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赌博障碍中述情障碍、情绪调节障碍和人格特征的作用:网络分析。

Roles for Alexithymia, Emotion Dysregulation and Personality Features in Gambling Disorder: A Network Analysis.

机构信息

Universidad Internacional de La Rioja, La Rioja, Spain.

Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.

出版信息

J Gambl Stud. 2023 Sep;39(3):1207-1223. doi: 10.1007/s10899-022-10164-0. Epub 2022 Nov 25.

Abstract

Although there is a growing interest in exploring the specific role of both emotional regulation processes and alexithymia in gambling disorder (GD), evidence remains scarce. In order to delve deeper into the complex interactions between these factors, the present study aimed at exploring a network of the core GD-related features, including GD symptomatology and severity, emotion dysregulation, alexithymia, and personality features. The sample included N = 739 treatment-seeking patients with GD (691 men and 48 women), aged 18-78 years (mean age = 39.2, SD = 13.2). The DSM-5 diagnostic criteria were assessed in, and the South Oaks Gambling Screen, Difficulties in Emotion Regulation Scale (DERS), and Temperament and Character Inventory-Revised were administered to, participants. A network analysis was conducted to reveal inter-relationships between these elements. Three nodes related to emotion dysregulation showed the most critical position in the whole network of the present study: "lack of emotional awareness", "non-acceptance of emotional responses", and "difficulties engaging in goal-directed behaviors". When analyzing emotional dysregulation using the different DERS subscales, two independent clusters were identified. One cluster encompassed alexithymia dimensions ("lack of awareness" and "lack of clarity"), while the other cluster included all other emotion-dysregulation dimensions. Identification of the emotion-dysregulation- and GD-related features with the highest centrality/linkage may be particularly useful for developing valid measurement tools and precise management plans for individuals with GD.

摘要

虽然人们越来越感兴趣于探索情绪调节过程和述情障碍在赌博障碍(GD)中的特定作用,但证据仍然有限。为了更深入地研究这些因素之间的复杂相互作用,本研究旨在探讨与 GD 相关的核心特征网络,包括 GD 的症状和严重程度、情绪调节障碍、述情障碍和人格特征。样本包括 N = 739 名寻求治疗的 GD 患者(691 名男性和 48 名女性),年龄在 18-78 岁之间(平均年龄 39.2,标准差 13.2)。采用 DSM-5 诊断标准评估患者,并对其进行 South Oaks 赌博筛查、情绪调节困难量表(DERS)和修订后的气质与性格问卷的测试。进行网络分析以揭示这些元素之间的相互关系。三个与情绪调节障碍相关的节点在本研究的整个网络中显示出最关键的位置:“缺乏情绪意识”、“不接受情绪反应”和“难以进行目标导向行为”。在使用不同的 DERS 分量表分析情绪调节障碍时,确定了两个独立的聚类。一个聚类包含了述情障碍维度(“缺乏意识”和“缺乏清晰度”),而另一个聚类则包含了所有其他情绪调节障碍维度。识别情绪调节障碍和 GD 相关特征的最高中心性/连接性可能对开发针对 GD 患者的有效测量工具和精确管理计划特别有用。

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