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问题赌博与家庭暴力:与寻求治疗的赌徒中家庭暴力受害和施暴相关的因素。

Problem Gambling and Family Violence: Factors Associated With Family Violence Victimization and Perpetration in Treatment-Seeking Gamblers.

机构信息

Deakin University, Geelong, Victoria, Australia.

University of Melbourne, Parkville, Victoria, Australia.

出版信息

J Interpers Violence. 2021 Aug;36(15-16):7645-7669. doi: 10.1177/0886260519835877. Epub 2019 Mar 20.

DOI:10.1177/0886260519835877
PMID:30894040
Abstract

Although problem gambling and family violence are related, there is little available research exploring the factors associated with this relationship. The primary aim was to predict family violence (victimization and perpetration) in a sample of treatment-seeking gamblers by gambling indices (gambling symptom severity, gambling time spent, gambling frequency, gambling expenditure), psychological distress, post-traumatic stress disorder (PTSD) symptoms, gambling coping motives, alcohol and drug use, gambling-related legal consequences, work and social adjustment, impulsivity, and gender. A secondary aim was to explore the degree to which these factors moderate the relationship between gambling symptom severity and family violence. Participants ( = 141) were consecutively recruited gamblers presenting to a gambling counseling service. The prevalence of family violence was 25.5%, with 18.4% reporting victimization and 19.1% reporting perpetration. Intimate partners and parents were most likely to be both perpetrators and victims of family violence. Victimization was significantly predicted by psychological distress, symptoms of PTSD, and gambling-related legal consequences, while perpetration was significantly predicted by gambling symptom severity, gambling-related legal consequences, and impulsivity. The association between gambling symptom severity and victimization was significant only for gamblers with low levels of gambling coping motives and moderate or high levels of alcohol use. These findings provide further support for routine screening in problem gambling and family violence services, particularly those who report gambling-related legal consequences; highlight the need for prevention and intervention programs to lower the co-occurrence of these behaviors; and suggest that reducing psychological distress, symptoms of PTSD, alcohol use, and impulsivity may be important in these efforts.

摘要

虽然赌博问题和家庭暴力是相关的,但很少有研究探索与这种关系相关的因素。主要目的是通过赌博指数(赌博症状严重程度、赌博时间、赌博频率、赌博支出)、心理困扰、创伤后应激障碍(PTSD)症状、赌博应对动机、酒精和药物使用、与赌博相关的法律后果、工作和社会适应、冲动性以及性别,预测寻求治疗的赌徒样本中的家庭暴力(受害和施暴)。次要目的是探索这些因素在多大程度上调节赌博症状严重程度与家庭暴力之间的关系。参与者(n=141)是连续招募的赌博咨询服务中心的赌徒。家庭暴力的患病率为 25.5%,18.4%报告受害,19.1%报告施暴。亲密伴侣和父母最有可能既是家庭暴力的加害者又是受害者。受害显著受到心理困扰、PTSD 症状和与赌博相关的法律后果的预测,而施暴则显著受到赌博症状严重程度、与赌博相关的法律后果和冲动性的预测。赌博症状严重程度与受害之间的关联仅在赌博应对动机水平低、酒精使用水平中等或高的赌徒中显著。这些发现进一步支持在赌博问题和家庭暴力服务中进行常规筛查,特别是对那些报告与赌博相关的法律后果的人;强调需要预防和干预计划来降低这些行为的同时发生;并表明减少心理困扰、PTSD 症状、酒精使用和冲动性可能是这些努力的重要方面。

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