Bob Shapell School of Social Work.
Department of General Psychology.
Psychol Addict Behav. 2020 Feb;34(1):209-217. doi: 10.1037/adb0000492. Epub 2019 Jul 25.
Understanding how factors promoting recovery from gambling disorder operate is important in gambling studies and treatment programs. The recovery experience may involve multiple positive resources and may be hindered by negative experiences or states. Most prior studies have focused on the latter, generating a gap in understanding the role for positive psychology measures in recovery from gambling disorder. This study investigated the associations between symptom improvement in gambling disorder and positive resources operationalized as recovery capital (internal and external resources that individuals may draw upon during the recovery process) and intrinsic spirituality. Negative experiences and states, including stressful life events, depression, and anxiety, were also considered. One hundred and 40 individuals (101 men) with a lifetime gambling disorder treated in 5 treatment centers in Israel were assessed on DSM-5 diagnostic criteria for gambling disorder (lifetime and past-year), Brief Assessment of Recovery Capital Scale adapted to gambling disorder, Intrinsic Spirituality Scale, Generalized Anxiety Disorder Scale, Patient Health Questionnaire 9 for depression, and Stressful Life Events Scale. Improvement in gambling disorder was calculated by subtracting the criteria count for the previous year from the lifetime count. Although anxiety, stressful life events, and depression were found to be negatively associated with gambling disorder symptom improvement, only recovery capital and spirituality remained significant when all variables were entered together in a multiple regression analysis. These findings highlight the positive role of recovery capital and spirituality in the recovery process and suggest treatment providers should integrate a positive psychology approach in gambling disorder treatment programs. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
了解促进赌博障碍康复的因素在赌博研究和治疗计划中非常重要。康复体验可能涉及多种积极资源，也可能受到负面经历或状态的阻碍。大多数先前的研究都集中在后一种情况，这导致了对积极心理学措施在赌博障碍康复中的作用的理解存在差距。本研究调查了赌博障碍症状改善与康复资本（个体在康复过程中可能利用的内部和外部资源）和内在灵性等积极资源之间的关联。还考虑了负面经历和状态，包括生活压力事件、抑郁和焦虑。140 名（101 名男性）在以色列 5 家治疗中心接受治疗的终身赌博障碍患者，根据 DSM-5 赌博障碍诊断标准（终身和过去一年）、赌博障碍适应的简要康复资本量表、内在灵性量表、广泛性焦虑症量表、患者健康问卷 9 用于抑郁和生活压力事件量表进行评估。通过从终生标准计数中减去前一年的标准计数来计算赌博障碍的改善。尽管焦虑、生活压力事件和抑郁与赌博障碍症状改善呈负相关，但当将所有变量一起纳入多元回归分析时，只有康复资本和灵性仍然具有显著意义。这些发现强调了康复资本和灵性在康复过程中的积极作用，并表明治疗提供者应将积极心理学方法纳入赌博障碍治疗计划中。（APA 心理档案记录（c）2020，保留所有权利）。
