Who seeks Treatment When Medicine Opens the Door to Pathological gambling Patients-Psychiatric comorbidity and heavy Predominance of Online gambling
Who seeks Treatment When Medicine Opens the Door to Pathological gambling Patients-Psychiatric comorbidity and heavy Predominance of Online gambling
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DOI：
10.3389/fpsyt.2017.00255
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发表时间：
2017-11-29
影响因子：
4.7
通讯作者：
Zaar, Mats
中科院分区：
文献类型：
--
作者：
Hakansson, Anders;Mardhed, Emma;Zaar, Mats
背景资料：很少有研究评估了寻求治疗的行为和患者的特点，病理性赌博集中在精神科合并症，特别是在设置大量暴露于网上赌博。本研究旨在探讨病态赌博的一种新的基于医疗保健的治疗方式中的患者特征，包括赌博类型、精神病合并症和性别之间的潜在关联。方法：纳入了2016年1月至2017年4月期间接受结构化评估的所有患者（N = 106），结果：80%的患者为男性，58%的患者除了病态赌博外还患有精神疾病。84%的患者患有在线赌场和在线体育博彩的问题赌博。非物质相关的精神科合并症与女性gender.Conclusion显着相关：在线赌博是更明显地占主导地位，在这种情况下比在其他国家的研究。高并发症的发生率要求对问题赌博进行结构化的精神病学评估，特别关注病态赌博的女性患者。
Background: Few studies have assessed treatment-seeking behavior and patient characteristics in pathological gambling focusing on psychiatric comorbidity, particularly in a setting of heavy exposure to online gambling. This study aimed to address patient characteristics in a novel health care-based treatment modality for pathological gambling, including potential associations between gambling types, psychiatric comorbidity, and gender.Methods: All patients undergoing structured assessment between January 2016 and April 2017 were included (N = 106), and patient records were reviewed for cooccurring psychiatric disorders and types of problem games.Results: Eighty percent were men, and 58% received a psychiatric disorder apart from pathological gambling. Problematic gambling on online casino and online sports betting represented 84% of patients. Non-substance-related psychiatric comorbidity was significantly associated with female gender.Conclusion: Online gambling is more clearly predominating in this setting than in studies from other countries. High rates of comorbidity call for structured psychiatric assessment in problem gambling, with a particular focus on female patients with pathological gambling.