Andó Bálint, Kovács Ildikó, Janka Zoltán, Demetrovics Zsolt
SZTE AOK Pszichiatriai Klinika, Szeged, Hungary, E-mail:
Psychiatr Hung. 2016;31(2):169-75.
Gambling disorder has been listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM) for more than three decades. During this time, its diagnostic set of criteria has gone through significant changes. In the DSM-5, gambling disorder has been moved from Disruptive, Impulse-Control and Conduct Disorders to Substance- Related and Addictive Disorders, which acknowledges and expresses that gambling disorder has similar features compared to substance related disorders. The aim of the present review is to reveal the reasons behind this category replacement, and to examine the similarities between gambling disorder and alcohol dependence from the perspectives of symptomatology, etiology and epidemiology.
赌博障碍已被列入《精神疾病诊断与统计手册》(DSM)超过三十年。在此期间,其诊断标准经历了重大变化。在《精神疾病诊断与统计手册》第五版(DSM-5)中,赌博障碍已从破坏性行为、冲动控制和品行障碍类别移至物质相关及成瘾性障碍类别,这承认并表明赌博障碍与物质相关障碍具有相似特征。本综述的目的是揭示这一类别替换背后的原因,并从症状学、病因学和流行病学角度审视赌博障碍与酒精依赖之间的相似性。