Valero-Solís Susana, Granero Roser, Fernández-Aranda Fernando, Steward Trevor, Mestre-Bach Gemma, Mallorquí-Bagué Núria, Martín-Romera Virginia, Aymamí Neus, Gómez-Peña Mónica, Del Pino-Gutiérrez Amparo, Baño Marta, Moragas Laura, Menchón José M, Jiménez-Murcia Susana
Departament de Psicologia Clínica i de la Salut, Autonomous University of Barcelona, Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Front Psychiatry. 2018 Oct 16;9:497. doi: 10.3389/fpsyt.2018.00497. eCollection 2018.
Increases in the prevalence of behavioral addictions worldwide have led to a growth in the etiological research of the specific contribution of risk/protective factors to these disorders. The objective of this study was to assess the relative role of patients' sex, age of disorder onset and disorder duration on the clinical profile of behavioral addictions. Our sample included treatment-seeking patients diagnosed with gambling disorder (GD, = 3,174), internet gambling disorder (IGD, = 45), compulsive buying (CB, = 113), and sex addiction (SA, = 34). The pattern of associations between the independent variables and the outcomes were strongly related to the behavioral addiction subtype: (a) for GD-men early onset of the disorder was related to GD severity, while for GD-women early onset was linked to novelty seeking; (b) for IGD-men, late onset correlated with addiction severity, worse psychopathological state, and high harm avoidance and self-transcendence levels; (c) for CB-women, early onset was related to higher reward-dependence scores and lower self-transcendence levels, and longer duration predicted higher cumulate debts; for CB-men, early onset and long duration correlated with high scores in harm-avoidance, self-directedness, self-transcendence, and cooperativeness; and (d) for SA-men, late onset and longer duration correlated with high disorder severity. These findings are relevant for developing prevention and treatment programs specific to different behavioral addictions.
全球范围内行为成瘾患病率的上升导致了对风险/保护因素对这些疾病具体贡献的病因学研究的增加。本研究的目的是评估患者性别、疾病发病年龄和病程对行为成瘾临床特征的相对作用。我们的样本包括寻求治疗的被诊断患有赌博障碍(GD,n = 3174)、网络赌博障碍(IGD,n = 45)、强迫性购物(CB,n = 113)和性成瘾(SA,n = 34)的患者。自变量与结果之间的关联模式与行为成瘾亚型密切相关:(a)对于GD男性,疾病早发与GD严重程度相关,而对于GD女性,早发与寻求新奇有关;(b)对于IGD男性,晚发与成瘾严重程度、较差的心理病理状态以及高伤害回避和自我超越水平相关;(c)对于CB女性,早发与较高的奖励依赖得分和较低的自我超越水平相关,病程较长预示着累积债务较高;对于CB男性,早发和病程较长与伤害回避、自我导向、自我超越和合作性方面的高分相关;(d)对于SA男性,晚发和病程较长与高疾病严重程度相关。这些发现对于制定针对不同行为成瘾的预防和治疗方案具有重要意义。