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兴奋,还是冲动行事?探索情绪调节困难、结果预期与问题赌博之间的关系。

Excite, or Take Flight? Exploring the Relationship between Difficulties with Emotion Regulation, Outcome Expectancies, and Problem Gambling.

作者信息

Lee Annabelle, Flack Mal, Caudwell Kim M

机构信息

Faculty of Health, Ellengowan Drive, Casuarina, NT, 0810, Australia.

Researchers in Behavioural Addictions, Alcohol and Drugs, Charles Darwin University, Ellengowan Drive, Casuarina, NT, 0810, Australia.

出版信息

J Gambl Stud. 2025 Mar;41(1):233-245. doi: 10.1007/s10899-024-10340-4. Epub 2024 Jul 25.

DOI:10.1007/s10899-024-10340-4
PMID:39052190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11861142/
Abstract

Emotional dysregulation is a transdiagnostic process associated with a range of addictive behaviours including problem gambling, with emerging research indicating that emotionally oriented reasons for gambling (i.e., excitement, escape) are associated with problem gambling. However, the relationships between difficulties with emotion regulation, reasons for gambling, and problem gambling, are unclear. The current study tested whether the association between difficulties with emotion regulation and problem gambling could be explained by escape and excitement gambling outcome expectancies. A total of 187 regular gamblers recruited via social media (50.3% male, 48.7% female) completed measures of difficulties with emotion regulation, gambling outcome expectancies, and problem gambling severity (M = 41.07, SD = 15.8). Analyses revealed that escape outcome expectancies partially mediated the relationship between difficulties with emotion regulation and problem gambling severity. However, the mediating effect of excitement on this relationship was not significant. The findings suggest that individuals with greater emotional regulation difficulties may engage in problem gambling to help manage aversive emotional states. The study's findings illustrate the importance of considering emotional dysregulation and outcome expectancies in problem gambling treatment planning and public health strategies.

摘要

情绪失调是一种与包括问题赌博在内的一系列成瘾行为相关的跨诊断过程,新出现的研究表明,以情绪为导向的赌博原因(即兴奋、逃避)与问题赌博有关。然而,情绪调节困难、赌博原因和问题赌博之间的关系尚不清楚。当前的研究测试了情绪调节困难与问题赌博之间的关联是否可以通过逃避和兴奋的赌博结果预期来解释。通过社交媒体招募了总共187名经常赌博者(男性占50.3%,女性占48.7%),他们完成了情绪调节困难、赌博结果预期和问题赌博严重程度的测量(M = 41.07,SD = 15.8)。分析表明,逃避结果预期部分介导了情绪调节困难与问题赌博严重程度之间的关系。然而,兴奋对这种关系的中介作用并不显著。研究结果表明,情绪调节困难较大的个体可能会参与问题赌博以帮助管理厌恶情绪状态。该研究的结果说明了在问题赌博治疗计划和公共卫生策略中考虑情绪失调和结果预期的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06b7/11861142/f7224e2fd97d/10899_2024_10340_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06b7/11861142/f7224e2fd97d/10899_2024_10340_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06b7/11861142/f7224e2fd97d/10899_2024_10340_Fig1_HTML.jpg

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本文引用的文献

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Gambling Motives and Offshore Gambling: A Finnish Population Study.赌博动机与境外赌博:一项芬兰人群研究。
J Gambl Stud. 2024 Jun;40(2):825-840. doi: 10.1007/s10899-023-10253-8. Epub 2023 Sep 28.
2
Two for the GOES: Exploring Gambling Outcome Expectancies Scores Across Mixed and Offline-Only Gamblers in Relation to Problem Gambling Risk Status.两份 GOES:探究混合赌博者和仅线下赌博者的赌博结果预期得分与赌博问题风险状况的关系。
J Gambl Stud. 2024 Jun;40(2):571-585. doi: 10.1007/s10899-023-10234-x. Epub 2023 Jun 27.
3
Clinical Differences of mild, Moderate, and Severe Gambling Disorder in a Sample of Treatment Seeking Pathological Gamblers in Sweden.
瑞典寻求治疗的病理性赌徒样本中轻度、中度和重度赌博障碍的临床差异。
J Gambl Stud. 2023 Sep;39(3):1129-1153. doi: 10.1007/s10899-022-10183-x. Epub 2023 Jan 7.
4
A Gambling Just-In-Time Adaptive Intervention (GamblingLess: In-The-Moment): Protocol for a Microrandomized Trial.一种即时自适应赌博干预措施(减少赌博:即时):微随机试验方案
JMIR Res Protoc. 2022 Aug 23;11(8):e38958. doi: 10.2196/38958.
5
Predicting Problem Gambling Severity: Interplay between Emotion Dysregulation and Gambling-related Cognitions.预测赌博问题严重程度:情绪调节与赌博相关认知的相互作用。
J Gambl Stud. 2022 Jun;38(2):483-498. doi: 10.1007/s10899-021-10039-w. Epub 2021 May 31.
6
Association between gambling disorder and emotion (dys)regulation: A systematic review and meta-analysis.赌博障碍与情绪(失调)调节之间的关联:一项系统综述与荟萃分析。
Clin Psychol Rev. 2021 Jul;87:102037. doi: 10.1016/j.cpr.2021.102037. Epub 2021 May 8.
7
Depression Symptoms, Problem Gambling and the Role of Escape and Excitement Gambling Outcome Expectancies.抑郁症状、赌博问题及逃避和兴奋赌博结果预期的作用。
J Gambl Stud. 2022 Mar;38(1):265-278. doi: 10.1007/s10899-021-10032-3. Epub 2021 May 3.
8
Mentalizing Failures, Emotional Dysregulation, and Cognitive Distortions Among Adolescent Problem Gamblers.青少年问题赌徒的心理化失败、情绪失调和认知扭曲
J Gambl Stud. 2021 Mar;37(1):283-298. doi: 10.1007/s10899-020-09967-w.
9
Excitement-Seeking Gambling in Adolescents: Health Correlates and Gambling-Related Attitudes and Behaviors.青少年的冒险性赌博:健康关联因素以及与赌博相关的态度和行为
J Gambl Stud. 2021 Mar;37(1):43-57. doi: 10.1007/s10899-020-09960-3.
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Addict Behav. 2020 Jul;106:106378. doi: 10.1016/j.addbeh.2020.106378. Epub 2020 Feb 28.