Pickering Dylan, Blaszczynski Alex, Gainsbury Sally M
Science Faculty.
Psychol Addict Behav. 2021 Jun;35(4):472-485. doi: 10.1037/adb0000676. Epub 2020 Aug 13.
Recovery from Gambling Disorder lacks established operational criteria and a dedicated outcome measure. Cross-study comparisons and treatment efficacy determinants are difficult without a valid and widely used tool to assess recovery. The current article describes the development and psychometric evaluation of the Recovery Index for Gambling Disorder (RIGD). Item development was based on an integration of academic, clinical, and consumer perspectives of recovery. Expert feedback and cognitive interview techniques were employed to review and refine the initial item pool. An empirical evaluation of the RIGD was conducted using 204 adult participants (63.7% male) with experience of seeking formal help for gambling problems. Partial-least squares structural equation modeling resulted in a 32-item solution across 6 recovery dimensions: gambling reduction, urge coping, recovery wisdom, life functioning, interpersonal relationships, and mental health. The RIGD structural model explained 71.9% of variance in an external self-report global measure of recovery. Convergent validity was evidenced by significant correlations between all RIGD dimensions and other related measures, with the exception of recovery wisdom. Criterion-related validity was demonstrated as RIGD composite scores accurately classified nonproblem from problem gamblers, with a conservative cut-off score of 45. Test-retest reliability was established over a 2-week interval. The RIGD is an empirically supported instrument designed to broadly measure recovery from Gambling Disorder. Valid and uniform measurement of recovery is important given its central role in advancing effective treatments and shaping gambling help service policy internationally. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
赌博障碍的康复缺乏既定的操作标准和专门的结果测量方法。如果没有一个有效且广泛使用的工具来评估康复情况,跨研究比较和治疗效果的决定因素就会很困难。本文描述了赌博障碍康复指数(RIGD)的开发和心理测量评估。项目开发基于对康复的学术、临床和消费者观点的整合。采用专家反馈和认知访谈技术来审查和完善初始项目池。对204名有寻求赌博问题正式帮助经历的成年参与者(63.7%为男性)进行了RIGD的实证评估。偏最小二乘结构方程建模得出了一个包含32个项目的解决方案,涵盖6个康复维度:赌博减少、冲动应对、康复智慧、生活功能、人际关系和心理健康。RIGD结构模型解释了外部自我报告的整体康复测量中71.9%的方差。除康复智慧外,所有RIGD维度与其他相关测量之间的显著相关性证明了收敛效度。标准关联效度表现为RIGD综合得分能够准确区分非问题赌徒和问题赌徒,保守的临界分为45分。在两周的间隔内建立了重测信度。RIGD是一种经过实证支持的工具,旨在广泛测量赌博障碍的康复情况。鉴于康复在推进有效治疗和塑造国际赌博帮助服务政策方面的核心作用,对其进行有效和统一的测量非常重要。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)