Lind Kalle, Palomäki Jussi, Castrén Sari
Finnish Institute for Health and Welfare, Department of Public Health and Welfare, Helsinki, Finland.
Cognitive Science, Department of Digital Humanities, Faculty of Arts, University of Helsinki, Helsinki, Finland.
Addict Behav Rep. 2024 Oct 9;20:100566. doi: 10.1016/j.abrep.2024.100566. eCollection 2024 Dec.
Prison populations face heightened rates of addictive behaviors and significant stressors, including health challenges and social disparities. Although problem gambling is prevalent in criminal justice settings, its distinctiveness compared to other addictions among incarcerated individuals remains uncertain. This study examines risk factors associated with problem gambling in Finnish prisoners and explores differences compared to other forms of addiction. Covariates from a questionnaire (N = 527) included gender, age, education, offender status, involvement in theft or property crime, Trauma Screening Questionnaire (TSQ), Depression Scale (DEPS), and lifetime abuse experiences. Of the 527 participants, 330 were interviewed using the Structured Clinical Interview (SCID-II) to assess personality disorders. Multiple logistic regression models were utilized, with separate models for problem gambling (PG), lifetime substance use disorder, and lifetime alcohol disorder. Crime type was not significantly associated with alcohol or substance use problems, but PG was associated with property crime or theft convictions. Borderline personality traits were linked to probable PG, while antisocial traits were linked to drug use, and both traits predicted alcohol misuse. Age and gender were significant only in relation to alcohol use problems, with older age and male gender indicating higher risk. The association between problem gambling and criminal behavior underscores the vulnerability of incarcerated individuals across various domains. Detailed assessments, considering the nature of criminal activity and personality disorders, especially borderline traits and comorbid conditions, are crucial for tailoring rehabilitation and treatment strategies to prevent recidivism. These findings provide valuable insights for clinicians managing addiction and mental health issues within correctional settings.
监狱人群面临着更高的成瘾行为发生率和重大压力源，包括健康挑战和社会差异。虽然问题赌博在刑事司法环境中很普遍，但与被监禁者中的其他成瘾行为相比，其独特性仍不确定。本研究调查了芬兰囚犯中与问题赌博相关的风险因素，并探讨了与其他成瘾形式的差异。一份问卷（N = 527）中的协变量包括性别、年龄、教育程度、罪犯身份、涉及盗窃或财产犯罪情况、创伤筛查问卷（TSQ）、抑郁量表（DEPS）以及终身虐待经历。在527名参与者中，330人接受了结构化临床访谈（SCID-II）以评估人格障碍。使用了多个逻辑回归模型，分别针对问题赌博（PG）、终身物质使用障碍和终身酒精障碍建立模型。犯罪类型与酒精或物质使用问题无显著关联，但PG与财产犯罪或盗窃定罪相关。边缘型人格特质与可能的PG相关，而反社会特质与药物使用相关，且这两种特质都预示着酒精滥用。年龄和性别仅与酒精使用问题显著相关，年龄较大和男性表明风险更高。问题赌博与犯罪行为之间的关联凸显了被监禁者在各个领域的脆弱性。考虑到犯罪活动的性质和人格障碍，特别是边缘型特质和共病情况进行详细评估，对于制定康复和治疗策略以预防累犯至关重要。这些发现为在惩教环境中管理成瘾和心理健康问题的临床医生提供了有价值的见解。
