Marital status, childhood maltreatment, and family dysfunction: a controlled study of pathological gambling.
Marital status, childhood maltreatment, and family dysfunction: a controlled study of pathological gambling.
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婚姻状况，儿童虐待和家庭功能障碍：病理赌博的对照研究。
DOI：
10.4088/jcp.12m07800
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发表时间：
2012-10
期刊：
影响因子：
--
通讯作者：
Allen J
中科院分区：
文献类型：
--
作者：
Black DW;Shaw MC;McCormick BA;Allen J
病理性赌博是一种普遍存在的公共卫生问题，与抑郁症，药物滥用，犯罪和自杀有关。尽管存在这些挑战，但很少有人注意审查其对家庭和婚姻的负面影响，包括离婚率、虐待儿童和家庭功能失调。从2005年2月至2010年6月，与DSM-IV定义的病理性赌博和社区控制的主题进行了评估的婚姻和家庭变量和儿童虐待指数。家庭功能评估工具（FAD）用于评估家庭功能。招募95名患有DSM-IV病理性赌博的受试者和91名无病理性赌博的对照受试者并进行评估。他们在年龄、性别和就业状况方面相似。病理性赌博者比对照组更可能有≥ 1次离婚（比值比[OR] = 2.56; 95% CI，1.35-4.87; P=.004），独居（OR=4.49; 95%CI，1.97-10.25; P<.001），并报告任何类型的儿童虐待（OR =4.02; 95%CI，2.12-7.64; P<.001）。他们在兄弟姐妹的数量或兄弟姐妹之间的顺序位置上没有差异。病理赌博的主题报告显着较差的家庭功能比对照组的所有7个FAD分量表进行评估。在FAD一般功能分量表中，55%的病态赌博家庭和33%的对照家庭被评为“不健康”（OR = 2.17; 95%CI，1.14-4.12; P= 0.018）。赌博的严重程度与离婚、童年虐待和FAD角色分量表呈正相关。与对照组相比，病态赌博的人更有可能离婚，独自生活，并报告经历过童年虐待。他们还报告了更多的家庭功能障碍。
Pathological gambling is a prevalent public health problem associated with depression, substance misuse, crime, and suicide. Despite these challenges, little attention has been directed to examining its negative consequences on families and marriages, including divorce rates, childhood maltreatment, and family dysfunction. From February 2005 to June 2010, subjects with DSM-IV-defined pathological gambling and community controls were assessed for marital and family variables and indices of childhood maltreatment. The Family Assessment Device (FAD) was used to evaluate family functioning. Ninety-five subjects with DSM-IV pathological gambling and 91 control subjects without pathological gambling were recruited and assessed. They were similar in age, gender, and employment status. Persons with pathological gambling were more likely than controls to have ≥ 1 divorce (odds ratio [OR] = 2.56; 95% Cl, 1.35-4.87; P=.004), to live alone (OR=4.49; 95% Cl, 1.97-10.25; P<.001), and to report any type of childhood maltreatment (OR =4.02; 95% Cl, 2.12-7.64; P<.001). They did not differ on number of siblings or ordinal position among siblings. Pathological gambling subjects reported significantly worse family functioning than control subjects as assessed by all 7 FAD subscales. On the FAD general functioning subscale, 55% of pathological gambling families and 33% of control families were rated “unhealthy” (OR = 2.17; 95% Cl, 1.14–4.12; P=.018). Severity of gambling was positively correlated with divorce, childhood maltreatment, and the FAD roles subscale. People with pathological gambling are more likely than controls to have been divorced, to live alone, and to report having experienced childhood maltreatment than controls. They also report greater family dysfunction.