冒险行为：问题赌徒与精神健康障碍——圣路易斯流行病学集水区研究结果
Taking chances: problem gamblers and mental health disorders--results from the St. Louis Epidemiologic Catchment Area Study.
作者信息
Cunningham-Williams R M, Cottler L B, Compton W M, Spitznagel E L
机构信息
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63108, USA.
出版信息
Am J Public Health. 1998 Jul;88(7):1093-6. doi: 10.2105/ajph.88.7.1093.
Abstract
OBJECTIVES
This study determined prevalence estimates of problem gambling and relationships to other psychiatric and substance use disorders.
METHODS
In 1981, the Diagnostic Interview Schedule was used to collect epidemiological information on problem gambling and other disorders from 3004 adults in St. Louis, Mo.
RESULTS
The lifetime prevalence of pathological gambling was 0.9%; 46% of those surveyed gambled recreationally. Problem gamblers (those reporting at least one gambling-related problem) were 9.2% of the sample and were predominately White (69%), male (78.2%), and young than nongamblers. They were at increased risk for several psychiatric diagnoses, especially for antisocial personality disorder, alcoholism, and tobacco dependence.
CONCLUSIONS
Clinicians treating alcoholism and tobacco dependence may need to screen for problem gambling. Additional research in the context of increased gambling opportunities is needed.
摘要
目的
本研究确定了问题赌博的患病率估计值及其与其他精神疾病和物质使用障碍的关系。
方法
1981年，采用诊断访谈表从密苏里州圣路易斯市的3004名成年人中收集有关问题赌博和其他疾病的流行病学信息。
结果
病态赌博的终生患病率为0.9%；46%的受调查者进行娱乐性赌博。问题赌徒（那些报告至少有一个与赌博相关问题的人）占样本的9.2%，主要是白人（69%）、男性（78.2%），且比非赌徒年轻。他们患几种精神疾病的风险增加，尤其是反社会人格障碍、酗酒和烟草依赖。
结论
治疗酗酒和烟草依赖的临床医生可能需要筛查问题赌博。在赌博机会增加的背景下需要进行更多研究。
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