School of Psychology, University of East London, Stratford, London E15 4LZ, UK; School of Psychology, College of Social Science, University of Lincoln, Brayford Pool, Lincoln, Lincolnshire LN6 7TS, UK.
School of Applied Psychology, University College Cork, UCC Enterprise Centre, North Mall, Cork, Ireland.
Addict Behav. 2019 Oct;97:20-26. doi: 10.1016/j.addbeh.2019.05.013. Epub 2019 May 15.
Age of onset is an important factor in the development and trajectory of psychiatric disorders; however, little is known regarding the age of onset in relation to disordered gambling in treatment seeking samples in the UK. Utilising a large residential treatment seeking gambler cohort, the current study examined the relationship between age of gambling onset and a range of variables thought to be associated with disordered gambling.
Data were collected from 768 gamblers attending residential treatment for disordered gambling. Individuals were grouped per the age they started gambling as either a child (≤12), adolescent (13-15), or young adult/adult (≤16). Data were analysed using linear, backward stepwise, and multinomial logistic regressions to identify significant relationships between age of onset and variables of theoretical significance.
Results indicate the younger age of gambling onset was associated with increased gambling severity. Those who began gambling at an earlier age were more likely to have abused drugs or solvents, committed an unreported crime, been verbally aggressive and experienced violent outbursts. They are less likely to report a positive childhood family environment and are more likely to have had a parent with gambling and/or alcohol problems.
Gamblers who began gambling at an earlier age experience negative life events and exhibit some antisocial behaviors more than later onset gamblers, indicating that when addressing gambling behavior, it is important to consider the developmental trajectory of the disorder, rather than merely addressing current gambling behavior. However, the direction of the relationship between gambling and significant variables is in some instance unclear, indicating a need for further research to define causality.
发病年龄是精神障碍发展和轨迹的一个重要因素;然而,关于在寻求治疗的英国样本中,发病年龄与赌博障碍的关系知之甚少。本研究利用一个大型的寻求住院治疗的赌瘾者队列,检查了赌博发病年龄与一系列被认为与赌博障碍相关的变量之间的关系。
从 768 名因赌博障碍寻求住院治疗的赌徒中收集数据。根据他们开始赌博的年龄,将个体分为儿童(≤12 岁)、青少年(13-15 岁)或年轻成人/成年人(≤16 岁)。使用线性、向后逐步和多项逻辑回归分析来识别发病年龄与理论上有意义的变量之间的显著关系。
结果表明,发病年龄越小,赌博的严重程度越高。那些更早开始赌博的人更有可能滥用药物或溶剂、犯未报告的罪行、言语攻击和经历暴力爆发。他们不太可能报告童年家庭环境良好,更有可能有赌博和/或酗酒问题的父母。
更早开始赌博的赌徒经历了更多的负面生活事件,并表现出一些反社会行为,比发病年龄较晚的赌徒更多,这表明在处理赌博行为时,重要的是要考虑到该障碍的发展轨迹,而不仅仅是关注当前的赌博行为。然而,赌博与重要变量之间的关系在某些情况下并不明确,这表明需要进一步的研究来确定因果关系。