赌博障碍患者的治疗方式。
Treatment modalities for patients with gambling disorder.
作者信息
Choi Sam-Wook, Shin Young-Chul, Kim Dai-Jin, Choi Jung-Seok, Kim Seohee, Kim Seung-Hyun, Youn HyunChul
机构信息
Korea Institute on Behavioral Addictions, True Mind Clinic, F7, KR tower, 1 141, Teheran-ro, Gangnam-gu, Seoul, 06132 South Korea.
Healthcare & Information Research Institute, Namseoul University, 91 Daehak-ro, Seonghwan-eup, Seobuk-gu, Cheonan-Si, Chungcheongnam-do 31021 South Korea.
出版信息
Ann Gen Psychiatry. 2017 Apr 28;16:23. doi: 10.1186/s12991-017-0146-2. eCollection 2017.
BACKGROUND
Gambling disorder (GD) is defined as persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress. The prevalence of GD has been shown to be 1.2-7.1% in the general population. GD can severely impact on personal and vocational wellbeing as well as lead to financial problems, and has been known to be difficult to treat. This review describes the available pharmacotherapy/psychosocial treatments for GD patients, and summarizes data on the effectiveness of these GD treatments.
METHODS
This review refers to newly as well as previously published studies and guidelines.
RESULTS
The description of pharmacotherapy mainly focuses on opioid receptor antagonists, selective serotonin reuptake inhibitors, and mood stabilizers. Psychosocial treatments/strategies mainly include cognitive behavioral therapy, motivational interviewing, and Gamblers Anonymous. We also introduce relatively novel treatment modalities.
CONCLUSIONS
This review can help clinicians to decide treatment plans for their GD patients. In addition, it can be used as a reference for designing future research.
背景
赌博障碍（GD）被定义为持续且反复出现的问题赌博行为，导致临床上显著的损害或痛苦。在一般人群中，GD的患病率已显示为1.2%-7.1%。GD会严重影响个人和职业幸福感，并导致财务问题，且已知难以治疗。本综述描述了针对GD患者可用的药物治疗/心理社会治疗方法，并总结了这些GD治疗方法有效性的数据。
方法
本综述参考了新发表的以及先前发表的研究和指南。
结果
药物治疗的描述主要集中在阿片受体拮抗剂、选择性5-羟色胺再摄取抑制剂和心境稳定剂。心理社会治疗/策略主要包括认知行为疗法、动机性访谈和匿名戒赌会。我们还介绍了相对新颖的治疗方式。
结论
本综述可帮助临床医生为其GD患者确定治疗方案。此外，它可作为设计未来研究的参考。
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