Valleur Marc, Codina Irène, Vénisse Jean-Luc, Romo Lucia, Magalon David, Fatséas Mélina, Chéreau-Boudet Isabelle, Gorsane Mohamed-Ali, Guilleux Alice, Grall-Bronnec Marie, Challet-Bouju Gaëlle
Marmottan Medical Center, GPS Perray-Vaucluse, Hôpital Marmottan, 17 rue d'Armaillé, 75017, Paris, France.
Clinical Investigation Unit BALANCED "BehaviorAL AddictioNs and ComplEx mood Disorders", Department of Addictology and Psychiatry, University Hospital of Nantes, Nantes, France.
J Gambl Stud. 2016 Jun;32(2):757-71. doi: 10.1007/s10899-015-9545-y.
With the aim of validating the three pathways hypothesis of pathological gambling (Blaszczynski and Nower in Addiction 97:487-499, 2002) 372 pathological gamblers meeting DSM IV (2000) criteria were assessed via a structured clinical interview as well as being subjected to personality tests and evaluation of their gambling practices. Our results show that it is possible to identify three subgroups corresponding to the three pathways: behaviourally conditioned problem gamblers, emotionally vulnerable problem gamblers and antisocial impulsivist problem gamblers. Our results particularly demonstrate that impulsivist gamblers preferentially choose semi-skilful gambling (horse racing and sports gambling) whereas emotionally vulnerable gamblers are significantly more attracted to games of chance (one-armed bandits, scratch cards, etc.) This led us to propose a functional presentation of the three pathways model which differs somewhat from the Blaszczynski and Nower presentation.
为了验证病态赌博的三途径假说（Blaszczynski和Nower，《成瘾》，2002年，第97卷，第487 - 499页），通过结构化临床访谈对372名符合《精神疾病诊断与统计手册第四版》（2000年）标准的病态赌徒进行了评估，并对他们进行了人格测试和赌博行为评估。我们的结果表明，有可能识别出与三种途径相对应的三个亚组：行为条件性问题赌徒、情绪易感性问题赌徒和反社会冲动性问题赌徒。我们的结果特别表明，冲动性赌徒优先选择半技能性赌博（赛马和体育博彩），而情绪易感性赌徒则明显更被机会性游戏（老虎机、刮刮卡等）所吸引。这使我们提出了三途径模型的功能呈现，它与Blaszczynski和Nower的呈现略有不同。
