Department of Psychology, City University London, Northampton Square, London, EC1V 0HB, UK.
Department of Medicine, Faculty of Medicine, Imperial College, London, SW7 2AZ, UK.
J Gambl Stud. 2017 Sep;33(3):975-991. doi: 10.1007/s10899-016-9663-1.
There is a paucity of research in the UK which examines problem gambling and that which does exist is mainly quantitative, focuses on male samples and fails to look at treatment seeking populations or obstacles preventing problem gamblers from seeking treatment. This paper presents findings from part of a larger qualitative study that explored the experience of treatment for female problem gamblers. Data were collected using semi-structured interviews with eight women who had received individual cognitive-behavioural therapy in the National Health Service for their gambling problem. An interpretative phenomenological analysis approach was applied in the research process, identifying three main themes, of which the subtheme 'Barriers to Treatment' is examined here. Internal and external barriers to treatment organically emerged in all female participants' accounts and appear to have an impact on service utilisation. Input directly from gamblers can be combined with findings from other studies to devise better ways of reaching female problem gamblers. A better understanding of barriers to treatment can also provide valuable direction for future research and suggest applications in clinical service provision and treatment planning.
英国针对赌博问题的研究较少，现有的研究主要是定量研究，关注男性样本，且未能考察寻求治疗的人群或阻止赌徒寻求治疗的障碍。本文介绍了一项更大规模的定性研究的部分结果，该研究探讨了女性赌瘾患者接受治疗的体验。研究过程中采用半结构化访谈收集了 8 名女性的数据，这些女性曾在国民保健署接受过针对赌博问题的个体认知行为疗法。研究中应用了解释现象学分析方法，确定了三个主要主题，其中“治疗障碍”是本研究的子主题。所有女性参与者的叙述中都出现了治疗的内在和外在障碍，这些障碍似乎对服务的利用产生了影响。将赌徒的直接意见与其他研究的结果相结合，可以设计出更好的方法来接触女性赌瘾患者。更好地了解治疗障碍也可为未来的研究提供有价值的方向，并为临床服务提供和治疗计划提出应用建议。
