Psychology Department, Faculty of Health Sciences, University of Deusto, Apartado 1, 48080, Bilbao, Spain.
Department of Basic Psychological Processes and Their Development, University of the Basque Country/Euskal Herriko Unibertsitatea (UPV/EHU), 20018, Donostia-San Sebastián, Spain.
J Gambl Stud. 2023 Dec;39(4):1815-1832. doi: 10.1007/s10899-023-10251-w. Epub 2023 Sep 21.
A growing body of research indicates differences between men and women with gambling disorder. However, although alexithymia, gambling motives or abandonment have been associated with GD, women's clinical profile remains unexplored. This study aims, firstly, to explore mean differences in gambling motives (i.e. enhancement, coping and social [SOC]), the early maladaptive abandonment schema, alexithymia and depression in women and men with GD. Secondly, to analyse the correlation between the aforementioned variables as a function of sex. Thirdly, to examine the predictive role of gambling motives, early abandonment schema and alexithymia in depression as a function of sex. Lastly, to analyse the mediating role of COP between the early maladaptive abandonment schema and depression in women with GD, and the mediating role of ENH and the early maladaptive abandonment schema between alexithymia and depression in men with GD. The sample comprised 108 adults with GD diagnosis, of whom 60 were women and 48 were men. Regression and mediation analyses were carried out to explore possible sex differences in GD, through the SPSS programme. Results showed that depressive symptoms are predicted by alexithymia in men with GD and by the early maladaptive abandonment schema in women with GD. Regarding mediation analyses, the results suggest that COP mediated the relationship between early abandonment schema and depressive symptoms in females; and ENH and abandonment schema mediated the relationship between alexithymia and depressive symptoms in males. These results provide evidence of the relevance of considering sex differences when establishing therapeutic strategies in GD rehabilitation.
越来越多的研究表明，赌博障碍患者在性别方面存在差异。然而，尽管述情障碍、赌博动机或被遗弃与 GD 有关，但女性的临床特征仍未得到探索。本研究旨在：首先，探讨女性和男性 GD 患者在赌博动机（即增强、应对和社交 [SOC]）、早期适应不良的遗弃模式、述情障碍和抑郁方面的平均差异。其次，分析上述变量在性别方面的相关性。第三，检验赌博动机、早期适应不良的遗弃模式和述情障碍对女性和男性 GD 患者抑郁的预测作用。最后，分析女性 GD 患者中 COP 在早期适应不良的遗弃模式和抑郁之间的中介作用，以及男性 GD 患者中 ENH 和早期适应不良的遗弃模式在述情障碍和抑郁之间的中介作用。样本包括 108 名 GD 诊断成年人，其中 60 名女性，48 名男性。通过 SPSS 程序对回归和中介分析进行了探索，以研究 GD 中的可能性别差异。结果表明，男性 GD 患者的抑郁症状由述情障碍预测，女性 GD 患者的抑郁症状由早期适应不良的遗弃模式预测。关于中介分析，结果表明 COP 在女性中中介了早期遗弃模式和抑郁症状之间的关系；而在男性中，ENH 和遗弃模式中介了述情障碍和抑郁症状之间的关系。这些结果为在 GD 康复中制定治疗策略时考虑性别差异提供了证据。
