Cairncross Molly, Milosevic Aleks, Struble Cara A, Ellis Jennifer D, Ledgerwood David M
Department of Psychology, University of Windsor, Windsor.
Centre for Interpersonal Relationships, Ottawa, Ontario, Canada.
J Nerv Ment Dis. 2019 Apr;207(4):246-254. doi: 10.1097/NMD.0000000000000959.
The study examined the differential clinical and personality characteristics of problem and pathological gamblers (PPGs) with and without clinically significant symptoms of adult attention deficit hyperactive disorder (ADHD). Adults (N = 150, n = 75 women) with PPG were assessed by the SCID-IV, Conners' Adult ADHD Rating Scales, Multidimensional Personality Questionnaire, Gambling Motivation Questionnaire, and the Barratt Impulsiveness Scale. PPGs who reported symptoms of ADHD were more likely to be male, endorse psychiatric comorbidities (i.e., alcohol dependence, anxiety disorders, and antisocial personality disorder), report maladaptive personality traits (i.e., higher negative emotionality and lower positive emotionality), as well as higher impulsivity (attention impulsiveness, motor impulsiveness, and nonplanning impulsiveness). PPGs with symptoms of ADHD reported gambling for social, coping, and enhancement reasons. A multivariate binary logistic regression revealed that sex, higher scores on social reasons for gambling, and lack of premeditation were associated with an increased likelihood of reporting ADHD symptoms. The findings demonstrate important differences of PPGs with symptoms of ADHD and provide information for treatment consideration.
该研究调查了有和没有成人注意力缺陷多动障碍(ADHD)临床显著症状的问题和病态赌徒(PPG)的不同临床和人格特征。对患有PPG的成年人(N = 150,n = 75名女性)进行了SCID-IV、康纳斯成人ADHD评定量表、多维人格问卷、赌博动机问卷和巴拉特冲动量表评估。报告有ADHD症状的PPG更可能为男性,认可精神共病(即酒精依赖、焦虑症和反社会人格障碍),报告适应不良的人格特质(即更高的消极情绪和更低的积极情绪),以及更高的冲动性(注意力冲动性、运动冲动性和无计划冲动性)。有ADHD症状的PPG报告称赌博是出于社交、应对和增强等原因。多元二元逻辑回归显示,性别、更高的赌博社交原因得分和缺乏预谋与报告ADHD症状的可能性增加有关。研究结果表明有ADHD症状的PPG存在重要差异,并为治疗考量提供了信息。