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挣扎于幸福之中:一条通向抑郁和赌博障碍的通路。

Struggling with Happiness: A Pathway Leading Depression to Gambling Disorder.

机构信息

Department of Educational Sciences, University of Genoa, Corso Andrea Podestà, 2, 16128, Genoa, Italy.

Department of Dynamic and Clinical Psychology, University of Rome, Sapienza, Italy.

出版信息

J Gambl Stud. 2019 Mar;35(1):293-305. doi: 10.1007/s10899-018-09825-w.

Abstract

A number of studies have suggested that depressive mood might lead to the development and/or maintenance of a gambling disorder (GD). The pathways by which such relationships are fostered may involve deficits in emotional regulation capacity and dysfunctional coping styles. This study aims to explore the role played by depressive symptomatology and the regulation of positive emotion in GD. We administered the South Oaks Gambling Inventory (SOGS, Lesieur and Blume in Am J Psychiatry 144(9):1184-1188, 1987), the 21-item Depression Anxiety Stress Scale (DASS-21, Lovibond and Lovibond in Manual for the depression anxiety stress scales. Psychology Foundation, Sydney, 1995) and the Kill-joy Thinking subscale of the Ways of Savouring Checklist (WOSC, Bryant and Veroff in Savoring: a new model of positive experience. Lawrence Erlbaum, Mahwah, 2007) to a sample of pathological gamblers (n = 91) and a sample of community participants (n = 105). The pathological gamblers scored higher on the DASS-21 subscales and obtained higher scores on the Kill-joy Thinking subscale of the WOSC compared to the controls. Moreover, the SOGS scores positively correlate with the DASS-21 subscales, and with the Kill-Joy Thinking measure. Finally, it is evident that Kill-joy Thinking fully mediates the relationship between depressive symptomatology and GD severity. Our results further confirm the roles of depression, anxiety and stress in GD. Moreover, this is the first study to explore the mediating role of dampening processes in the relationship between depression and GD. Future lines of research are also discussed.

摘要

一些研究表明,抑郁情绪可能导致赌博障碍(GD)的发展和/或维持。这些关系形成的途径可能涉及情绪调节能力缺陷和功能失调的应对方式。本研究旨在探讨抑郁症状和积极情绪调节在 GD 中的作用。我们使用了 South Oaks Gambling Inventory(SOGS,Lesieur 和 Blume 在 Am J Psychiatry 144(9):1184-1188, 1987)、21 项抑郁焦虑压力量表(DASS-21,Lovibond 和 Lovibond 在 Manual for the depression anxiety stress scales. Psychology Foundation, Sydney, 1995)和享受方式清单的 Kill-joy Thinking 子量表(WOSC,Bryant 和 Veroff 在 Savoring: a new model of positive experience. Lawrence Erlbaum, Mahwah, 2007)对一组病理性赌博者(n=91)和一组社区参与者(n=105)进行了测试。与对照组相比,病理性赌博者在 DASS-21 子量表上的得分更高,在 WOSC 的 Kill-joy Thinking 子量表上的得分也更高。此外,SOGS 分数与 DASS-21 子量表和 Kill-Joy Thinking 测量值呈正相关。最后,很明显,Kill-joy Thinking 完全中介了抑郁症状与 GD 严重程度之间的关系。我们的研究结果进一步证实了抑郁、焦虑和压力在 GD 中的作用。此外,这是第一项探索抑制过程在抑郁与 GD 关系中的中介作用的研究。还讨论了未来的研究方向。

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