Błoch Marta, Misiak Błażej
Department of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Brain Sci. 2024 Sep 18;14(9):929. doi: 10.3390/brainsci14090929.
BACKGROUND/OBJECTIVES: Problematic online gaming and gambling tend to co-occur. The exact mechanisms underlying this phenomenon and the potential effects of gender differences remain unknown. This study aimed to identify the early clustering patterns of problematic online gaming and gambling in a community sample of young adults without a lifetime history of psychiatric treatment.
Data were collected through an online survey and analyzed using partial correlations and Bayesian networks.
Altogether, 1441 individuals (aged 18-40 years, 51.4% females) participated in the survey. Both problematic online behaviors were weakly interrelated, suggesting that they serve as distinct constructs. Men's networks appeared to be more complex and had significantly higher global connectivity. Moreover, men and women differed with respect to the specific nodes that bridged both constructs. In men, the bridge nodes were "being criticized because of betting or being told about gambling problems", "loss of previous interests due to gaming", "deceiving other people because of gaming", and "health consequences of gambling". Among women, the bridge nodes were "feeling guilty because of gambling", "loss of previous interests because of gaming", "social consequences of gaming", and "continued gaming problems with other people". In men, the strongest edge was found between "borrowing money/selling anything to gamble" and "financial problems because of gambling", while in women, the strongest edge appeared between "betting more than afforded to be lost" and "tolerance symptoms of gambling".
The findings indicate that problematic online gaming and gambling tend to emerge in different ways among men and women. Therapeutic interventions should be planned considering gender differences.
背景/目的：问题性网络游戏和赌博往往同时出现。这一现象背后的确切机制以及性别差异的潜在影响尚不清楚。本研究旨在确定在没有精神治疗史的年轻成年人社区样本中，问题性网络游戏和赌博的早期聚类模式。
通过在线调查收集数据，并使用偏相关和贝叶斯网络进行分析。
共有1441人（年龄18 - 40岁，51.4%为女性）参与了调查。两种问题性网络行为之间的相关性较弱，表明它们是不同的概念。男性的网络似乎更复杂，具有显著更高的全局连通性。此外，男性和女性在连接这两种行为的特定节点方面存在差异。在男性中，桥梁节点是“因赌博被批评或被告知赌博问题”、“因游戏失去先前的兴趣”、“因游戏欺骗他人”以及“赌博对健康的影响”。在女性中，桥梁节点是“因赌博感到内疚”、“因游戏失去先前的兴趣”、“游戏的社会影响”以及“与他人持续存在游戏问题”。在男性中，最强的边出现在“借钱/卖东西去赌博”和“因赌博导致的财务问题”之间，而在女性中，最强的边出现在“下注超过可承受的损失”和“赌博的耐受性症状”之间。
研究结果表明，问题性网络游戏和赌博在男性和女性中往往以不同的方式出现。应考虑性别差异来规划治疗干预措施。
