Mestre-Bach Gemma, Potenza Marc N, Granero Roser, Uríszar Juan Carlos, Fernández-Aranda Fernando, Jiménez-Murcia Susana
Instituto de Investigación, Transferencia e Innovación, Universidad Internacional de La Rioja, La Rioja, Spain.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Department of Neuroscience, Yale University, New Haven, CT, USA; Wu Tsai Institute, Yale University, New Haven, CT, USA.
J Psychiatr Res. 2024 Oct;178:125-129. doi: 10.1016/j.jpsychires.2024.07.033. Epub 2024 Jul 25.
Co-occurrence between gambling disorder (GD) and other mental disorders is common, but its association with problematic pornography use (PPU) remains unexplored. This study aimed to investigate relationships between sociodemographic variables, personality measures, psychopathology, emotional regulation, and impulsivity and the co-occurrence of GD and PPU using structural equation modeling (SEM). The sample consisted of 359 adults seeking treatment for GD. The short version of the Problematic Pornography Consumption Scale (PPCS-6) identified patients with GD + PPU. Psychopathology, impulsivity, emotional regulation, and personality were also assessed. Higher impulsivity levels statistically predicted co-occurrence between GD and PPU. Impulsivity mediated the relationship between younger age, maladaptive personality features, and emotional dysregulation and co-occurrence. Psychopathological distress did not directly associate with GD + PPU co-occurrence. Impulsivity relates importantly to the co-occurrence of GD and PPU. Younger age, maladaptive personality, and emotional dysregulation contribute to increased impulsivity levels and co-occurrence. The findings highlight the importance of addressing impulsivity in understanding and treating co-occurring GD and PPU.
赌博障碍（GD）与其他精神障碍共病的情况很常见，但其与问题性色情内容使用（PPU）之间的关联仍未得到探索。本研究旨在使用结构方程模型（SEM）调查社会人口统计学变量、人格测量、精神病理学、情绪调节和冲动性与GD和PPU共病之间的关系。样本包括359名寻求GD治疗的成年人。问题性色情内容消费量表简版（PPCS - 6）用于识别患有GD + PPU的患者。同时还评估了精神病理学、冲动性、情绪调节和人格。较高的冲动性水平在统计学上预测了GD和PPU的共病情况。冲动性介导了较年轻年龄、适应不良人格特征和情绪失调与共病之间的关系。精神病理困扰与GD + PPU共病没有直接关联。冲动性与GD和PPU的共病密切相关。较年轻年龄、适应不良人格和情绪失调会导致冲动性水平升高和共病情况增加。研究结果凸显了在理解和治疗共病的GD和PPU时解决冲动性问题的重要性。
