Kim Hyoun S, Hodgins David C, Bellringer Maria, Abbott Max
Addictive Behaviours Laboratory, Department of Clinical Psychology, University of Calgary, 2500 University Drive, N.W. 205 Administrative Building, Calgary, AB, T2N 1N4, Canada.
Gambling and Addictions Research Centre, Auckland University of Technology, 55 Wellesley St E, Auckland, New Zealand.
J Gambl Stud. 2016 Jun;32(2):605-23. doi: 10.1007/s10899-015-9572-8.
Despite the increasing amount of empirical research on gambling helplines (e.g., characteristics, effectiveness), little is known about gender differences on treatment outcomes following contact. The present research addresses this gap in the literature via secondary analysis of an uncontrolled outcome study of New Zealand's gambling helpline (N = 150). To this end, the present research had three aims; (a) explore gender differences (e.g., demographics, co-morbidities, gambling variables) among helpline callers using psychometrically robust measures, (b) assess whether gender predicts treatment utilization following contact and (c) assess whether systematic gender differences exist on gambling and psychosocial outcomes at 3-, 6- and 12-month follow-ups. The results revealed that at baseline, women compared to men, described greater problem severity and shorter problem duration, and were more likely to report electronic gaming machines as their most problematic form of gambling. Women also reported greater distress and lower quality of life. Men, despite less problem severity and distress, were more likely to access treatment following helpline contact. Importantly, both men and women reported significant and equivalent improvements in both gambling and psychosocial outcomes following helpline contact. The improved outcomes remained significant after controlling for treatment attendance. Although different approaches for women may be required by helplines if the goal is to refer callers to treatment, the results suggest that after calling the helpline, women reduced their problematic gambling and improved psychosocial functioning without further treatment.
尽管对赌博求助热线的实证研究数量不断增加(例如,特征、有效性),但对于求助后治疗结果的性别差异却知之甚少。本研究通过对新西兰赌博求助热线的一项非对照结果研究(N = 150)进行二次分析,填补了文献中的这一空白。为此,本研究有三个目标:(a)使用心理测量稳健的方法探索求助热线来电者之间的性别差异(例如,人口统计学、共病、赌博变量),(b)评估性别是否能预测求助后的治疗利用率,以及(c)评估在3个月、6个月和12个月的随访中,赌博和心理社会结果是否存在系统性的性别差异。结果显示,在基线时,与男性相比,女性描述的问题严重程度更高、问题持续时间更短,并且更有可能将电子游戏机报告为他们最有问题的赌博形式。女性还报告了更大的痛苦和更低的生活质量。男性尽管问题严重程度和痛苦程度较低,但在求助热线联系后更有可能接受治疗。重要的是,男性和女性在求助热线联系后,在赌博和心理社会结果方面都报告了显著且相当的改善。在控制治疗出勤率后,改善结果仍然显著。如果目标是将来电者转介接受治疗,求助热线可能需要针对女性采取不同的方法,但结果表明,拨打求助热线后,女性在没有进一步治疗的情况下减少了问题赌博并改善了心理社会功能。