（运动和非计划性冲动性）的得分显著高于对照者。此外，还检测到SOGS与BIS - 11总分、注意力和认知不稳定性因子得分或注意力和运动冲动性（rs = 0.459，p = 0.021）分量表得分之间存在正相关。
这些发现支持了冲动性是PG的一个核心要素且与临床表现严重程度相关的观点。
