Grant Jon E, Chamberlain Samuel R
Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA.
Department of Psychiatry, University of Cambridge, Cambridge, UK.
Ann Clin Psychiatry. 2023 Feb;35(1):23-30. doi: 10.12788/acp.0102.
Gambling is common and there is growing concern about its public health implications. Little is known about how gambling differs in people with minority sexual identities. We sought to understand whether lesbian, gay, and bisexual (LGB) individuals differ from non-LGB individuals in terms of gambling and associated characteristics.
A total of 534 participants age 18 to 29 who gambled at least 5 times in the preceding year undertook clinical and neurocognitive evaluations. Those who identified as LGB were compared to heterosexuals on clinical and cognitive measures.
Overall, 51 participants (9.6%) identified as LGB. These individuals showed significantly higher levels of problem gambling, suicide risk, substance use disorders, traits of obsessive-compulsive personality disorder (OCPD), higher errors on a set-shifting task, and higher rates of family history of addiction.
These results indicate that individuals with minority sexual orientations may be at higher risk of experiencing problem gambling and associated factors, such as increased suicidality, OCPD traits, and some degree of cognitive differences. Future studies should establish whether these associations also exist in clinical samples of people with full gambling disorder. Large-scale longitudinal research in neglected minority groups is needed to further explore these associations.
赌博很常见，人们对其对公众健康的影响也日益担忧。对于少数性取向者的赌博情况差异了解甚少。我们试图了解女同性恋、男同性恋和双性恋（LGB）个体在赌博及相关特征方面是否与非LGB个体不同。
共有534名年龄在18至29岁之间、前一年至少赌博5次的参与者接受了临床和神经认知评估。将那些自我认定为LGB的人与异性恋者在临床和认知指标上进行比较。
总体而言，51名参与者（9.6%）自我认定为LGB。这些个体表现出显著更高水平的问题赌博、自杀风险、物质使用障碍、强迫型人格障碍（OCPD）特征、在一项任务转换任务上的更高错误率以及更高的成瘾家族史发生率。
这些结果表明，少数性取向个体可能面临更高的问题赌博及相关因素风险，如自杀倾向增加、OCPD特征以及一定程度的认知差异。未来研究应确定这些关联在患有完全赌博障碍的临床样本中是否也存在。需要对被忽视的少数群体进行大规模纵向研究，以进一步探索这些关联。
