Villalta Laia, Arévalo Rubén, Valdepérez Ana, Pascual Juan C, de los Cobos J Pérez
Behavioural Addictions Unit, Department of Psychiatry, Santa Creu i Sant Pau Hospital, Av. Sant Antoni Mª Claret 167, 08025, Barcelona, Spain,
Psychiatr Q. 2015 Mar;86(1):61-7. doi: 10.1007/s11126-014-9336-0.
The new Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V) includes pathological gambling disorder (PGD) in the subgroup of "Addiction and Related Disorders" due to the similarities between PGD and substance-based addictions in neurobiological, psychological, and social risk factors. Family factors as parental rearing attitudes play a crucial role in the development of substance use disorders and PGD. The aim of the present study was to assess the parental bonding during childhood perceived for adults with PGD compared with healthy controls. Twenty males with PGD and 20 control subjects answered the parental bonding instrument, which measures subjects' recollections of parenting on dimensions of care and protection. Subjects with PGD showed significantly lower maternal and paternal care (p = 0.016 and p = 0.031, respectively) than controls, and higher paternal protection (p = 0.003). The most common parental pattern for PGD subjects was the affectionless control (50% for the father and 60% for the mother). Preliminary results suggest that, as previously reported for substance use disorders, an affectionless control parenting style is associated with PGD.
新版《精神疾病诊断与统计手册（第五版）》（DSM-V）将病理性赌博障碍（PGD）纳入“成瘾及相关障碍”亚组，因为PGD与物质成瘾在神经生物学、心理和社会风险因素方面存在相似性。家庭因素如父母的养育态度在物质使用障碍和PGD的发展中起着关键作用。本研究的目的是评估与健康对照组相比，患有PGD的成年人对童年时期父母养育关系的感受。20名患有PGD的男性和20名对照受试者回答了父母养育关系量表，该量表从关爱和保护维度测量受试者对养育方式的回忆。患有PGD的受试者在母亲和父亲关爱方面（分别为p = 0.016和p = 0.031）显著低于对照组，而在父亲保护方面得分更高（p = 0.003）。PGD受试者最常见的父母养育模式是冷漠控制型（父亲为50%，母亲为60%）。初步结果表明，正如之前关于物质使用障碍的报道，冷漠控制型养育方式与PGD有关。
