DSM-IV pathological gambling in the National Comorbidity Survey Replication.
DSM-IV pathological gambling in the National Comorbidity Survey Replication.
复制标题
全国合并症调查复制中的DSM-IV病理赌博。
DOI：
10.1017/s0033291708002900
复制
发表时间：
2008-09
影响因子：
6.9
通讯作者：
Shaffer, H. J.
中科院分区：
文献类型：
--
作者：
Kessler, R. C.;Hwang, I.;LaBrie, R.;Petukhova, M.;Sampson, N. A.;Winters, K. C.;Shaffer, H. J.
关于DSM-IV病理性赌博(PG)的患病率或相关因素，人们知之甚少。来自美国国家共病调查复制(NCS-R)的数据被用于评估终身赌博症状和PG以及其他DSM-IV障碍。NCS-R是一项具有全国代表性的美国家庭调查。对每种终生疾病的发病年龄(AOO)进行了回顾性评估。AOO报告用于研究暂时性原发疾病与继发性疾病风险之间的关系。大多数受访者(78.4%)表示终身赌博。终生问题赌博(至少一个标准A的PG症状)(2.3%)和PG(0.6%)要少得多。PG与年轻、男性和非西班牙裔黑人密切相关。患有PG的人报告第一次赌博的时间明显早于没有问题的赌徒(平均年龄：16.7岁对23.9岁，z=12.7，p<；.001)，赌博问题通常始于25岁左右，平均持续9.4年。在此期间，最大的年度赌博损失平均为4800美元。PG的发生和持续通过各种既往的DSM-IV焦虑、情绪、冲动控制和物质使用障碍来预测。PG还预测了随后发生的广泛性焦虑症、创伤后应激障碍和物质依赖。虽然患有PG的NCS-R受访者中没有人因赌博问题接受过治疗，但49.0%的人曾因其他精神障碍接受过治疗。DSM-IV PG是一种相对罕见、严重损害和治疗不足的疾病，其症状通常始于成年早期，通常继发于与PG发病和持久性有关的其他精神或物质障碍。
Little is known about the prevalence or correlates of DSM-IV pathological gambling (PG). Data from the US National Comorbidity Survey Replication (NCS-R), a nationally representative US household survey, were used to assess lifetime gambling symptoms and PG along with other DSM-IV disorders. Age-of-onset (AOO) of each lifetime disorder was assessed retrospectively. AOO reports were used to study associations between temporally primary disorders and the subsequent risk of secondary disorders. Most respondents (78.4%) reported lifetime gambling. Lifetime problem gambling (at least one Criterion A symptom of PG) (2.3%) and PG (0.6%) were much less common. PG was significantly associated with being young, male, and Non-Hispanic Black. People with PG reported first gambling significantly earlier than non-problem gamblers (mean age: 16.7 vs. 23.9, z = 12.7, p < .001), with gambling problems typically beginning during the mid-20s and persisting for an average of 9.4 years. During this time the largest annual gambling losses averaged $4800. Onset and persistence of PG were predicted by a variety of prior DSM-IV anxiety, mood, impulse-control, and substance use disorders. PG also predicted the subsequent onset of generalized anxiety disorder, post-traumatic stress disorder, and substance dependence. Although none of the NCS-R respondents with PG ever received treatment for gambling problems, 49.0% were treated at some time for other mental disorders. DSM-IV PG is a comparatively rare, seriously impairing, and under-treated disorder whose symptoms typically start during early adulthood and is frequently secondary to other mental or substance disorders that are associated with both PG onset and persistence.