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问题赌博的代际传递:父母精神病理学的中介作用。

The intergenerational transmission of problem gambling: The mediating role of parental psychopathology.

作者信息

Dowling N A, Shandley K, Oldenhof E, Youssef G J, Thomas S A, Frydenberg E, Jackson A C

机构信息

School of Psychology, Deakin University, Australia; Melbourne Graduate School of Education, University of Melbourne, Australia; Centre for Gambling Research, Australian National University, Australia.

School of Psychology, Deakin University, Australia.

出版信息

Addict Behav. 2016 Aug;59:12-7. doi: 10.1016/j.addbeh.2016.03.002. Epub 2016 Mar 10.

Abstract

The present study investigated the intergenerational transmission of problem gambling and the potential mediating role of parental psychopathology (problem drinking, drug use problems, and mental health issues). The study comprised 3953 participants (1938 males, 2015 females) recruited from a large-scale Australian community telephone survey of adults retrospectively reporting on parental problem gambling and psychopathology during their childhood. Overall, 4.0% [95%CI 3.0, 5.0] (n=157) of participants reported paternal problem gambling and 1.7% [95%CI 1.0, 2.0] (n=68) reported maternal problem gambling. Compared to their peers, participants reporting paternal problem gambling were 5.1 times more likely to be moderate risk gamblers and 10.7 times more likely to be problem gamblers. Participants reporting maternal problem gambling were 1.7 times more likely to be moderate risk gamblers and 10.6 times more likely to be problem gamblers. The results revealed that the relationships between paternal-and-participant and maternal-and-participant problem gambling were significant, but that only the relationship between paternal-and-participant problem gambling remained statistically significant after controlling for maternal problem gambling and sociodemographic factors. Paternal problem drinking and maternal drug use problems partially mediated the relationship between paternal-and-participant problem gambling, and fully mediated the relationship between maternal-and-participant problem gambling. In contrast, parental mental health issues failed to significantly mediate the transmission of gambling problems by either parent. When parental problem gambling was the mediator, there was full mediation of the effect between parental psychopathology and offspring problem gambling for fathers but not mothers. Overall, the study highlights the vulnerability of children from problem gambling households and suggests that it would be of value to target prevention and intervention efforts towards this cohort.

摘要

本研究调查了问题赌博的代际传递以及父母精神病理学(问题饮酒、药物使用问题和心理健康问题)的潜在中介作用。该研究包括从澳大利亚一项针对成年人的大规模社区电话调查中招募的3953名参与者(1938名男性,2015名女性),这些参与者回顾性报告了他们童年时期父母的问题赌博和精神病理学情况。总体而言,4.0%[95%置信区间3.0,5.0](n = 157)的参与者报告父亲有问题赌博,1.7%[95%置信区间1.0,2.0](n = 68)的参与者报告母亲有问题赌博。与同龄人相比,报告父亲有问题赌博的参与者成为中度风险赌徒的可能性高5.1倍,成为问题赌徒的可能性高10.7倍。报告母亲有问题赌博的参与者成为中度风险赌徒的可能性高1.7倍,成为问题赌徒的可能性高10.6倍。结果显示,父亲与参与者以及母亲与参与者之间的问题赌博关系显著,但在控制了母亲的问题赌博和社会人口学因素后,只有父亲与参与者之间的问题赌博关系仍具有统计学意义。父亲的问题饮酒和母亲的药物使用问题部分介导了父亲与参与者之间的问题赌博关系,并完全介导了母亲与参与者之间的问题赌博关系。相比之下,父母的心理健康问题未能显著介导任何一方父母的赌博问题传递。当父母的问题赌博作为中介时,父亲的父母精神病理学与后代问题赌博之间的效应存在完全中介作用,而母亲则不存在。总体而言,该研究突出了来自问题赌博家庭的儿童的脆弱性,并表明针对这一群体开展预防和干预工作将具有重要价值。

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