Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives.
Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives.
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DSM-IV 病理性赌博患者及其一级亲属的代际童年虐待。
DOI：
10.1007/s10899-015-9588-0
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发表时间：
2016
影响因子：
2.4
通讯作者：
Black,DonaldW
中科院分区：
文献类型：
--
作者：
Shultz,SamuelK;Shaw,Martha;McCormick,Brett;Allen,Jeff;Black,DonaldW
本研究调查了患有DSM-IV病理性赌博（PG）的儿童期遭受虐待的个体的特征及其一级亲属（FDR）中发生虐待的比率。作为PG家庭研究的一部分，对94例DSM-IV PG受试者、91例对照组和312例FDR进行了儿童期虐待评估。使用修订的儿童期经历问卷对虐待进行了评估。家族评估装置用于评价PG受试者（或对照）家族起源的功能。采用广义估计方程法进行Logistic回归分析。PG患者的虐待率显著高于对照组（61%对25%，P< 0.001）。与未遭受虐待的PG受试者相比，遭受虐待的PG受试者更可能是女性，有更严重的PG症状，有合并情绪和焦虑障碍，并报告了更严重的早期家庭生活障碍。PG受试者FDR中的虐待发生率高于对照组（41 vs. 24%，P= 0.002）。本身经历过虐待的PG患者的FDRs发生率仍高于未经历过虐待的PG患者的FDRs发生率（50 vs. 28%，P= 0.009）。前者也更有可能患有焦虑症、物质使用障碍和自杀企图。研究结果表明，儿童期虐待在PG患者中是常见的，而且是跨代的。PG受试者的FDR中虐待发生率较高，尤其是在经历过虐待的受试者中。本文详细讨论了这些发现的意义。
This study investigates the characteristics of individuals with DSM-IV pathological gambling (PG) who experienced childhood maltreatment and rates of maltreatment occurring in their first-degree relatives (FDRs). 94 subjects with DSM-IV PG, 91 controls, and 312 FDRs were assessed for childhood maltreatment as part of a family study of PG. Maltreatment was evaluated using the Revised Childhood Experiences Questionnaire. The Family Assessment Device was used to evaluate the functionality of the PG subject’s (or control’s) family of origin. Data were analyzed using logistic regression by the method of generalized estimating equations. Rates of maltreatment were significantly higher in subjects with PG than controls (61 vs. 25 %,P< 0.001). Subjects with PG who experienced maltreatment were more likely to be female, had more severe PG symptoms, had co-occurring mood and anxiety disorders, and reported greater early family life dysfunction than those with PG who did not experience maltreatment. Rates of maltreatment were higher in FDRs of PG subjects than controls (41 vs. 24 %,P= .002). Rates in FDRs of individuals with PG who experienced maltreatment themselves were still higher that in FDRs of those with PG who did not experience maltreatment (50 vs. 28 %,P= .009). The former were also more likely to have anxiety disorders, substance use disorders, and suicide attempts. The results suggest that childhood maltreatment in persons with PG is common and intergenerational. Rates of maltreatment in FDRs of PG subjects are high, particularly among those who experienced abuse. The implications of the findings are discussed.