Gorsane Mohamed Ali, Reynaud Michel, Vénisse Jean-Luc, Legauffre Cindy, Valleur Marc, Magalon David, Fatséas Mélina, Chéreau-Boudet Isabelle, Guilleux Alice, Challet-Bouju Gaëlle, Grall-Bronnec Marie
1 Psychiatry and Addictology Department, Paul Brousse University Hospital of Villejuif, Assistance Publique - Hôpitaux de Paris (APHP) , Paris, France.
2 Pole of Psychiatry 75G04, Henry Ey Hospital, Centre Hospitalier Sainte-Anne , Paris, France.
J Behav Addict. 2017 Mar 1;6(1):64-73. doi: 10.1556/2006.6.2017.003. Epub 2017 Feb 15.
Background and aims Gambling disorder-related illegal acts (GDRIA) are often crucial events for gamblers and/or their entourage. This study was designed to determine the predictive factors of GDRIA. Methods Participants were 372 gamblers reporting at least three DSM-IV-TR (American Psychiatric Association, 2000) criteria. They were assessed on the basis of sociodemographic characteristics, gambling-related characteristics, their personality profile, and psychiatric comorbidities. A multiple logistic regression was performed to identify the relevant predictors of GDRIA and their relative contribution to the prediction of the presence of GDRIA. Results Multivariate analysis revealed a higher South Oaks Gambling Scale score, comorbid addictive disorders, and a lower level of income as GDRIA predictors. Discussion and conclusion An original finding of this study was that the comorbid addictive disorder effect might be mediated by a disinhibiting effect of stimulant substances on GDRIA. Further studies are necessary to replicate these results, especially in a longitudinal design, and to explore specific therapeutic interventions.
背景与目的 与赌博障碍相关的非法行为(GDRIA)对赌徒和/或其周围的人来说往往是关键事件。本研究旨在确定GDRIA的预测因素。方法 参与者为372名报告至少符合三项DSM-IV-TR(美国精神病学协会,2000年)标准的赌徒。根据社会人口学特征、与赌博相关的特征、人格特征和精神共病情况对他们进行评估。进行多元逻辑回归以确定GDRIA的相关预测因素及其对GDRIA存在预测的相对贡献。结果 多变量分析显示,较高得分(南橡树赌博量表)、共病成瘾性障碍以及较低收入水平是GDRIA的预测因素。讨论与结论 本研究的一个新发现是,共病成瘾性障碍的影响可能是由刺激性物质对GDRIA的去抑制作用介导的。需要进一步研究来重复这些结果,特别是采用纵向设计,并探索具体的治疗干预措施。