A prospective study of problem and regular nonproblem gamblers living in the community
A prospective study of problem and regular nonproblem gamblers living in the community
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DOI：
10.1081/ja-120030891
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发表时间：
2004-05-01
影响因子：
2
通讯作者：
Volberg, RA
中科院分区：
文献类型：
--
作者：
Abbott, MW;Williams, MM;Volberg, RA
人们对赌博问题的生命历程知之甚少，也没有针对问题赌博的前瞻性研究。本文介绍了一项针对 77 名问题赌徒和 66 名非问题赌徒的研究，这些人是从 1991 年新西兰的一项全国患病率调查中招募的，并于 1998 年进行了重新评估。虽然大多数 1991 年的问题赌徒在随访中没有出现问题，但也有少数人出现了更严重的问题。多元逻辑回归分析发现，更严重的赌博问题、危险饮酒和对赛场投注的偏好是后续问题赌博的最强独立预测因素。这些发现与病理性赌博总是一种慢性或慢性复发性疾病的传统观念相矛盾。这些发现对于解释先前的研究、未来研究的进行以及问题赌博政策和治疗具有重要意义。
Little is known about the life course of gambling problems and there have been no prospective Studies of problem gambling. This article describes a study of 77 problem gamblers and 66 nonproblem gamblers recruited from a national prevalence survey in New Zealand in 1991 and reassessed in 1998. While most 1991 problem gamblers were nonproblematic at follow-up, a significant minority had developed more serious problems. Multiple logistic regression analysis identified more severe gambling problems, hazardous drinking, and a preference for track betting as the strongest independent predictors of subsequent problem gambling. These findings contradict conventional notions that pathological gambling is invariably a chronic or chronically relapsing disorder. The findings have implications for the interpretation of previous research, conduct of future research, and problem gambling policy and treatment.