Davis Alan K, Bonar Erin E, Goldstick Jason E, Walton Maureen A, Winters Jamie, Chermack Stephen T
Addiction Center, Department of Psychiatry, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 16, Ann Arbor, MI 48109, USA.
Addiction Center, Department of Psychiatry, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 16, Ann Arbor, MI 48109, USA.
Addict Behav. 2017 Nov;74:27-32. doi: 10.1016/j.addbeh.2017.05.022. Epub 2017 May 20.
Gambling is relatively under-assessed in Veterans Affairs (VA) substance use disorder (SUD) treatment settings, yet shared characteristics with substance addiction suggest the importance of understanding how gambling behaviors present in Veterans seeking SUD care.
We evaluated substance use, mental health, and violence-related correlates of past 30-day gambling among 833 Veterans (93% male, M age 48years, 72% Caucasian) seeking treatment in VA outpatient mental health and SUD clinics who completed screening for a randomized clinical trial.
A total of 288 (35%) Veterans reported past 30-day gambling. Among those who gambled, 79% had cravings/urges to gamble, whereas between 20%-27% of gamblers reported perceived relationship, legal, and daily life problems related to gambling, as well as difficulty controlling gambling. A logistic regression analysis revealed that age, recent binge-drinking, and non-partner physical aggression were associated with recent gambling.
Gambling was associated with binge-drinking and non-partner physical aggression, supporting potential shared characteristics among these behaviors such as impulsivity and risk-taking, which may complicate SUD treatment engagement and effectiveness. Findings support the need to screen for gambling in the VA, and to adapt treatments to include gambling as a potential behavioral target or relapse trigger, particularly among heavy drinking patients.
在退伍军人事务部（VA）的物质使用障碍（SUD）治疗环境中，赌博问题相对评估不足，但与物质成瘾的共同特征表明，了解寻求SUD治疗的退伍军人中的赌博行为具有重要意义。
我们评估了833名在VA门诊心理健康和SUD诊所寻求治疗并完成随机临床试验筛查的退伍军人（93%为男性，平均年龄48岁，72%为白种人）过去30天赌博与物质使用、心理健康及暴力相关的关联因素。
共有288名（35%）退伍军人报告过去30天有赌博行为。在那些赌博的人中，79%有赌博的渴望/冲动，而20%-27%的赌徒报告了与赌博相关的人际关系、法律和日常生活问题，以及难以控制赌博。逻辑回归分析显示，年龄、近期狂饮和非伴侣身体攻击与近期赌博有关。
赌博与狂饮和非伴侣身体攻击有关，支持了这些行为之间潜在的共同特征，如冲动性和冒险性，这可能会使SUD治疗的参与度和有效性复杂化。研究结果支持在VA中对赌博进行筛查，并调整治疗方法，将赌博作为潜在的行为目标或复发触发因素，特别是在重度饮酒患者中。
