Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S. Maryland Avenue, MC3077, Chicago, IL, 60637, USA.
J Gambl Stud. 2018 Sep;34(3):999-1012. doi: 10.1007/s10899-017-9730-2.
Gambling disorder affects approximately 1.1-3.5% of the population, with the rates being higher in young adults. Despite this high prevalence, little is known regarding which pathological gamblers decide to seek treatment. This study sought to examine the differences in three groups of pathological gamblers: those who did not seek treatment (n = 94), those who sought therapy (n = 106) and those who sought medication therapy (n = 680). All subjects were assessed on a variety of measures including demographics, family history, gambling history, comorbid psychiatric disorders and an assortment of clinical variables such as the Quality of Life Inventory, Hamilton Depression and Anxiety Rating Scales, Yale Brown Obsessive Compulsive Scale for Pathologic Gambling (PG-YBOCS), Barratt Impulsiveness Scale, Eysenck Impulsiveness Questionnaire and select cognitive tasks. Those seeking treatment were more likely to be Caucasian, have lost more money in the past year due to gambling, and were more likely to have legal and social problems as a result of their gambling. Those seeking therapy or medical treatment also scored significantly higher on the PG-YBOCS. This study suggests that pathologic gamblers seeking treatment were more likely to exhibit obsessive-compulsive tendencies likely leading to the increased legal and social problems that exist in this group.
赌博障碍影响大约 1.1-3.5%的人口，年轻人中的发病率更高。尽管患病率如此之高，但对于哪些病态赌徒决定寻求治疗，人们知之甚少。本研究旨在比较三组病态赌徒的差异：未寻求治疗的（n=94）、寻求治疗的（n=106）和寻求药物治疗的（n=680）。所有受试者均接受了各种评估，包括人口统计学、家族史、赌博史、共病精神障碍以及生活质量量表、汉密尔顿抑郁和焦虑量表、耶鲁布朗强迫性赌博量表（PG-YBOCS）、巴瑞特冲动量表、艾森克冲动问卷和一些认知任务等临床变量的评估。寻求治疗的患者更有可能是白人，过去一年因赌博损失了更多的钱，并且由于赌博而导致更多的法律和社会问题。寻求治疗或药物治疗的患者在 PG-YBOCS 上的得分也明显更高。这项研究表明，寻求治疗的病态赌徒更有可能表现出强迫性倾向，这可能导致该群体中存在更多的法律和社会问题。
