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英国寻求治疗的赌徒的趋势和模式:2000-2015 年。

Trends and patterns in UK treatment seeking gamblers: 2000-2015.

机构信息

School of Psychology, University of East London, Water Lane, Stratford, London E15 4LZ, United Kingdom; School of Psychology, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, United Kingdom.

School of Applied Psychology, University College Cork, UCC Enterprise Centre, North Mall, Cork, Ireland.

出版信息

Addict Behav. 2019 Feb;89:51-56. doi: 10.1016/j.addbeh.2018.09.009. Epub 2018 Sep 10.

Abstract

BACKGROUND AND AIMS

Gambling is an activity that for some can become disordered, with severe negative consequences. Existing literature does little to inform us regarding changing gambling habits of treatment seeking gamblers; the current study sought to measure trends and patterns in UK treatment seeking gambler behaviour and demographics over a 15-year period.

METHODS

Case files for 768 gamblers seeking residential treatment with the Gordon Moody Association (GMA) were analysed, collected between 2000 and 2015. Case files comprised initial assessment questionnaires, demographic data, current gambling behaviour, mental and physical health status, and a risk assessment. Chi-squared analyses were used to measure change in categorical distribution.

RESULTS

Prevalence of different forms of gambling identified as problematic have changed over time: Fixed Odds Betting Terminals (FOBTs), sports betting, and poker have become more common; horse and dog racing, and the National Lottery have become less common. Online gambling has also increased over time. In more recent years, gamblers are also more likely to have attempted suicide, to report a co-occurring mental health disorder, and to start treatment having already been prescribed medication.

DISCUSSION AND CONCLUSIONS

This is the first study to demonstrate that UK treatment seeking gambler behaviour has changed over time; major changes relate to the forms of gambling engaged in problematically, and the mental health of disordered gamblers. Whilst much media focus is directed towards one form of gambling, this should not detract focus from other forms and associated disorders, and the impact of the legislative environment.

摘要

背景与目的

赌博对某些人来说可能会变得失控,带来严重的负面影响。现有文献对治疗寻求者的赌博习惯变化知之甚少;本研究旨在测量英国治疗寻求者在 15 年内的赌博行为和人口统计学的趋势和模式。

方法

分析了 768 名寻求 Gordon Moody 协会(GMA)住院治疗的赌徒的病历,收集时间为 2000 年至 2015 年。病历包括初始评估问卷、人口统计学数据、当前赌博行为、精神和身体健康状况以及风险评估。卡方分析用于测量类别分布的变化。

结果

随着时间的推移,被确定为有问题的不同形式的赌博的患病率发生了变化:固定赔率投注终端(FOBTs)、体育博彩和扑克变得更常见;马和狗的比赛和国家彩票变得不那么常见。在线赌博也随着时间的推移而增加。近年来,赌徒更有可能尝试自杀,报告同时存在心理健康障碍,并在开始治疗前已被开处药物。

讨论与结论

这是第一项表明英国治疗寻求者的赌博行为随时间发生变化的研究;主要变化涉及有问题的赌博形式,以及病态赌徒的心理健康。虽然媒体的关注主要集中在一种赌博形式上,但这不应分散对其他形式和相关疾病的关注,以及立法环境的影响。

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