Gambling disorder in older adults: a cross-cultural perspective.

Gambling disorder in older adults: a cross-cultural perspective.
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老年人赌博障碍:跨文化视角。

DOI:
10.1016/j.comppsych.2014.12.021
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发表时间:
2015
影响因子:
7.3
通讯作者:
Grant,Jon
Grant,Jon
中科院分区:
医学2区
文献类型:
--
作者:
Medeiros,GustavoCosta;Leppink,Eric;Yaemi,Ana;Mariani,Mirella;Tavares,Hermano;Grant,Jon

文献摘要

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赌博障碍(GD)在老年人中显著增加,并在不同国家成为一个重要的公共卫生问题。然而,对老年人的GD知之甚少。赌博的流行和接受程度在不同的文化中有所不同,这就提出了文化如何以及在多大程度上影响老年赌徒的问题。大多数关于老年人GD的重要研究主要是在盎格鲁-撒克逊文化中进行的,关于其他文化中GD的信息很少。本文的目的是进行第一次标准化的跨文化比较,老年人提出GD.MethodsThe总研究样本涉及170个主题:89从巴西(BR)的样本和81从美国(US)的样本。其中男性67例,女性103例(平均年龄= 64.42岁,标准差= ±3.86)。他们进行了评估的社会人口统计学,赌博行为变量和精神病学anteceents.ResultsOverall,有显着差异BR和美国的老年人赌徒在婚姻状况,发病的赌博活动,发病的GD和敦促scores.DiscussionThis研究表明,有重要的差异,在赌博过程中,来自不同社会文化背景国家的两个GD老年人样本之间的赌博行为和个人前因。它削弱了将盎格鲁-撒克逊国家的结果推广到其他文化的可能性,并加强了在盎格鲁-撒克逊文化之外的老年人中开展遗传性痴呆研究的必要性。
IntroductionGambling disorder (GD) in older adults is significantly increasing and became an important public health issue in different countries. However, little is known regarding GD in older adults. The prevalence and acceptance of gambling vary among different cultures and this raises the question of how and to what extent culture affects older gamblers. The majority of the important studies regarding GD in older adults have been conducted mainly in Anglo-Saxon cultures and little information is available regarding GD in other cultures. The objective of this paper is to perform the first standardized cross-cultural comparison regarding older adults presenting GD.MethodsThe total studied sample involved 170 subjects: 89 from the Brazilian (BR) sample and 81 from the American (US) sample. It consisted of 67 men and 103 women (average age = 64.42, standard deviation = ±3.86). They were evaluated for socio-demographics, gambling behavior variables and psychiatric antecedents.ResultsOverall, there were significant differences between BR and US older adult gamblers in marital status, onset of gambling activity, onset of GD and urge scores.DiscussionThis study showed that there are important differences in gambling course, gambling behavior and personal antecedents between two samples of older adults presenting GD from countries with different social-cultural background. It weakens the possibility of generalization of results found in Anglo-Saxon countries to other cultures and reinforces for the need for development of research on GD in older adults outside the Anglo-Saxon culture.