Department of Psychology, University of Memphis, 202 Psychology Building, Memphis, TN, 38152, USA.
Emory & Henry College, Emory, VA, USA.
J Gambl Stud. 2017 Sep;33(3):907-918. doi: 10.1007/s10899-016-9645-3.
Disordered gamblers frequently present with concurrent anxiety, depressive, personality, and substance use disorders, which may complicate treatment. Although there is a need for a thorough assessment, some questionnaires may prove lengthy for clients and clinicians. Thus, there is a need for brief screens for identifying co-occurring psychopathology. The present study sought to examine whether a brief, self-report measure of psychological distress could indicate the presence of co-occurring psychopathology among an outpatient sample of disordered gamblers. At intake, 69 participants completed self-report measures of distress and gambling symptomatology, a personality inventory, and a structured interview for the diagnostic criteria for disordered gambling. Gamblers with greater elevations of psychological distress evidenced greater severity of gambling pathology. Clinically significant elevations were present for symptoms of depression, deviancy, and anxiety, but not substance abuse. Greater scores of psychological distress significantly predicted elevations of depression, deviancy, and anxiety. Sensitivity and specificity were evaluated and the findings supported that an average psychological distress score of 16 corresponded with the presence of co-occurring psychopathology. Clinicians treating disordered gamblers should consider screening for co-occurring psychopathology with brief, self-report measures of psychological distress.
赌博障碍患者常同时患有焦虑症、抑郁症、人格障碍和物质使用障碍，这可能使治疗复杂化。尽管需要进行全面评估，但某些问卷可能对患者和临床医生来说过于冗长。因此，需要简短的屏幕来识别共病的精神病理学。本研究旨在探讨一种简短的自我报告心理困扰量表是否可以表明门诊赌博障碍患者存在共病精神病理学。在入组时，69 名参与者完成了自我报告的困扰和赌博症状、人格量表以及用于诊断赌博障碍的结构化访谈。心理困扰程度较高的赌徒表现出更严重的赌博病理。出现了临床显著的抑郁、偏差和焦虑症状升高，但没有物质滥用。较高的心理困扰评分显著预测了抑郁、偏差和焦虑的升高。对敏感性和特异性进行了评估，结果支持平均心理困扰得分为 16 与共病精神病理学的存在相对应。治疗赌博障碍的临床医生应考虑使用简短的自我报告心理困扰量表筛查共病精神病理学。
