Psychology Department, University of Deusto, Bilbao, Spain.
Department of Psychiatry, Bellvitge University Hospital-IDIBELL and CIBERObn, c/Feixa Llarga s/n, 08907, Hospitalet De Llobregat, Barcelona, Spain.
J Gambl Stud. 2021 Jun;37(2):483-495. doi: 10.1007/s10899-020-09953-2.
People with gambling disorder (GD) exhibit distorted cognitions and superstitious beliefs more often than the general population. Similarly, difficulties in coping and emotion dysregulation are more prevalent among those with GD, and could determine the onset of GD in particularly vulnerable groups such as adolescents. This study examines the relationship between gambling severity and gambling-related cognitions with coping strategies and emotion regulation. Also, it explores how accurately gambling severity and gambling-related cognitions were able to predict emotion regulation and coping strategies. Two groups were recruited and analyzed: a community sample comprising 250 adolescents and young adults from secondary education schools, and a clinical sample of 31 patients with similar age characteristics seeking treatment for GD. The participants from the clinical sample scored higher on gambling severity, emotion dysregulation, cognitive biases, and maladaptive coping strategies. In the community sample, cognitive biases mediated the relationship between sex and emotion dysregulation and disengagement. People with GD use more often than controls maladaptive emotion regulation strategies to manage negative emotional states. This perspective emphasizes the need to focus on coping with emotions, as opposed to coping with problems, as the best approach to tackle gambling problems.
赌博障碍（GD）患者比一般人群更经常表现出扭曲的认知和迷信信念。同样，应对困难和情绪调节障碍在 GD 患者中更为普遍，并且可能会在青少年等特别脆弱的群体中决定 GD 的发作。本研究考察了赌博严重程度与赌博相关认知与应对策略和情绪调节之间的关系。此外，还探讨了赌博严重程度和赌博相关认知在多大程度上能够准确预测情绪调节和应对策略。招募并分析了两个组：一个是由来自中等教育学校的 250 名青少年和年轻人组成的社区样本，另一个是由 31 名年龄特征相似的 GD 患者组成的临床样本。临床样本的参与者在赌博严重程度、情绪失调、认知偏差和适应不良的应对策略方面得分更高。在社区样本中，认知偏差在性别和情绪失调与脱离之间的关系中起中介作用。与对照组相比，GD 患者更频繁地使用适应性差的情绪调节策略来管理负面情绪状态。这种观点强调需要专注于情绪应对，而不是问题应对，作为解决赌博问题的最佳方法。
