人格障碍与病态赌博。
Personality disorders and pathological gambling.
作者信息
Vaddiparti Krishna, Cottler Linda B
机构信息
Department of Epidemiology, College of Public Health & Health Professions & College of Medicine, University of Florida, Gainesville, Florida, USA.
出版信息
Curr Opin Psychiatry. 2017 Jan;30(1):45-49. doi: 10.1097/YCO.0000000000000300.
PURPOSE OF REVIEW
To explore recent developments in the field of personality disorders and their association with pathological gambling or gambling disorder. The review covers literature published from 2015 to present time (August 2016) to understand the prevalence rates of common personality disorders among pathological gamblers.
RECENT FINDINGS
Commonly seen personality disorders among pathological or problem gamblers represent Cluster B disorders. There are reports indicating prevalence of Clusters A and C personality disorders as well. The rates of personality disorders among pathological gamblers reported in these studies align with Hill's guidelines - Strength, Specificity, Temporality, Biological gradient, Plausibility and Replicability indicating a strong association between pathological gambling and personality disorders. Studies are predominantly cross-sectional and consistently show that the presence of a personality disorder is associated with gambling severity and early age of onset pathological gambling.
SUMMARY
Research on pathological gambling should advance beyond estimating rates of personality disorders and focus on longitudinal research to understand the pathways between personality disorders and onset and severity of pathological gambling.
综述目的
探讨人格障碍领域的最新进展及其与病理性赌博或赌博障碍的关联。本综述涵盖了2015年至当前（2016年8月）发表的文献，以了解病理性赌博者中常见人格障碍的患病率。
最新发现
病理性或问题赌博者中常见的人格障碍属于B类人格障碍。也有报告指出A类和C类人格障碍的患病率。这些研究报告的病理性赌博者中人格障碍的发生率符合希尔准则——强度、特异性、时间性、生物学梯度、合理性和可重复性，表明病理性赌博与人格障碍之间存在密切关联。研究主要为横断面研究，且一致表明人格障碍的存在与赌博严重程度及病理性赌博的早发有关。
总结
病理性赌博的研究应超越对人格障碍发生率的估计，而专注于纵向研究，以了解人格障碍与病理性赌博的发病及严重程度之间的路径。
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