Taking chances: Problem gamblers and mental health disorders - Results from the St Louis epidemiologic catchment area study

Taking chances: Problem gamblers and mental health disorders - Results from the St Louis epidemiologic catchment area study
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DOI:
10.2105/ajph.88.7.1093
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发表时间:
1998-07-01
影响因子:
12.7
通讯作者:
Spitznagel, EL
Spitznagel, EL
中科院分区:
医学2区
文献类型:
--
作者:
Cunningham-Williams, RM;Cottler, LB;Spitznagel, EL

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目标.本研究确定了问题赌博的患病率估计以及与其他精神疾病和物质使用障碍的关系。1981年,诊断访谈表被用来收集流行病学信息的问题赌博和其他疾病,从3004成年人在圣路易斯,密苏里州。病态赌博的终生患病率为0.9%; 46%的受访者赌博娱乐。问题赌徒(至少报告一个赌博相关问题的人)占样本的9.2%,主要是白色(69%),男性(78.2%),比非赌徒年轻。他们在几个精神病诊断的风险增加,特别是反社会人格障碍,酗酒和烟草依赖。治疗酗酒和烟草依赖的临床医生可能需要筛查赌博问题。需要在赌博机会增加的背景下进行更多的研究。
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 younger 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.