Mestre-Bach Gemma, Steward Trevor, Granero Roser, Fernández-Aranda Fernando, Talón-Navarro María Teresa, Cuquerella Àngel, Baño Marta, Moragas Laura, Del Pino-Gutiérrez Amparo, Aymamí Neus, Gómez-Peña Mónica, Mallorquí-Bagué Núria, Vintró-Alcaraz Cristina, Magaña Pablo, Menchón José Manuel, Jiménez-Murcia Susana
Pathological Gambling Unit, Department of Psychiatry, Institut d'Investigació Biomédica de Bellvitge (IDIBELL), Bellvitge University Hospital, Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Front Psychiatry. 2018 Jan 29;9:6. doi: 10.3389/fpsyt.2018.00006. eCollection 2018.
Gambling disorder (GD) is a psychiatric condition that was recently recategorized as a non-substance-related addiction in the Diagnostic and Statistical Manual of Mental Health Disorders. Criminal activity is commonly associated with gambling; however, few empirical studies to date have examined sociodemographic and psychological variables in this population. In this study, we explored criminal behavior history in a sample of consecutively recruited treatment-seeking gamblers ( = 382) and compared subjects with a history of illegal acts ( = 103, 26.9%) to those with no criminal record ( = 279, 73.1%). Impulsivity and personality traits were specifically explored, along with other gambling-related severity factors. We found that gamblers who engaged in illegal activity were more likely to endorse high levels of urgency (i.e., the tendency to act out when experiencing heightened emotional states) and increased lack of premeditation. Gamblers with a history of criminal behavior also had greater GD severity levels and gambling-related debts. Additionally, these gamblers reported lower levels of self-directedness, which is characterized by difficulty in establishing and redirecting behavior toward one's goals. Likewise, gamblers who had conducted criminal acts showed a tendency to engage in greater risk-taking behavior. These results shed new light on this understudied population and provide insights for developing targeted harm-prevention interventions and treatment protocols.
赌博障碍(GD)是一种精神疾病,最近在《精神疾病诊断与统计手册》中被重新归类为与物质无关的成瘾症。犯罪活动通常与赌博有关;然而,迄今为止,很少有实证研究考察这一人群的社会人口统计学和心理变量。在本研究中,我们在一组连续招募的寻求治疗的赌徒样本(n = 382)中探究了犯罪行为史,并将有违法行为史的受试者(n = 103,26.9%)与无犯罪记录的受试者(n = 279,73.1%)进行了比较。我们特别探究了冲动性和人格特质,以及其他与赌博相关的严重程度因素。我们发现,从事非法活动的赌徒更有可能认可高度的冲动性(即在情绪高涨时冲动行事的倾向)和更强的缺乏预谋性。有犯罪行为史的赌徒的赌博障碍严重程度和与赌博相关的债务也更高。此外,这些赌徒的自我导向水平较低,其特征是难以确立并将行为重新导向个人目标。同样,实施过犯罪行为的赌徒表现出更倾向于从事高风险行为的趋势。这些结果为这一研究不足的人群提供了新的认识,并为制定有针对性的危害预防干预措施和治疗方案提供了见解。