Thomas Shane
PhD MAPS, Vice Chancellor's Professorial Fellow; Executive Director and Associate President (International Academic Development), Office of the Vice Chancellor; Professor of Primary Health Care Research; Director of the Problem Gambling Research and Treatment Centre; Honorary Professor, Peking University; Monash University, Clayton, Victoria.
Aust Fam Physician. 2014 Jun;43(6):362-4.
Problem gambling is an increasingly common problem in Australia. General practitioners (GPs) have an important role in ensuring that problem gambling is detected and treated.
We review the clinical issues associated with the detection and treatment of problem gambling.
At any one time 1% of the adult Australian population satisfy the clinical criteria for problem gambling; a further 4% are at a significant risk. Problem gambling frequently presents with other serious mental health conditions. There are several guidelines from the National Health and Medical Research Council and Australian Medical Association that recommend GP involvement in screening for problem gambling. Simple one-item tools are available for that purpose. GP screening and referral for problem gambling addresses the currently very low rates of treatment. Effective and durable psychological treatments are available for the treatment of problem gambling including cognitive behaviour therapy and motivational interviewing.
问题赌博在澳大利亚正日益成为一个普遍问题。全科医生（GPs）在确保问题赌博被发现和治疗方面发挥着重要作用。
我们回顾与问题赌博的发现和治疗相关的临床问题。
在任何时候，1%的澳大利亚成年人口符合问题赌博的临床标准；另有4%处于显著风险中。问题赌博常常与其他严重心理健康状况同时出现。澳大利亚国家卫生与医学研究委员会和澳大利亚医学协会发布了多项指南，建议全科医生参与问题赌博的筛查。为此有简单的单项工具可用。全科医生对问题赌博的筛查和转诊解决了目前治疗率极低的问题。有有效的、持久的心理治疗方法可用于治疗问题赌博，包括认知行为疗法和动机性访谈。
