Elman Igor, Borodovsky Jacob, Howard Margaret, Scoglio Arielle, Steinkamp Jackson, Sobieszczyk Amy, Mysels David, Albanese Mark
Department of Psychiatry, Wright State University Boonshoft School of Medicine and Dayton VA Medical Center, Dayton, OH (IE); Center for Technology and Behavioral Health, Dartmouth Psychiatric Research Center & The Dartmouth Institute, Lebanon, NH (JB); Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, State of Rhode Island, Providence, RI (MH); Department of Psychiatry, Bedford VA Medical Center, Bedford, MA (AS); Cambridge Health Alliance, Harvard Medical School, Somerville, MA (JS, AS, DM, MA).
J Addict Med. 2016 Sep-Oct;10(5):339-43. doi: 10.1097/ADM.0000000000000242.
Parallel to the ongoing expansion of legalized gambling activities is a growing concern about rising occurrence of uncontrollable gambling. People with preexisting gambling and/or chemical addictions may be particularly vulnerable, but the extent of such co-occurring conditions and their demographic and clinical characteristics have not been sufficiently elucidated. To that end, the present study attempted to both, quantify the presence and to characterize co-occurring pathological or problem gambling (ie, respectively, at least 1- or at least 5 pathological gambling criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) among treatment-seeking patients at a community outpatient addiction program.
The patients were assessed with the South Oaks Gambling Screen and their charts were reviewed for the extraction of demographic and clinical information according to a predetermined template. Data from 183 subjects withstood quality control procedures and were included.
The prevalence rates of co-occurring problem- (18.6%) and pathological (10.9%) gambling were strikingly higher than those found in the general population (2% and 0.5%, respectively). No increase in the clinical severity indices was observed across the gambling groups.
Our data replicate those of prior studies reporting heightened prevalence of problematic gambling in patients with substance use disorders and extend the prior findings by including a subject population of treatment-seekers. In the era of the gambling industry growth, these results call for creation and/or adjustment of clinical addiction services to meet emerging preventive and therapeutic needs.
与合法赌博活动不断扩张并行的是，人们对失控赌博发生率上升的担忧日益增加。患有赌博和/或药物成瘾的人可能特别容易受到影响，但此类共病情况的程度及其人口统计学和临床特征尚未得到充分阐明。为此，本研究试图量化寻求治疗的社区门诊成瘾项目患者中共病的病理性或问题性赌博（即分别符合《精神疾病诊断与统计手册》第四版修订版中至少1条或至少5条病理性赌博标准）的存在情况并对其进行特征描述。
使用南橡树赌博筛查量表对患者进行评估，并根据预先确定的模板查阅他们的病历以提取人口统计学和临床信息。来自183名受试者的数据通过了质量控制程序并被纳入研究。
共病问题性赌博（18.6%）和病理性赌博（10.9%）的患病率显著高于普通人群（分别为2%和0.5%）。各赌博组的临床严重程度指数均未增加。
我们的数据重复了先前研究的结果，即物质使用障碍患者中问题性赌博的患病率较高，并且通过纳入寻求治疗的受试者群体扩展了先前的研究结果。在赌博行业发展的时代，这些结果呼吁创建和/或调整临床成瘾服务，以满足新出现的预防和治疗需求。
