Crockford D N, el-Guebaly N
Department of Psychiatry, University of Calgary, Alberta.
Can J Psychiatry. 1998 Feb;43(1):43-50. doi: 10.1177/070674379804300104.
To critically review the current literature on pathological gambling as regards the significant psychiatric comorbidities associated with it.
The authors synthesized information found via electronic searches (MEDLINE) and bibliographic-directed searches in over 60 publications.
Pathological gamblers frequently have comorbid substance use disorders. In addition, a subset appear to have comorbid antisocial personality disorder, but they represent a minority when compared with those people who have acquired their antisocial traits as a consequence of their gambling behaviour. A comorbidity with the mood disorders is probable, but methodological concerns and inconsistencies with the data prevent further delineation of this. Emerging research for other disorders possibly associated with pathological gambling is also reviewed.
Pathological gambling is associated with significant psychiatric comorbidity. Recommendations for future research are described.
严格审查当前关于病态赌博及其相关重大精神共病的文献。
作者综合了通过电子检索（MEDLINE）以及对60多篇出版物进行文献导向检索所获得的信息。
病态赌徒常常伴有物质使用障碍。此外，一部分人似乎伴有反社会人格障碍，但与因赌博行为而获得反社会特质的人相比，这部分人占少数。病态赌博与心境障碍可能存在共病关系，但方法学问题和数据不一致阻碍了对此进行进一步的描述。本文还综述了可能与病态赌博相关的其他障碍的新兴研究。
病态赌博与重大精神共病有关。文中描述了对未来研究的建议。
