Bickl Andreas M, Loy Johanna K, Kraus Ludwig, Grüne Bettina, Hoch Eva, Schwarzkopf Larissa
IFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Munich, Germany.
Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Front Psychiatry. 2024 Oct 21;15:1481733. doi: 10.3389/fpsyt.2024.1481733. eCollection 2024.
Individuals with gambling disorder (GD) harbor cognitive distortions and dysfunctional beliefs about gambling that may foster problematic gambling behaviour. Evidence on particularly detrimental attitudes and beliefs is however lacking. To close this knowledge gap, we analysed associations between gambling attitudes and beliefs (Gambling Attitudes and Beliefs Survey (GABS-15)) and severity of gambling disorder (DSM-5 criteria met) in a German cohort of 123 individuals receiving outpatient gambling treatment.
Data from the "Katamnese-Study" covering a 36-months timeframe with 5 assessment points was pooled. The multidimensional structure of the GABS-15 was examined using explorative and confirmatory factor analyses, followed by mixed-effect regression models using different operationalizations of the GABS-15.
A three-factorial structure comprising "attitudes while gambling", "sensation-seeking / excitement", and "gambling fallacies" demonstrated better fit indices than the GABS-15 sum score. Only the "gambling fallacies " factor (1.00, p<0.05; 15.36, p < 0.01) was significantly associated with increased severity of GD.
As a one-dimensional conceptualization of gambling-related attitudes and beliefs might not sufficiently guide staff of outpatient treatment facilities regarding priority setting in gambling care, evidence on attitudes with particularly detrimental associations is highly warranted. Here, focussing on mitigating "gambling' fallacies" by tailored treatment strategies appears promising.
患有赌博障碍（GD）的个体对赌博存在认知扭曲和功能失调的信念，这可能助长问题赌博行为。然而，关于特别有害的态度和信念的证据却很缺乏。为了填补这一知识空白，我们分析了123名接受门诊赌博治疗的德国患者队列中赌博态度和信念（赌博态度和信念调查（GABS - 15））与赌博障碍严重程度（符合DSM - 5标准）之间的关联。
汇总了“随访研究”涵盖36个月时间框架、有5个评估点的数据。使用探索性和验证性因素分析检查GABS - 15的多维结构，随后使用GABS - 15的不同操作化方法建立混合效应回归模型。
一个由“赌博时的态度”、“寻求刺激/兴奋”和“赌博谬误”组成的三因素结构显示出比GABS - 15总分更好的拟合指数。只有“赌博谬误”因素（1.00，p < 0.05；15.36，p < 0.01）与GD严重程度增加显著相关。
由于对与赌博相关的态度和信念进行一维概念化可能不足以指导门诊治疗机构的工作人员在赌博护理中确定优先事项，因此非常有必要获取关于具有特别有害关联的态度的证据。在此，通过量身定制的治疗策略专注于减轻“赌博谬误”似乎很有前景。
