Analyses related to the development of DSM-5 criteria for substance use related disorders: 3. An assessment of Pathological Gambling criteria
Analyses related to the development of DSM-5 criteria for substance use related disorders: 3. An assessment of Pathological Gambling criteria
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DOI：
10.1016/j.drugalcdep.2011.09.006
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发表时间：
2012-04-01
影响因子：
4.2
通讯作者：
Auriacombe, Marc
中科院分区：
文献类型：
--
作者：
Denis, Cecile;Fatseas, Melina;Auriacombe, Marc
背景：DSM-5物质相关障碍工作组建议将病理性赌博纳入当前的物质相关障碍部分。本报告的目的是评估四套可能的病理性赌博的诊断标准。方法：根据四种分类方法将161名赌徒分为病理性和非病理性两类。(A)备选方案1：现行的DSM-IV病态赌博标准；(B)备选方案2：放弃“非法行为”标准，同时将门槛保持在核准的5个必需标准；(C)备选方案3：拟议的DSM-5办法，即删除“非法行为”，并将所需标准的门槛从5降至4；(D)备选方案4：采用一套仿照DSM-IV物质依赖标准的病态赌博标准。计算信度的Cronbach‘sα和特征值，进行Phi、判别函数分析、相关分析和多元回归模型的有效性检验，并计算Kappa系数以检验每个选项的诊断一致性。结论：选项2和选项3中建议的DSM-5标准表现良好，似乎没有改变DSM-IV中病理性赌博诊断的含义。未来的工作应该进一步探索是否可以使用与物质使用障碍相同的标准来评估病理性赌博。(C)2011爱思唯尔爱尔兰有限公司。保留所有权利。
Background: The DSM-5 Substance-Related Disorders Work Group proposed to include Pathological Gambling within the current Substance-Related Disorders section. The objective of the current report was to assess four possible sets of diagnostic criteria for Pathological Gambling.Methods: Gamblers (N = 161) were defined as either Pathological or Non-Pathological according to four classification methods. (a) Option 1: the current DSM-IV criteria for Pathological Gambling; (b) Option 2: dropping the "Illegal Acts" criterion, while keeping the threshold at 5 required criteria endorsed; (c) Option 3: the proposed DSM-5 approach, i.e., deleting "Illegal Acts" and lowering the threshold of required criteria from 5 to 4; (d) Option 4: to use a set of Pathological Gambling criteria modeled on the DSM-IV Substance Dependence criteria. Cronbach's alpha and eigenvalues were calculated for reliability, Phi, discriminant function analyses, correlations and multivariate regression models were performed for validity and kappa coefficients were calculated for diagnostic consistency of each option.Results: All criteria sets were reliable and valid. Some criteria had higher discriminant properties than others.Conclusion: The proposed DSM-5 criteria in Options 2 and 3 performed well and did not appear to alter the meanings of the diagnoses of Pathological Gambling from DSM-IV. Future work should further explore if Pathological Gambling might be assessed using the same criteria as those used for Substance Use Disorders. (C) 2011 Elsevier Ireland Ltd. All rights reserved.