Zoraloğlu Can, Demetrovics Zsolt, Griffiths Mark D, Czakó Andrea, Horváth Zsolt, Király Orsolya
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
J Gambl Stud. 2025 Jun 27. doi: 10.1007/s10899-025-10408-9.
Although previous research has identified psychiatric symptoms and dissociation as important factors in problem gambling, the role of gambling motives in these relationships has received scant attention. According to the literature, the theoretically "riskier" motives (coping and enhancement) are associated with problem gambling. The present study examined the mediating role of gambling motives between psychiatric symptoms, dissociative experiences, and problem gambling severity. A total of 688 participants (57.8% male, M = 40.8 years, SD = 13.8) completed the Brief Symptom Inventory (BSI), Dissociative Experiences Scale-II (DES-II), Gambling Motives Questionnaire (GMQ), and Problem Gambling Severity Index (PGSI). The overall model had a good fit to the data. The results indicated that psychiatric symptoms had a significant direct effect and a significant indirect (mediating) effect on problem gambling severity via the coping motive, while dissociation only showed a significant indirect effect via the coping motive. The structural equation modeling showed that psychiatric symptoms, both directly and indirectly (via coping motives), influenced problem gambling severity, but dissociation did so indirectly only via coping motives. These results suggest that dissociation amplifies vulnerability to escape-style gambling, a concept in which an individual tries to regulate either negative mood states or psychological arousal by gambling. Awareness of dissociative tendencies and targeted interventions may help reduce gambling-related harms.
尽管先前的研究已将精神症状和解离确定为问题赌博的重要因素，但赌博动机在这些关系中的作用却很少受到关注。根据文献，理论上“风险更高”的动机（应对和增强）与问题赌博有关。本研究考察了赌博动机在精神症状、解离体验与问题赌博严重程度之间的中介作用。共有688名参与者（57.8%为男性，M = 40.8岁，SD = 13.8）完成了简明症状量表（BSI）、解离体验量表-II（DES-II）、赌博动机问卷（GMQ）和问题赌博严重程度指数（PGSI）。整体模型与数据拟合良好。结果表明，精神症状对问题赌博严重程度有显著的直接影响和通过应对动机产生的显著间接（中介）影响，而解离仅通过应对动机显示出显著的间接影响。结构方程模型表明，精神症状直接和间接（通过应对动机）影响问题赌博严重程度，但解离仅通过应对动机间接影响问题赌博严重程度。这些结果表明，解离会增加逃避式赌博的易感性，逃避式赌博是指个体试图通过赌博来调节负面情绪状态或心理唤醒的一种概念。了解解离倾向并进行有针对性的干预可能有助于减少与赌博相关的危害。
