Granero Roser, Jiménez-Murcia Susana, Del Pino-Gutiérrez Amparo, Mora Bernat, Mendoza-Valenciano Eduardo, Baenas-Soto Isabel, Gómez-Peña Mónica, Moragas Laura, Codina Ester, López-González Hibai, Mena-Moreno Teresa, Mestre-Bach Gemma, Valero-Solís Susana, Rivas Sandra, Agüera Zaida, Vintró-Alcaraz Cristina, Lozano-Madrid María, Menchón José M, Fernández-Aranda Fernando
Department of Psychobiology and Methodology, Universitat Autònoma de Barcelona-UAB, Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain.
Front Psychiatry. 2020 May 28;11:482. doi: 10.3389/fpsyt.2020.00482. eCollection 2020.
The Internet provides easy access to multiple types of gambling and has led to changes in betting habits. A severe rise in problematic gambling has been predicted among all sectors of the population, and studies are required to assess the emerging phenotypes related to the new structures of gambling activities. This study aimed to explore the existence of latent classes associated with gambling habits among treatment-seeking gamblers due to Online Sports Betting (OSB).
Initial sample included = 4,516 patients consecutively admitted for treatment in a hospital unit specialized in behavioral addictions. Two-step clustering analysis was used within the subsample of = 323 patients who reported problems related with OSB, within a set of indicators including sociodemographics, psychopathological distress, personality, and severity of the gambling activity.
The prevalence of OSB as a main type of gambling problem in the study was 7.2% (95% confidence interval: 6.4 to 7.9%). Two latent clusters were identified, with differences in sociodemographics and clinical status. Cluster 1 ( = 247, 76.5%) grouped patients that were more affected due to the OSB behaviors, and it was characterized by non-married patients, lower socioeconomic position index, higher comorbidity with other substance related addictions, younger age, and early onset of the gambling activity, as well as higher debts due to the OSB, higher psychopathological distress, and a more dysfunctional personality profile. Cluster 2 ( = 76, 23.5%) grouped patients that were less affected by OSB, mostly married (or living with a stable partner), with higher social position levels, older age and older onset of the gambling activity, as well as a more functional psychopathological and personality profile.
The increasing understanding of latent classes underlying OSB phenotypes is essential in guiding the development of reliable screening tools to identify individuals highly vulnerable to addictive behaviors among Internet gamblers, as well as in planning prevention and treatment initiatives focused on the precise profiles of these patients.
互联网使得人们能够轻松参与多种形式的赌博活动,进而导致赌博习惯发生改变。据预测,各类人群中问题性赌博现象将急剧增加,因此需要开展研究来评估与新型赌博活动结构相关的新兴表型。本研究旨在探讨因在线体育博彩(OSB)而寻求治疗的赌徒中与赌博习惯相关的潜在类别是否存在。
初始样本包括4516名连续入住专门治疗行为成瘾的医院科室的患者。在报告与OSB相关问题的323名患者的子样本中,使用两步聚类分析,分析指标包括社会人口统计学、心理病理困扰、人格以及赌博活动的严重程度。
在本研究中,OSB作为主要赌博问题类型的患病率为7.2%(95%置信区间:6.4%至7.9%)。识别出两个潜在类别,它们在社会人口统计学和临床状况方面存在差异。第1类(n = 247,76.5%)包括受OSB行为影响更大的患者,其特征为未婚患者、社会经济地位指数较低、与其他物质相关成瘾的共病率较高、年龄较小、赌博活动开始较早,以及因OSB导致的债务较高、心理病理困扰较高和人格功能障碍更明显。第2类(n = 76,23.5%)包括受OSB影响较小的患者,大多已婚(或与稳定伴侣同居),社会地位较高、年龄较大、赌博活动开始较晚,以及心理病理和人格功能更健全。
深入了解OSB表型背后的潜在类别对于开发可靠的筛查工具以识别互联网赌徒中极易成瘾行为的个体至关重要,同时对于制定针对这些患者精确特征的预防和治疗措施也至关重要。