Pathologic gambling and bankruptcy
Pathologic gambling and bankruptcy
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DOI：
10.1016/j.comppsych.2009.04.002
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发表时间：
2010-03-01
影响因子：
7.3
通讯作者：
Kim, Suck Won
中科院分区：
文献类型：
--
作者：
Grant, Jon E.;Schreiber, Liana;Kim, Suck Won
背景：虽然已有研究对病理性赌博(PG)的破产率进行了研究，但关于因赌博而宣布破产的PG患者的临床相关性数据有限。方法：根据《精神障碍诊断与统计手册》第四版，连续517名PG(54.7%女性，平均年龄47.6岁)被分为两类：有(93；18.0%)和没有(n=424；82.0%)宣布破产的人，继而赌博。结果：宣布破产的赌徒更有可能是单身(P=.004)；有更早的问题赌博开始年龄(P=.032)；有更多的经济(P<；.001)、与工作有关(P=.006)、婚姻(P<；.001)和法律(P<；)。.001)赌博带来的次要问题。他们还报告了更高的抑郁障碍(P<；.001)、物质使用障碍(P=.005)和更有可能每天吸食尼古丁(P=.022)。赌博花费的钱在不同组之间没有显著差异。结论：这些初步结果表明PG破产可能与特定的临床差异有关。治疗策略可能想要评估破产状况，以开发考虑到这些临床差异的更有效的治疗方法。(C)2010 Elsevier Inc.保留所有权利。
Background: Although prior studies have examined rates of bankruptcy in pathologic gambling (PG), there are only limited data regarding the clinical correlates of those with PG who declare bankruptcy because of gambling.Method: Five hundred seventeen consecutive subjects with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, PG (54.7% females; mean age 47.6 years) were grouped into 2 categories: those who had (n = 93; 18.0%) and had not (n = 424; 82.0%) declared bankruptcy secondary to gambling. Groups were compared on clinical characteristics, gambling severity (using the Yale-Brown Obsessive-Compulsive Scale Modified for Pathological Gambling, Gambling Symptom Assessment Scale; Clinical Global Impression-severity scale, and time and money spent gambling), and psychiatric comorbidity.Results: Gamblers who had declared bankruptcy were more likely to be single (P = .004); have an earlier age of problem gambling onset (P = .032); and have more financial (P < .001), work-related (P = .006), marital (P < .001), and legal (P < .001) problems secondary to their gambling. They also reported higher rates of depressive disorders (P < .001), substance use disorders (P = .005) and were more likely to be daily users of nicotine (P = .022). Money spent gambling did not differ significantly between groups.Conclusion: These preliminary results suggest that bankruptcy in PG may be associated with specific clinical differences. Treatment strategies may want to assess bankruptcy status to develop more effective treatments that take account of these clinical differences. (C) 2010 Elsevier Inc. All rights reserved.