VISN 1 New England MIRECC, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts.
University of Massachusetts Medical School, Worcester, Massachusetts.
Am J Addict. 2018 Mar;27(2):108-115. doi: 10.1111/ajad.12685. Epub 2018 Feb 19.
Gambling Disorder (GD) is characterized by recurrent gambling behavior that is associated with significant impairment and distress, high psychiatric comorbidities, and high functional disability. The military veteran population appears particularly susceptible to developing the disorder, but relatively little has been studied among this population. The purpose of the present study is to investigate the clinical psychopathologies and comorbidities of veterans seeking treatment for problem gambling and how problem gambling may impact functioning.
Treatment-seeking veterans meeting criteria for GD (N = 61) underwent a structured clinical interview and completed the South Oaks Gambling Screen (SOGS), the Gambling Symptom Assessment Scale (G-SAS), the Yale-Brown Obsessive-Compulsive Scale for Gambling Disorder (PG-YBOCS), the Gambling Belief Questionnaire (GBQ), the Barratt Impulsiveness Scale (BIS-11), and the Sheehan Disability Scale (SDS).
Veterans seeking treatment for GD had high rates of psychiatric and addiction disorder comorbidities. Few veterans had previously sought treatment and most reported substantive challenges in social and occupational functioning. When determining how gambling-related characteristics (ie, severity and cognitive distortions) impact function, severity of cognitive distortions was the strongest statistical predictor of overall functional disability.
The findings from this study indicate that there is high comorbidity between GD and other psychiatric and addictive disorders, as well as social and occupational functioning. In addition, cognitive distortions related to gambling relate importantly to overall functioning and should be considered in the development of interventions for veterans with GD. (Am J Addict 2018;27:108-115).
赌博障碍（GD）的特征是反复发作的赌博行为，与明显的损伤和痛苦、高精神共病和高功能障碍有关。退伍军人似乎特别容易患上这种疾病，但针对这一人群的研究相对较少。本研究的目的是调查寻求治疗赌博问题的退伍军人的临床心理病理学和共病情况，以及赌博问题如何影响他们的功能。
符合 GD 标准的寻求治疗的退伍军人（N=61）接受了结构化临床访谈，并完成了 South Oaks Gambling Screen（SOGS）、Gambling Symptom Assessment Scale（G-SAS）、Yale-Brown Obsessive-Compulsive Scale for Gambling Disorder（PG-YBOCS）、Gambling Belief Questionnaire（GBQ）、Barratt Impulsiveness Scale（BIS-11）和 Sheehan Disability Scale（SDS）。
寻求 GD 治疗的退伍军人有很高的精神和成瘾障碍共病率。很少有退伍军人以前寻求过治疗，大多数人报告在社会和职业功能方面存在实质性挑战。在确定与赌博相关的特征（即严重程度和认知扭曲）如何影响功能时，认知扭曲的严重程度是整体功能障碍的最强统计学预测因素。
本研究的结果表明，GD 与其他精神和成瘾障碍以及社会和职业功能之间存在高度共病。此外，与赌博相关的认知扭曲与整体功能密切相关，应在为 GD 退伍军人制定干预措施时加以考虑。
