Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Southern Health NHS Foundation Trust, Southampton, UK.
J Gambl Stud. 2024 Dec;40(4):2141-2151. doi: 10.1007/s10899-024-10335-1. Epub 2024 Jul 16.
To investigate the potential association between gambling disorder and symptoms of sleep problems (including insomnia and excessive daytime sleepiness). It was hypothesised that, compared to controls, individuals with gambling disorder would have significantly greater disturbance of sleep, as indicated by increased scores in: (1) sleep items on the Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Rating Scale for Depression (HAM-D); (2) total score on the HAM-A and HAM-D; and (3) the Epworth Sleepiness Scale (ESS).
Secondary analysis of previously published data from 152 young adults, aged 18-29 years. Individuals were stratified into three groups: controls, those at risk of gambling disorder, and those with gambling disorder. One-way ANOVAs with post-hoc tests were conducted to determine whether groups differed significantly in sleep item scores and total scores of the HAM-A and HAM-D, and the ESS.
HAM-D scale insomnia item scores were significantly higher in the disorder group, when compared to controls, this being particularly marked for middle and late insomnia. The HAM-A item score indicated significantly worse sleep quality in the disorder group, compared to at risk and control groups. Total HAM-A and HAM-D scores were significantly higher in the disorder group, but ESS scores did not differ significantly.
Measures of disruptions in sleep were significantly higher in gambling disorder than controls. Anxiety and depressive symptom severity was also significantly higher in the gambling disorder group. Further research could have implications for identification and treatment of sleep disorders and psychiatric comorbidities in gambling disorder.
探讨赌博障碍与睡眠问题（包括失眠和日间过度嗜睡）症状之间的潜在关联。假设与对照组相比，赌博障碍个体的睡眠障碍明显更严重，表现为：（1）汉密尔顿焦虑量表（HAM-A）和汉密尔顿抑郁量表（HAM-D）中的睡眠项目评分增加；（2）HAM-A 和 HAM-D 的总分增加；（3）Epworth 嗜睡量表（ESS）评分增加。
对 152 名年龄在 18-29 岁的年轻人的先前发表数据进行二次分析。个体分为三组：对照组、有赌博障碍风险的个体和有赌博障碍的个体。采用单因素方差分析和事后检验，以确定各组在 HAM-A 和 HAM-D 的睡眠项目评分和总分以及 ESS 方面是否存在显著差异。
与对照组相比，障碍组的 HAM-D 量表失眠项目评分显著升高，尤其是中晚期失眠更为明显。障碍组的 HAM-A 项目表明睡眠质量明显较差，与有风险组和对照组相比。障碍组的 HAM-A 和 HAM-D 总分明显升高，但 ESS 评分无显著差异。
与对照组相比，赌博障碍者的睡眠中断测量值明显更高。赌博障碍组的焦虑和抑郁症状严重程度也明显更高。进一步的研究可能对赌博障碍中睡眠障碍和精神共病的识别和治疗具有重要意义。
