Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders
Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders
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DOI：
10.1007/s10899-006-9016-6
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发表时间：
2006-09-01
影响因子：
2.4
通讯作者：
Wang, Jian Li
中科院分区：
文献类型：
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作者：
el-Guebaly, Nady;Patten, Scott B.;Wang, Jian Li
目的比较国际综合诊断访谈(CIDI)对社区精神障碍患者和非精神障碍患者赌博行为的影响。方法由加拿大统计局进行的一项大型全国社区调查，根据加拿大赌博问题指数(CPGI)，包括赌博活动引起的问题。我们比较了三个诊断分组(情绪/焦虑症、物质依赖/有害酒精使用、没有选定的精神障碍)的三个赌博严重程度类别(无问题、低严重程度和中/高度赌博)的受访者。结果在14,934名18岁至年龄在过去12个月内有至少一种赌博行为的受访者中，5.8%属于轻度赌博类别，2.9%属于中度/高度赌博类别。女性占样本的51.7%。有情绪或焦虑障碍的人中，中度/高度严重赌博的风险是没有选定障碍的人的1.7倍。对于有药物依赖或有害饮酒的人来说，中度/重度赌博的风险高出2.9倍。同时患有情绪/焦虑和物质/酒精障碍的人成为中度/重度赌徒的可能性要高出五倍。女性的赔率比为0.6，而那些受过高等教育的女性的赔率为1.52。年龄和个人收入的差异并不显著。
Objective To compare gambling behaviors in a random sample of community residents with and without mental disorders identified by the Composite International Diagnostic Interview (CIDI). Method A large national community survey conducted by Statistics Canada included questions about problems arising from gambling activities as per the Canadian Problem Gambling Index (CPGI). We compared respondents within three gambling severity categories (non-problem, low severity and moderate/high severity gambling) across three diagnostic groupings (mood/anxiety disorders, substance dependence/harmful alcohol use, no selected psychiatric disorder). Results Of the 14,934 respondents age 18-64 years who engaged in at least one type of gambling activity in the previous 12 months, 5.8% fell in the low severity gambling category while 2.9% fell in the moderate/high severity category. Females accounted for 51.7% of the sample. The risk of moderate/high severity gambling was 1.7 times higher in persons with mood or anxiety disorder compared to persons with no selected disorder. For persons with substance dependence or harmful alcohol use, the risk of moderate/high severity gambling was 2.9 times higher. Persons with both mood/anxiety and substance/alcohol disorders were five times more likely to be moderate/high severity gamblers. The odds ratio for females was 0.6 and for those with less than post- secondary education it was 1.52. Differences in age and personal income were not significant.