PsychMed, Wellbeing and Recovery Research Institute-WARRI, Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, 5000 Adelaide, Australia.
Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, 5042 Adelaide, Australia.
Int J Environ Res Public Health. 2019 Aug 10;16(16):2858. doi: 10.3390/ijerph16162858.
Our understanding of gambling relapse is limited despite the damaging consequences affecting many aspects of the gambler's life. Paradoxically, regardless of these negative consequences problem gamblers (PGs) continue to relapse, seemingly unable to stop this cycle of harm. This paper addresses the phenomenon of repeated gambling relapse shedding some insights into why gamblers continue to relapse.
The study comprised of ( = 54) participants purposefully selected who participated in either 1 of 5 focus groups ( = 35) or in-depth interviews ( = 19). The new knowledge obtained was from PGs, significant others, and workers with direct experience of gambling relapse. Interview recordings were analysed using thematic, textual analysis.
The avoidance of negative emotions from the consequences of the destructive behaviour associated with repeated relapse leads to a hopeless "merry-go-round". Once on this "merry go round", relapse becomes a habitual way of life where behaviour change and learning from the devastation of a gambling relapse is challenging. Exiting this cycle means PGs must face the consequences of their gambling which for many is overwhelming, and relapse is a way to avoid despair.
These findings provide insights into relapse which has implications for gamblers seeking treatment, assessment and treatment "drop-outs".
尽管赌博对赌徒生活的许多方面都造成了破坏性的影响，但我们对赌博复发的理解仍然有限。矛盾的是，尽管存在这些负面影响，问题赌徒（PG）仍会继续复发，似乎无法阻止这种伤害的循环。本文探讨了赌博复发的现象，深入了解了为什么赌徒会继续复发。
该研究包括（= 54）名经精心挑选的参与者，他们要么参加了 5 个焦点小组中的 1 个（= 35），要么参加了深入访谈（= 19）。从 PG、重要他人和有赌博复发直接经验的工作人员那里获得了新知识。使用主题、文本分析对访谈录音进行分析。
避免与反复复发相关的破坏性行为的后果所带来的负面情绪，导致了一种无望的“旋转木马”。一旦进入这个“旋转木马”，复发就成为了一种习惯性的生活方式，改变行为和从赌博复发的破坏中吸取教训变得具有挑战性。摆脱这种循环意味着 PG 必须面对赌博的后果，对许多人来说，这是压倒性的，而复发是一种避免绝望的方式。
这些发现深入了解了复发的现象，这对寻求治疗、评估和治疗“脱落”的赌徒具有重要意义。
Zotero 插件