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本文引用的文献

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A single session of repetitive transcranial magnetic stimulation of the prefrontal cortex reduces cue-induced craving in patients with gambling disorder.对前额叶皮质进行单次重复经颅磁刺激可降低赌博障碍患者线索诱发的渴求感。
Eur Psychiatry. 2017 Mar;41:68-74. doi: 10.1016/j.eurpsy.2016.11.001. Epub 2017 Feb 3.
2
Ecological Momentary Assessment and Smartphone Application Intervention in Adolescents with Substance Use and Comorbid Severe Psychiatric Disorders: Study Protocol.物质使用与共病严重精神障碍青少年的生态瞬时评估与智能手机应用干预:研究方案。
Front Psychiatry. 2016 Sep 20;7:157. doi: 10.3389/fpsyt.2016.00157. eCollection 2016.
3
Pharmacotherapy and group cognitive behavioral therapy enhance follow-up treatment duration in gambling disorder patients.药物治疗和团体认知行为疗法可延长赌博障碍患者的后续治疗时长。
Ann Gen Psychiatry. 2016 Aug 12;15:20. doi: 10.1186/s12991-016-0107-1. eCollection 2016.
4
Online interventions for problem gamblers with and without co-occurring mental health symptoms: Protocol for a randomized controlled trial.针对有和没有共病心理健康症状的问题赌徒的在线干预:一项随机对照试验方案
BMC Public Health. 2016 Jul 22;16:624. doi: 10.1186/s12889-016-3291-7.
5
Effects of High Frequency Repeated Transcranial Magnetic Stimulation and Continuous Theta Burst Stimulation on Gambling Reinforcement, Delay Discounting, and Stroop Interference in Men with Pathological Gambling.高频重复经颅磁刺激和连续 theta 爆发刺激对病理性赌博男性赌博强化、延迟折扣和 Stroop 干扰的影响。
Brain Stimul. 2016 Nov-Dec;9(6):867-875. doi: 10.1016/j.brs.2016.06.003. Epub 2016 Jun 14.
6
Topiramate Combined with Cognitive Restructuring for the Treatment of Gambling Disorder: A Two-Center, Randomized, Double-Blind Clinical Trial.托吡酯联合认知重构治疗赌博障碍:一项双中心、随机、双盲临床试验
J Gambl Stud. 2017 Mar;33(1):249-263. doi: 10.1007/s10899-016-9620-z.
7
The Efficacy of Three Modalities of Internet-Based Psychotherapy for Non-Treatment-Seeking Online Problem Gamblers: A Randomized Controlled Trial.三种基于互联网的心理治疗方式对未寻求治疗的在线问题赌徒的疗效:一项随机对照试验。
J Med Internet Res. 2016 Feb 15;18(2):e36. doi: 10.2196/jmir.4752.
8
A Smartphone Application Supporting Recovery from Heroin Addiction: Perspectives of Patients and Providers in China, Taiwan, and the USA.一款支持海洛因成瘾康复的智能手机应用程序:中国大陆、台湾地区及美国患者与医护人员的观点
J Neuroimmune Pharmacol. 2016 Sep;11(3):511-22. doi: 10.1007/s11481-016-9653-1. Epub 2016 Feb 4.
9
Comparison of risk and protective factors associated with smartphone addiction and Internet addiction.与智能手机成瘾和网络成瘾相关的风险因素与保护因素的比较。
J Behav Addict. 2015 Dec;4(4):308-14. doi: 10.1556/2006.4.2015.043.
10
The PROblem Gambling RESearch Study (PROGRESS) research protocol: a pragmatic randomised controlled trial of psychological interventions for problem gambling.问题赌博研究(PROGRESS)研究方案:一项针对问题赌博的心理干预实用随机对照试验。
BMJ Open. 2015 Nov 24;5(11):e009385. doi: 10.1136/bmjopen-2015-009385.

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.

DOI:10.1186/s12991-017-0146-2
PMID:28465711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5410060/
Abstract

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.

摘要

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。