Achab Sophia, Chatton Anne, Khan Riaz, Thorens Gabriel, Penzenstadler Louise, Zullino Daniele, Khazaal Yasser
Addiction Division, Department of Mental Health and Psychiatry, University Hospitals of Geneva, 1202 Geneva, Switzerland.
Biomed Res Int. 2014;2014:360585. doi: 10.1155/2014/360585. Epub 2014 Aug 27.
Pathological gambling (PG) is an addictive disorder with harm related to the high psychiatric comorbidity and increased suicidal risk. Prevalence rates in general population range from 0.2% to 2.1%. Problem gamblers are hard to attract to treatment programs for several proper reasons and for obstacles (e.g., accessibility). To address these obstacles, primary care (where the problem gambling (PrG) prevalence seems to be 6.2%) has a crucial role to play (i.e., identifying and referring patients to specialized treatment programs and treating at first line when needed and possible) in the era of online gambling offer expansion. The present work aimed to collect data on resources in the field from GPs themselves, using a 24-item online questionnaire. Swiss French-speaking participants were asked about their screening practice and knowledge. The results state that the vast majority of them are aware of the existence and the potential impact of PrG on their patients. However, PrG screening is not systematic and their knowledge of adequate treatments or referral methods is scarce. GPs being central to health screening in general, targeted advice and training on short screening tools and better knowledge of referral pathways should be promoted and continued to empower the GP's management skills in a public health approach.
病理性赌博（PG）是一种成瘾性疾病，其危害与高精神共病率和增加的自杀风险相关。普通人群中的患病率在0.2%至2.1%之间。出于几个合理原因和一些障碍（如可及性），问题赌徒很难被吸引到治疗项目中。为应对这些障碍，在网络赌博服务扩张的时代，初级保健（问题赌博（PrG）患病率似乎为6.2%）起着关键作用（即识别患者并将其转介至专门治疗项目，并在需要且可能时进行一线治疗）。本研究旨在通过一份包含24个条目的在线问卷，从全科医生（GP）自身收集该领域的资源数据。研究询问了瑞士法语区的参与者关于他们的筛查实践和知识。结果表明，他们中的绝大多数人都知道PrG的存在及其对患者的潜在影响。然而，PrG筛查并不系统，他们对适当治疗方法或转诊途径的了解也很少。由于全科医生在一般健康筛查中处于核心地位，应推广并持续提供针对简短筛查工具的针对性建议和培训，以及更好地了解转诊途径，以增强全科医生采用公共卫生方法进行管理的技能。
