Ronzitti Silvia, Lutri Vittorio, Smith Neil, Clerici Massimo, Bowden-Jones Henrietta
NPGC, National Problem Gambling Clinic, Central North West London NHS Foundation Trust , London, United Kingdom.
Department of Surgery and Translational Medicine, University of Milano-Bicocca , Monza, Italy.
J Behav Addict. 2016 Jun;5(2):231-8. doi: 10.1556/2006.5.2016.032. Epub 2016 Jun 27.
Background and aim Gambling is a widespread recreational activity in the UK. A significant percentage of gamblers develop subclinical or clinically relevant problem gambling issues, but only a low percentage of them seek treatment. Although characteristics of pathological gamblers from treatment-seeking population have been examined in some research, only a few studies have explored the differences between females and males. This study aimed to examine the gender-related differences in demographics, gambling measures, and clinical variables in an outpatient sample of pathological gamblers seeking treatment. Methods A total of 1,178 treatment-seeking individuals with gambling disorder were assessed at the National Problem Gambling Clinic in London. Sociodemographic characteristics, clinical variables, and gambling behavior habits were obtained during the assessment evaluation. Of the total sample, 92.5% were males and 7.5% were females. Results Males were more likely to be younger, white, and employed than females. In addition, compared to women, men showed a lower PGSI score, an earlier age of onset of gambling behavior, a higher gambling involvement, and preferred specific forms gambling. Female gamblers were more anxious and depressed, while men were more likely to use alcohol and illicit drugs. Conclusions Our findings support the importance of gender differences in a treatment-seeking population of pathological gamblers both in sociodemographic characteristics, gambling behavior variables, and clinical variables. Males and females might benefit from group-specific treatment.
背景与目的
赌博在英国是一项广泛存在的娱乐活动。相当一部分赌徒出现亚临床或具有临床相关性的问题赌博问题,但只有一小部分人寻求治疗。尽管在一些研究中已经考察了寻求治疗的病态赌徒的特征,但只有少数研究探讨了女性和男性之间的差异。本研究旨在调查寻求治疗的病态赌徒门诊样本在人口统计学、赌博测量指标和临床变量方面的性别差异。
方法
在伦敦的国家问题赌博诊所对总共1178名寻求治疗的赌博障碍患者进行了评估。在评估过程中获取了社会人口学特征、临床变量和赌博行为习惯。在总样本中,92.5%为男性,7.5%为女性。
结果
男性比女性更年轻、更可能是白人且有工作。此外,与女性相比,男性的PGSI得分更低,赌博行为开始的年龄更早,赌博参与度更高,且更喜欢特定形式的赌博。女性赌徒更焦虑和抑郁,而男性更可能使用酒精和非法药物。
结论
我们的研究结果支持了在寻求治疗的病态赌徒群体中,性别差异在社会人口学特征、赌博行为变量和临床变量方面的重要性。男性和女性可能会从特定群体的治疗中受益。