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问题赌博与过度负债中的性别及适应不良人格关联:瑞典一项横断面研究的新发现

Gender and maladaptive personality correlates in problem gambling and over-indebtedness: Novel findings from a cross-sectional study in Sweden.

作者信息

Komzia Nikoleta, Bäckström Martin, Håkansson Anders

机构信息

Department of Psychology, Faculty of Social Sciences, Lund University, Lund, Sweden.

Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden.

出版信息

Heliyon. 2023 Aug 1;9(8):e18844. doi: 10.1016/j.heliyon.2023.e18844. eCollection 2023 Aug.

Abstract

Although most individuals consider gambling to be an innocent and fun activity, when it develops into problem gambling, it can have detrimental outcomes to one's life, such as over-indebtedness. This cross-sectional study explores the role of maladaptive personality traits and gender in both problem gambling and over-indebtedness, in an online sample of 1479 adult gamblers (65% males) in Sweden. Participants were administered the Problem Gambling Severity Index (PGSI), the Personality Inventory for DSM-5-Brief Form (PID-5-BF), and questions addressing subjective over-indebtedness and other risk factors. Quasi-Poisson loglinear models and logistic regression analyses demonstrated that Disinhibition ( = 1.38, 95% CI [1.24, 1.53]), and Antagonism ( = 1.23, 95% CI [1.14, 1.34]) showed the strongest associations to problem gambling, and that only Disinhibition ( = 1.72, 95% CI [1.22, 1.43]) and Antagonism ( = 2.00, 95% CI [1.52, 2.66]) were significantly related to over-indebtedness. The prevalence of problem gambling and over-indebtedness was more common among women, and gender moderated the univariate relationships of Negative Affectivity, Disinhibition and Psychoticism to problem gambling. These findings call for future research addressing maladaptive personality traits, problem gambling and over-indebtedness, and highlight the need for tailored interventions and prevention strategies, particularly for women who may be at higher risk.

摘要

尽管大多数人认为赌博是一种无害且有趣的活动,但当它发展成问题赌博时,可能会对一个人的生活产生不利影响,比如过度负债。这项横断面研究在瑞典的一个由1479名成年赌徒(65%为男性)组成的在线样本中,探讨了适应不良人格特质和性别在问题赌博及过度负债中的作用。参与者接受了问题赌博严重程度指数(PGSI)、《精神疾病诊断与统计手册》第5版简式人格量表(PID-5-BF)的测试,以及关于主观过度负债和其他风险因素的问题调查。拟泊松对数线性模型和逻辑回归分析表明,冲动性(β = 1.38,95%置信区间[1.24, 1.53])和敌对性(β = 1.23,95%置信区间[1.14, 1.34])与问题赌博的关联最强,且只有冲动性(β = 1.72,95%置信区间[1.22, 1.43])和敌对性(β = 2.00,95%置信区间[1.52, 2.66])与过度负债显著相关。问题赌博和过度负债在女性中更为普遍,并且性别调节了消极情感性、冲动性和精神病性与问题赌博的单变量关系。这些发现呼吁未来针对适应不良人格特质、问题赌博和过度负债开展研究,并强调需要制定有针对性的干预措施和预防策略,特别是针对可能风险更高的女性。

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