Zhang Dapeng, Zhou Shuang, Zheng Hui, Guo Lei, Zhai Jing, Liu Ziqi, Du Zheyi, Dong Ping, Zhao Min, Du Jiang
The Third People's Hospital of Fuyang, Fuyang, China.
Shanghai Mental Health Center, Shanghai, China.
Front Psychiatry. 2023 Jul 13;14:1165053. doi: 10.3389/fpsyt.2023.1165053. eCollection 2023.
Gambling behaviors can be exhibited by individuals raised in families with impaired parent-child communication and individuals with more impulsive traits. However, it remains unclear how gambling-related beliefs are modulated by impulsivity traits and parent-child communication styles.
A total of 95 adult patients (age ≥ 18 years) diagnosed via DSM-5 criteria with gambling disorder (GD) completed our questionnaire. Participants filled out pen-and-paper questionnaires that included basic demographic information, the Family Assessment Device (FAD), Parent-Adolescent Communication Scale (PACS), Gambling Attitude and Belief Survey (GABS), and Barratt Impulsiveness Scale (BIS). We used a moderation mediation model to explore the relationship between variables. The study results were considered statistically significant if < 0.05, or the 95% confidence interval did not contain zero.
The scores of the problems in communication with mother subscale (PCMS) of PACS were significantly positively correlated with the scores of GABS and the general functioning 12-item subscale (GF12) of FAD. The relationship between the scores of GF12 and GABS was completely mediated [β = 4.83, (1.12, 10.02)] by PCMS scores, and the BIS scores moderated this relationship: the predictive path between GF12 and PCMS scores [index of moderated was β = -0.25, (-0.60, -0.04)], and the indirect predictive front path between the scores of GF12 and GABS were significant only in subjects with low BIS scores.
These findings suggest that poor general functioning of the family may increase gambling-related beliefs as a result of communication problems with mothers, and this result is only significant for individuals with low impulsivity. When treating patients with GD, more treatment of mother-child communication issues and individual impulsivity may be more conducive to their recovery.
在亲子沟通受损的家庭中成长的个体以及具有更冲动特质的个体可能会表现出赌博行为。然而，尚不清楚与赌博相关的信念是如何受到冲动特质和亲子沟通方式的调节的。
共有95名通过DSM-5标准诊断为赌博障碍（GD）的成年患者（年龄≥18岁）完成了我们的问卷调查。参与者填写了纸质问卷，包括基本人口统计学信息、家庭评估量表（FAD）、亲子沟通量表（PACS）、赌博态度和信念调查（GABS）以及巴拉特冲动性量表（BIS）。我们使用调节中介模型来探讨变量之间的关系。如果P<0.05或95%置信区间不包含零，则研究结果被认为具有统计学意义。
PACS中与母亲沟通问题子量表（PCMS）的得分与GABS的得分以及FAD的一般功能12项子量表（GF12）的得分显著正相关。GF12得分与GABS得分之间的关系完全由PCMS得分介导[β = 4.83，（1.12，10.02）]，并且BIS得分调节了这种关系：GF12与PCMS得分之间的预测路径[调节指数为β = -0.25，（-0.60，-0.04）]，并且GF12得分与GABS得分之间的间接预测前路径仅在低BIS得分的受试者中显著。
这些发现表明，家庭整体功能不佳可能由于与母亲的沟通问题而增加与赌博相关的信念，并且这一结果仅在低冲动性个体中显著。在治疗GD患者时，更多地处理亲子沟通问题和个体冲动性可能更有利于他们的康复。
