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赌博、酒精及其他药物问题以及青少年服务中游戏问题的筛查、治疗及转诊的实践与可行性

The Practice and Feasibility of Screening, Treatment, and Referral for Gaming Problems in Gambling, Alcohol and Other Drugs, and Youth Services.

作者信息

Park Jennifer J, King Daniel L, Wilkinson-Meyers Laura, Rodda Simone N

机构信息

School of Population Health, University of Auckland, Private Bag 92019, 1142 Auckland, New Zealand.

College of Education, Psychology & Social Work, Flinders University, GPO Box 2100, 5001 Adelaide, South Australia Australia.

出版信息

Int J Ment Health Addict. 2023 Jan 23:1-16. doi: 10.1007/s11469-023-01010-4.

Abstract

Screening, brief intervention, and referral to treatment (SBIRT) is a comprehensive approach to identifying people at risk of addiction, but its feasibility for gaming disorder is unknown. This study surveyed 88 clinicians from gambling, alcohol and other drugs, and youth services in New Zealand. Results indicated that the most frequent GD screening method was an unstructured interview (61%), but 74% stated they would use a standardized tool if available. Responsivity to the detection of GD was an immediate intervention (84%), and rates of referral were low (28%). Around 50% of clinicians indicated high confidence in administering motivational approaches and relapse prevention. There was strong support for screening training (85%), treatment guidelines (88%), self-help materials (92%), and access to internet-delivered CBT that could be used in conjunction with other treatment (84%). Clinicians appear motivated and willing to implement SBIRT for GD but report lacking necessary training and resources, including access to screening tools and treatment guidelines.

摘要

筛查、简短干预及转介治疗(SBIRT)是一种识别成瘾风险人群的综合方法,但其对游戏障碍的可行性尚不清楚。本研究对新西兰赌博、酒精及其他药物以及青少年服务领域的88名临床医生进行了调查。结果表明,最常用的游戏障碍筛查方法是无结构式访谈(61%),但74%的人表示如果有标准化工具,他们会使用。对游戏障碍检测的反应是立即干预(84%),转介率较低(28%)。约50%的临床医生表示在实施动机性方法和预防复发方面有高度信心。对筛查培训(85%)、治疗指南(88%)、自助材料(92%)以及可与其他治疗结合使用的网络认知行为疗法(84%)有强烈支持。临床医生似乎有动力且愿意为游戏障碍实施SBIRT,但报告称缺乏必要的培训和资源,包括获取筛查工具和治疗指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5756/9869840/bc99a547e7f0/11469_2023_1010_Fig1_HTML.jpg

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