Villella Corrado, Pascucci Marco, de Waure Chiara, Bellomo Antonello, Conte Gianluigi
Istituto di Psichiatria, Università Cattolica del Sacro Cuore, Roma - Dipartimento di Salute Mentale, Azienda Sanitaria Locale della Provincia di Foggia, Foggia.
Istituto di Psichiatria, Dipartimento di Medicina Clinica e Sperimentale, Università di Foggia.
Riv Psichiatr. 2016 Sep-Oct;51(5):206-211. doi: 10.1708/2476.25892.
The DSM-5 has modified the diagnostic criteria for gambling disorder, compared to the fourth edition of the manual; new diagnostic instruments are therefore needed. This study evaluated the psychometric characteristics of the Gambling Disorder Screening Questionnaire (GDSQ), a self-report questionnaire based on the DSM-IV and DSM-5 criteria for Gambling Disorder, measuring its validity, internal consistency, and submitting the questionnaire to a principal components analysis.
71 patients from a gambling disorder outpatient clinic and 70 controls were evaluated with the GDSQ, the South Oaks Gambling Screen (SOGS), and a psychiatric interview.
The test showed a good sensibility, specificity, internal consistency, concurrent validity with the SOGS. The exclusion of the “illegal acts” item, and the lowering of the cut-off score to four positive items, as suggested by the DSM-5 criteria, improved the test sensibility and internal consistency.
The GDSQ can be considered a useful screening test for Gambling Disorder. Furthermore, this study confirms the improved diagnostic accuracy of the criteria listed in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, compared to the previous edition.
与该手册第四版相比，《精神疾病诊断与统计手册》第五版（DSM - 5）已修改了赌博障碍的诊断标准；因此需要新的诊断工具。本研究评估了赌博障碍筛查问卷（GDSQ）的心理测量特征，这是一份基于DSM - IV和DSM - 5赌博障碍标准的自陈式问卷，测量其效度、内部一致性，并对该问卷进行主成分分析。
使用GDSQ、南橡树赌博筛查量表（SOGS）和一次精神科访谈对71名来自赌博障碍门诊的患者和70名对照者进行评估。
该测试显示出良好的敏感性、特异性、内部一致性以及与SOGS的同时效度。按照DSM - 5标准的建议，排除“违法行为”条目，并将临界分数降至四个阳性条目，提高了测试的敏感性和内部一致性。
GDSQ可被视为一种用于赌博障碍的有用筛查测试。此外，本研究证实了《精神疾病诊断与统计手册》第五版中列出的标准与上一版相比，诊断准确性有所提高。
