Departament de Psicologia Clínica i de la Salut, Autonomous University of Barcelona, C/Fortuna Edificio B, Bellaterra, Cerdanyola del Vallès, 08193, Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain.
J Gambl Stud. 2019 Mar;35(1):261-273. doi: 10.1007/s10899-018-9786-7.
Buying disorder (BD) and gambling disorder (GD) are behavioral addictions that are increasingly being researched and treated by mental health professionals. This study analyzes the underlying mechanisms of the comorbidity between both conditions in a sample of treatment-seeking patients. The sample included n = 127 patients recruited from a specialized unit in addictive behaviors at a public university hospital who presented BD symptoms with and without GD. Structural equation models analyzed the mediational mechanisms that explained the presence of the comorbid condition BD + GD. Personality variables indirectly influence the concurrence of GD and BD, and the relationship patterns were modulated by the age of onset of these two conditions. A direct relationship between being male and an increase in the risk of GD + BD comorbidity was also found. Sex and the amount of disorder-related debts also were directly associated with psychopathology. These results provide evidence on the pathways of concurrent BD + GD, which could contribute to the development of evidence-based preventive and therapeutic interventions.
购买障碍（BD）和赌博障碍（GD）是行为成瘾，越来越受到心理健康专业人员的研究和治疗。本研究在寻求治疗的患者样本中分析了这两种疾病共病的潜在机制。该样本包括从一所公立大学医院的成瘾行为专科招募的 n = 127 名患者，这些患者有或没有 GD 症状。结构方程模型分析了解释共病 BD + GD 存在的中介机制。人格变量间接影响 GD 和 BD 的共病发生，且这两种情况的发病年龄调节了关系模式。还发现男性与 GD + BD 共病风险增加之间存在直接关系。性别和与障碍相关的债务数量也与精神病理学直接相关。这些结果提供了关于同时存在 BD + GD 的途径的证据，这可能有助于制定基于证据的预防和治疗干预措施。
