Hunt Brian, Zarate Daniel, Gill Peter, Stavropoulos Vasileios
Institute for Health and Sport, Victoria University, Melbourne, Australia.
School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Psychiatry Res. 2023 Sep;327:115366. doi: 10.1016/j.psychres.2023.115366. Epub 2023 Jul 23.
Contemporary literature and recent classification systems have expanded the field of addictions to include problematic behaviours such as gambling and sexual addiction. However, conceptualisation of behavioural addictions is poorly understood and gender-based differences have emerged in relation to how these behaviours are expressed. The current research conducted partial-correlation and Bayesian network analyses to assess the symptomatic structure of gambling disorder and sexual addiction. Convenience community sampling recruited 937 adults aged 18 to 64 years (315 females, M = 30.02; 622 males, M = 29.46). Symptoms of problematic behaviours were measured using the Online Gambling Disorder Questionnaire (OGDQ) and the Bergen Yale Sex Addiction Scale (BYSAS). Results indicate distinct gender-based differences in the symptom networks of sexual addiction and gambling disorder, with a more complex network observed amongst men for both conditions. Addiction salience, withdrawal and dishonesty/deception were important components of the addictive network. Interpersonal conflict was more central for women while intrapsychic conflict a more prominent issue for men. Differences in the two symptom networks indicate separate disorders as opposed to a single underlying construct. Treating practitioners and community initiatives aimed at addressing sexual addiction and disordered gambling should consider gender, when designing educational or therapeutic interventions.
当代文献和最新分类系统已将成瘾领域扩展到包括赌博和性成瘾等问题行为。然而,行为成瘾的概念化理解不足,并且在这些行为的表现方式上出现了基于性别的差异。当前的研究进行了偏相关和贝叶斯网络分析,以评估赌博障碍和性成瘾的症状结构。便利社区抽样招募了937名年龄在18至64岁之间的成年人(315名女性,M = 30.02;622名男性,M = 29.46)。使用在线赌博障碍问卷(OGDQ)和卑尔根耶鲁性成瘾量表(BYSAS)测量问题行为的症状。结果表明,性成瘾和赌博障碍的症状网络存在明显的基于性别的差异,在这两种情况下,男性的网络更为复杂。成瘾显著性、戒断和不诚实/欺骗是成瘾网络的重要组成部分。人际冲突对女性来说更为核心,而内心冲突对男性来说是一个更突出的问题。两个症状网络的差异表明是不同的障碍,而不是单一的潜在结构。在设计教育或治疗干预措施时,针对解决性成瘾和赌博障碍的治疗从业者和社区倡议应考虑性别因素。