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瑞典寻求治疗的赌博障碍人群中男性与女性的临床差异。

Clinical differences between men and women in a Swedish treatment-seeking population with gambling disorder.

作者信息

Miller Louise, Mide Mikael, Arvidson Elin, Söderpalm Gordh Anna

机构信息

Addiction Biology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Department of Addiction and Dependency, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

Front Psychiatry. 2023 Jan 4;13:1054236. doi: 10.3389/fpsyt.2022.1054236. eCollection 2022.

Abstract

INTRODUCTION

The purpose of this study was to explore clinical differences in Swedish treatment-seeking men and women with gambling disorder (GD). As the prevalence of GD is increasing among women, even though men are still highly overrepresented, the characteristic differences between men and women seeking treatment become increasingly important.

METHOD

A sample of 204 patients with GD (26.5% women and 73.5% men) at an outpatient clinic were diagnosed using the SCI-GD, screened for comorbid diagnoses using the MINI, and further completed a range of self-report questionnaires measuring demographics, GD, alcohol and other drug problems, symptoms of depression and anxiety, and pathways into gambling problems.

RESULTS

Several characteristics differed between treatment-seeking men and women in our sample. Examples of differences between genders included age, onset age, living situation, duration, alcohol and drug problems, comorbidity, and pathways leading to gambling problems.

DISCUSSION

The most evident difference was that women, in addition to GD, showed more symptoms of anxiety and depression than men, while men had a higher degree of substance use problems compared to women. The differences in clinical features between men and women are important to consider in treatment planning and possibly for future gender-based interventions.

摘要

引言

本研究旨在探讨瑞典寻求治疗的患有赌博障碍(GD)的男性和女性的临床差异。尽管男性在赌博障碍患者中仍占比过高,但随着女性中赌博障碍患病率的上升,寻求治疗的男性和女性之间的特征差异变得越来越重要。

方法

对一家门诊诊所的204名赌博障碍患者(26.5%为女性,73.5%为男性)进行抽样,使用SCI-GD进行诊断,使用MINI筛查共病诊断,并进一步完成一系列自我报告问卷,测量人口统计学、赌博障碍、酒精和其他药物问题、抑郁和焦虑症状以及导致赌博问题的途径。

结果

在我们的样本中,寻求治疗的男性和女性在几个特征上存在差异。性别差异的例子包括年龄、发病年龄、生活状况、病程、酒精和药物问题、共病以及导致赌博问题的途径。

讨论

最明显的差异是,女性除了患有赌博障碍外,比男性表现出更多的焦虑和抑郁症状,而男性与女性相比有更高程度的物质使用问题。在制定治疗计划以及可能的未来基于性别的干预措施时,考虑男性和女性临床特征的差异很重要。

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