Okmeydanı Education and Research Hospital Psychiatry Department, Istanbul, Turkey.
Faculty of Medicine, Psychiatry Department, Manisa Celal Bayar University, Manisa, Turkey.
J Gambl Stud. 2022 Sep;38(3):817-832. doi: 10.1007/s10899-021-10084-5. Epub 2021 Nov 3.
Online gambling disorder has recently emerged as a significant public health issue. Family dynamics play an important role in the development of online gambling disorder. In this research, the aimed to compare the parental acceptance/rejection and attachment styles of individuals with online gambling disorder with a healthy control group. Also, the relationship between parental acceptance/rejection and attachment styles was examined in individuals with online gambling disorder. The study group consisted of 53 male patients with online gambling disorder and 57 healthy controls. The individuals with online gambling disorder perceived more rejection from mothers but especially from fathers than the individuals in the control group. Paternal hostility/aggression and indifference/neglect are determinants of online gambling behavior. The individuals with online gambling disorder had lower levels of secure attachment and higher levels of dismissive and fearful attachment than the individuals in the control group. Both secure attachment style and dismissive attachment style are thought to be determinants of gambling behavior. Mother-father rejection and insecure attachment are important in terms of creating risk for online gambling. Assessment of the effects of maternal and especially paternal rejection in online gambling disorder will be beneficial within the scope of preventive mental health.
网络赌博障碍最近已成为一个重大的公共卫生问题。家庭动态在网络赌博障碍的发展中起着重要作用。本研究旨在比较网络赌博障碍患者与健康对照组个体的父母接纳/拒绝和依恋模式。还研究了网络赌博障碍患者中父母接纳/拒绝与依恋模式之间的关系。研究组包括 53 名男性网络赌博障碍患者和 57 名健康对照组。与对照组相比，网络赌博障碍患者更多地感受到来自母亲但尤其是父亲的拒绝。父亲的敌意/攻击和冷漠/忽视是网络赌博行为的决定因素。与对照组相比，网络赌博障碍患者的安全依恋水平较低，回避和恐惧依恋水平较高。安全依恋模式和回避依恋模式都被认为是赌博行为的决定因素。母亲-父亲的拒绝和不安全的依恋在网络赌博的风险形成方面很重要。在预防心理健康方面，评估网络赌博障碍中母亲和特别是父亲的拒绝的影响将是有益的。
