School of Psychology, University of Lincoln, United Kingdom.
Department of Psychology, AUT University, New Zealand.
Am J Addict. 2018 Jan;27(1):7-14. doi: 10.1111/ajad.12656. Epub 2017 Dec 27.
Links between intimate partner violence (IPV) and gambling problems are under researched in general population samples. Understanding these relationships will allow for improved identification and intervention. We investigated these relationships and sought to determine whether links were attenuated by axis I and II disorders.
This study examined data from waves 1 and 2 (N = 25,631) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC); a nationally representative survey of U.S. adults. Gambling symptoms and other psychiatric disorders were measured at wave 1 by the Alcohol Use Disorder and Associated Disability Interview Schedule-DSM-IV Version (AUDADIS-IV). Physical IPV victimization and perpetration in the last 12 months were assessed 3 years later at wave 2 using items from the Conflict Tactics Scale-R. Binary logistic regression models were used to examine associations separately for males and females.
Problem gambling was associated with increased odds of both IPV perpetration for males (OR = 2.62, 95%CI = 1.22-5.60) and females (OR = 2.87, 95%CI = 1.29-6.42), and with IPV victimization for females only (OR = 2.97, 95%CI = 1.31-6.74). Results were attenuated with inclusion of axis I and axis II disorders; links between gambling and IPV were weaker than those involving other mental health conditions.
There are prospective associations with gambling problems and physical IPV which have implications for identification, spontaneous disclosure, and treatment seeking. The links between gambling problems and violence are complex and should not be considered independently of co-occurring mental health and substance use disorders. (Am J Addict 2018;27:7-14).
亲密伴侣暴力（IPV）与赌博问题之间的联系在一般人群样本中研究甚少。了解这些关系将有助于更好地识别和干预。我们研究了这些关系，并试图确定这些联系是否因轴 I 和 II 障碍而减弱。
本研究利用美国全国酒精相关情况和障碍流行病学调查（NESARC）第 1 波和第 2 波的数据（N=25631）；这是一项对美国成年人的全国代表性调查。赌博症状和其他精神障碍在第 1 波通过酒精使用障碍和相关残疾访谈表 - DSM-IV 版本（AUDADIS-IV）进行测量。在 3 年后的第 2 波，使用冲突策略量表-R 的项目评估过去 12 个月内的身体 IPV 受害和施暴情况。使用二元逻辑回归模型分别为男性和女性检查关联。
问题赌博与男性（OR=2.62，95%CI=1.22-5.60）和女性（OR=2.87，95%CI=1.29-6.42）的 IPV 施暴几率增加以及女性的 IPV 受害几率增加相关（OR=2.97，95%CI=1.31-6.74）。纳入轴 I 和轴 II 障碍后，结果减弱；赌博与 IPV 之间的联系比涉及其他心理健康状况的联系弱。
赌博问题与身体 IPV 存在前瞻性关联，这对识别、自发披露和治疗寻求有影响。赌博问题与暴力之间的联系是复杂的，不应独立于同时存在的心理健康和物质使用障碍考虑。（美国成瘾杂志 2018；27：7-14）。
