Gambling in primary care patients: why should we care and what can we do about it?
Gambling in primary care patients: why should we care and what can we do about it?
复制标题
初级保健患者的赌博:我们为什么要关心以及我们能做些什么?
DOI:
10.1016/j.genhosppsych.2005.11.003
复制
发表时间:
2006
影响因子:
7
通讯作者:
Neighbors,Clayton
中科院分区:
文献类型:
--
作者:
Larimer,MaryE;Lostutter,TyW;Neighbors,Clayton
Disordered gambling has been associated with a host of serious health and social consequences. A limited body of research suggested that problem and pathologic gamblers experience higher rates of several types of physical symptoms, including fatigue, insomnia, minor respiratory ailments, intestinal distress, migraine headaches, high blood pressure and cardiovascular disease [1–3]. The social costs of problem and pathologic gambling include work and educational disruptions, criminal arrests, severe financial difficulties and familial problems (including domestic violence and child maltreatment)[4–6]. Problematic gambling is also associated with higher rates of comorbid psychiatric conditions, including concomitant substance use, eating disorders, depression and anxiety disorders [4, 7–9]. Individuals with problematic gambling also have higher rates of attempted and completed suicides as compared with the general population [10, 11].In contrast to the harm associated with problem and pathologic gambling, recreational gambling has been argued to have significant societal benefits, including the creation of jobs and generation of revenues for state and local governments that are used for public benefit [12]. Some research has also suggested that nonpathologic recreational gambling may be related to improvements in social and health functioning, at least for a subset of the population [13].