探究网络问题赌徒改变的动机。
Exploring online problem gamblers' motivation to change.
作者信息
Johansen Ayna B, Helland Pål Fylling, Wennesland Dag K, Henden Edmund, Brendryen Håvar
机构信息
Norwegian Centre for Addiction Research, University of Oslo, Norway.
Blue Cross Addiction Treatment Center, Oslo, Norway.
出版信息
Addict Behav Rep. 2019 Jun 17;10:100187. doi: 10.1016/j.abrep.2019.100187. eCollection 2019 Dec.
BACKGROUND
In order to improve interventions for problem gambling, there is a need for studies that can highlight psychological factors that support the desire to reduce gambling.
OBJECTIVE
To explore online problem gamblers' motivation for change by studying participants' reactions to an online treatment referral website designed to motivate at-risk gamblers to seek help.
DESIGN
A qualitative evaluation study, combining focus groups and in-depth interviews. Data were analyzed using the general inductive approach.
INFORMANTS
The informants included 19 male, treatment- and non-treatment seeking, online gamblers who played a variety of games, including poker, sports betting and online casino.
RESULTS
Motivation to change emerged as two processes including (a) empathy with others, which included projection of their thoughts and feelings onto others, and (b) dissonance between gambling behavior and ideal self-image. Dissonance included two subthemes: (i) dissonance due to positive feelings towards sports and athletics, and (ii) dissonance due to gambling among family.
CONCLUSIONS
The findings have implications for interventions designed to evoke motivation early in treatment of online problem gambling. Inducing problem gamblers to reflect on the thoughts and feelings of concerned significant others, real or fictional, could be a viable strategy to motivate online problem gamblers to consider change.
背景
为了改进对问题赌博的干预措施，需要开展一些研究，以突出那些支持减少赌博意愿的心理因素。
目的
通过研究参与者对一个旨在激励有风险的赌徒寻求帮助的在线治疗转介网站的反应，探索在线问题赌徒的改变动机。
设计
一项定性评估研究，结合焦点小组和深入访谈。采用一般归纳法对数据进行分析。
资料来源
资料来源包括19名男性在线赌徒，他们中有寻求治疗的，也有未寻求治疗的，玩多种游戏，包括扑克、体育博彩和在线赌场游戏。
结果
改变动机表现为两个过程，包括（a）对他人的同理心，即把自己的想法和感受投射到他人身上，以及（b）赌博行为与理想自我形象之间的不一致。不一致包括两个子主题：（i）因对体育和竞技有积极感受而产生的不一致，以及（ii）因家庭中的赌博行为而产生的不一致。
结论
这些发现对旨在在在线问题赌博治疗早期激发动机的干预措施具有启示意义。促使问题赌徒反思真实或虚构的相关重要他人的想法和感受，可能是激励在线问题赌徒考虑改变的一种可行策略。
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