Gambling problems in bipolar disorder in the UK: prevalence and distribution.
Gambling problems in bipolar disorder in the UK: prevalence and distribution.
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DOI：
10.1192/bjp.bp.114.154286
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Rogers RD
中科院分区：
文献类型：
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作者：
Jones L;Metcalf A;Gordon-Smith K;Forty L;Perry A;Lloyd J;Geddes JR;Goodwin GM;Jones I;Craddock N;Rogers RD
背景：北美的研究表明双相情感障碍与问题赌博的发生率升高有关;然而，对双相情感障碍不同表现的发生率知之甚少。目的是确定英国双相情感障碍患者赌博问题的患病率和分布。方法采用问题赌博严重程度指数对635例双相情感障碍患者的赌博问题进行测量。结果双相情感障碍患者中重度赌博问题发生率是普通人群的4倍，且与2型障碍（OR = 1.74，P = 0.036）、自杀意念或企图史（OR = 3.44，P = 0.02）和快速循环（OR = 2.63，P = 0.008）有关。结论：10例双相情感障碍患者中约有1例可能存在中度至重度赌博问题风险，可能与自杀行为和快速循环过程相关。2型障碍中赌博问题的发生率升高，突出了适度但不稳定的情绪障碍在这些问题的发展和维持中的可能意义。
Background North American studies show bipolar disorder is associated with elevated rates of problem gambling; however, little is known about rates in the different presentations of bipolar illness. Aims To determine the prevalence and distribution of problem gambling in people with bipolar disorder in the UK. Method The Problem Gambling Severity Index was used to measure gambling problems in 635 participants with bipolar disorder. Results Moderate to severe gambling problems were four times higher in people with bipolar disorder than in the general population, and were associated with type 2 disorder (OR = 1.74, P = 0.036), history of suicidal ideation or attempt (OR = 3.44, P = 0.02) and rapid cycling (OR = 2.63, P = 0.008). Conclusions Approximately 1 in 10 patients with bipolar disorder may be at moderate to severe risk of problem gambling, possibly associated with suicidal behaviour and a rapid cycling course. Elevated rates of gambling problems in type 2 disorder highlight the probable significance of modest but unstable mood disturbance in the development and maintenance of such problems.