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赌博障碍与情感调节:述情障碍和依恋风格的作用

Gambling Disorder and Affect Regulation: The Role of Alexithymia and Attachment Style.

作者信息

Di Trani Michela, Renzi Alessia, Vari Chiara, Zavattini Giulio Cesare, Solano Luigi

机构信息

Department of Dynamic and Clinical Psychology, "Sapienza" University of Rome, Via degli Apuli 1, 00185, Rome, Italy.

出版信息

J Gambl Stud. 2017 Jun;33(2):649-659. doi: 10.1007/s10899-016-9637-3.

Abstract

The aim of the present study was to explore the dimensions of alexithymia and attachment styles in a group of disordered gamblers and to evaluate the relationship between alexithymia, attachment styles, and the severity of gambling disorder. Sixty disordered gamblers diagnosed according to the diagnostic and statistical manual-5 filled out the Kurzfragebogen zum Glücksspielverhalten, the 20-Item Toronto Alexithymia Scale, and the Experiences in Close Relationships-Revised. Approximately 70 % of the sample displayed 'intermediate' and 'severe' gambling severity levels on the Kurzfragebogen zum Glücksspielverhalten, and 77 % showed 'high' or 'borderline' levels of alexithymia on the Toronto Alexithymia Scale (mean = 56.40). Regarding attachment styles, 70 % of the sample displayed an 'insecure' attachment, with a particularly high prevalence of the 'fearful' style (26.66 %). A linear regression analysis revealed that only the anxiety dimension of the Experiences in Close Relationships questionnaire predicted the severity of gambling. Our data appear to confirm that gambling disorder is characterised by emotional and relational dysregulation, and that pathological gambling behaviours may serve as external regulators of internal undifferentiated emotional states.

摘要

本研究的目的是探究一组病态赌徒的述情障碍维度和依恋风格,并评估述情障碍、依恋风格与赌博障碍严重程度之间的关系。根据《精神疾病诊断与统计手册》第5版诊断的60名病态赌徒填写了《赌博行为简式问卷》、《多伦多述情障碍量表20项版》和《亲密关系经历量表修订版》。在《赌博行为简式问卷》中,约70%的样本表现出“中度”和“重度”赌博严重程度水平,在多伦多述情障碍量表上,77%的样本表现出“高度”或“临界”述情障碍水平(均值=56.40)。关于依恋风格,70%的样本表现出“不安全”依恋,其中“恐惧”风格的患病率特别高(26.66%)。线性回归分析显示,只有《亲密关系经历量表》问卷中的焦虑维度能够预测赌博的严重程度。我们的数据似乎证实,赌博障碍的特征是情绪和关系失调,而且病态赌博行为可能是内部未分化情绪状态的外部调节因素。

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