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问题赌博对家庭的影响:问题赌博家庭影响量表的编制

Problem Gambling Family Impacts: Development of the Problem Gambling Family Impact Scale.

作者信息

Dowling N A, Suomi A, Jackson A C, Lavis T

机构信息

School of Psychology, Deakin University, Melbourne Burwood Campus, Building BC, 221 Burwood Highway, Burwood, VIC, 3125, Australia.

Melbourne Graduate School of Education, University of Melbourne, Melbourne, VIC, Australia.

出版信息

J Gambl Stud. 2016 Sep;32(3):935-55. doi: 10.1007/s10899-015-9582-6.

Abstract

Although family members of problem gamblers frequently present to treatment services, problem gambling family impacts are under-researched. The most commonly endorsed items on a new measure of gambling-related family impacts [Problem Gambling Family Impact Measure (PG-FIM: Problem Gambler version)] by 212 treatment-seeking problem gamblers included trust (62.5 %), anger (61.8 %), depression or sadness (58.7 %), anxiety (57.7 %), distress due to gambling-related absences (56.1 %), reduced quality time (52.4 %), and communication breakdowns (52.4 %). The PG-FIM (Problem Gambler version) was comprised of three factors: (1) financial impacts, (2) increased responsibility impacts, and (3) psychosocial impacts with good psychometric properties. Younger, more impulsive, non-electronic gaming machine (EGM) gamblers who had more severe gambling problems reported more financial impacts; non-EGM gamblers with poorer general health reported more increased responsibility impacts; and more impulsive non-EGM gamblers with more psychological distress and higher gambling severity reported more psychosocial impacts. The findings have implications for the development of interventions for the family members of problem gamblers.

摘要

尽管问题赌徒的家庭成员经常寻求治疗服务,但赌博问题对家庭的影响却研究不足。212名寻求治疗的问题赌徒对一项新的与赌博相关的家庭影响测量工具[问题赌博家庭影响量表(PG-FIM:问题赌徒版)]中最常认可的项目包括信任(62.5%)、愤怒(61.8%)、抑郁或悲伤(58.7%)、焦虑(57.7%)、因赌博相关缺勤导致的困扰(56.1%)、优质相处时间减少(52.4%)以及沟通中断(52.4%)。PG-FIM(问题赌徒版)由三个因素组成:(1)经济影响,(2)责任增加的影响,以及(3)具有良好心理测量特性的心理社会影响。年轻、更冲动、不玩电子游戏机(EGM)且赌博问题更严重的赌徒报告的经济影响更多;一般健康状况较差的非EGM赌徒报告的责任增加影响更多;更冲动的非EGM赌徒,心理困扰更多且赌博严重程度更高,报告的心理社会影响更多。这些发现对开发针对问题赌徒家庭成员的干预措施具有启示意义。

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