Department of Psychiatry and Behavioral Neuroscience, Wayne State University, United States.
Department of Psychiatry and Behavioral Neuroscience, Wayne State University, United States; School of Social Work, Wayne State University, United States.
Addict Behav. 2018 Sep;84:1-6. doi: 10.1016/j.addbeh.2018.03.017. Epub 2018 Mar 12.
Individuals with gambling disorder are at an elevated risk for engaging in gambling-related illegal behaviors. The present study examined client (N = 88) and clinician ratings (N = 30) of client characteristics associated with a history of gambling-related illegal behaviors. We also examined client characteristics associated with history of arrest for a gambling-related crime. Gambling-related illegal behaviors and arrest were common (57.3% and 23.9%, respectively) in the present sample. Clients of younger age, and those with greater gambling-related financial consequences, lifetime alcohol problems, impulsivity, mood symptoms, and daily living role difficulties were more likely to report gambling-related illegal behaviors. Clients who had been arrested for a gambling-related crime were more likely to report daily living and role functioning difficulties and lifetime alcohol problems. Clinicians rated clients with a history of gambling-related illegal behaviors and/or gambling-related arrests as more impulsive, and clinicians also endorsed higher rates of treatment failure among these clients. Both client and clinician report suggested that clients with a history of illegal behaviors may have a variety of comorbid problems that may be a focus of clinical intervention.
患有赌博障碍的个体从事与赌博相关的非法行为的风险较高。本研究检查了与赌博相关的非法行为史相关的客户（N=88）和临床医生的评估（N=30）。我们还检查了与赌博相关犯罪被捕史相关的客户特征。在本样本中，与赌博相关的非法行为和被捕是常见的（分别为 57.3%和 23.9%）。年龄较小的客户，以及那些赌博相关财务后果较大、终生酗酒问题、冲动、情绪症状和日常生活角色困难的客户更有可能报告赌博相关的非法行为。因赌博相关犯罪被捕的客户更有可能报告日常生活和角色功能困难以及终生酗酒问题。临床医生对有赌博相关非法行为和/或赌博相关被捕史的客户的评估更冲动，而且临床医生也认为这些客户的治疗失败率更高。客户和临床医生的报告都表明，有非法行为史的客户可能有多种共病问题，这可能是临床干预的重点。
