A prospective follow-up study of younger and older subjects with pathological gambling.
A prospective follow-up study of younger and older subjects with pathological gambling.
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DOI：
10.1016/j.psychres.2017.06.043
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发表时间：
2017-10
影响因子：
11.3
通讯作者：
Allen J
中科院分区：
文献类型：
--
作者：
Black DW;Coryell W;McCormick B;Shaw M;Allen J
病态赌博（PG）是一种常见和昂贵的公共卫生问题，与生活质量受损和高自杀率有关。尽管PG在普通人群中很常见，但对老年人的PG病程知之甚少，老年人尤其容易受到其破坏性后果的影响。我们招募了175名受试者进行赌博行为的纵向研究：我们的病例组是53名患有PG的老年人（≥60岁），两个对照组包括72名患有PG的年轻人（< 40岁）和50名没有PG的老年人（≥60岁）。PG受试者符合DSM- iv PG的终身标准，且南橡树赌博筛查（SOGS）和国家意见研究中心DSM赌博问题筛查（NODS）得分≥5分。受试者在入学时进行评估，每6个月重新评估一次，并替换退学者。随访时间平均（SD）为2.6（1.4）年。在接受治疗时，年龄较大的pg更可能是女性、高加索人、离异、受教育程度较低。老年PG和年轻PG的赌博严重程度相似，但老年PG更有可能寻求PG治疗。老年pg的终生药物使用障碍、注意缺陷/多动障碍和强迫症的发生率较低。他们更喜欢插槽，更有可能接受PG治疗，并且不太可能停止参与研究。每周的赌博活动水平在老年和年轻pg中显示出明显的总体下降趋势，尽管两组之间没有差异。没有PG的老年人的赌博活动水平没有变化。我们的结论是，在随访期间，年轻和年长的pg逐渐减少了赌博活动。我们的数据挑战了PG是慢性和进行性的观念。
Pathological gambling (PG) is a common and costly public health problem associated with impaired quality of life and high suicide rates. Despite its frequency in the general population, PG course is poorly understood in older adults who are especially vulnerable to its devastating consequences. We enrolled 175 subjects in a longitudinal study of gambling behavior: our case group of 53 older adults with PG (≥ 60 years), and two comparison groups including 72 younger adults with PG (< 40 years) and 50 older adults without PG (≥ 60 years). Subjects with PG met lifetime criteria for DSM-IV PG and had a South Oaks Gambling Screen (SOGS) and National Opinion Research Center DSM Screen for Gambling Problems (NODS) scores ≥5. Subjects were evaluated at intake and reassessed every 6 months and drop outs were replaced. Follow-up lasted a mean (SD) of 2.6 (1.4) years. At intake older PGs were more likely to be female, Caucasian, divorced, and to have a lower level of education. Older and younger PGs were similar in gambling severity, but older PGs were more likely to have sought PG treatment. Older PGs had lower rates of lifetime drug use disorders, attention deficit/hyperactivity disorder, and obsessive-compulsive disorder. They preferred slots, were more likely to receive PG treatment, and were less likely to discontinue participation in the study. Week by week gambling activity levels showed a significant general downward movement for older and younger PGs, although there were no differences between the groups. Elders without PG had no change in their level of gambling activity. We conclude that younger and older PGs moved toward a reduced level of gambling activity during follow-up. Our data challenge the notion that PG is chronic and progressive.
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影响因子：
2
作者：
Abbott, MW;Williams, MM;Volberg, RA
通讯作者：
Volberg, RA
影响因子：
2.9
作者：
Black, Donald W.;Smith, Megan M.;Allen, Jeff M.
通讯作者：
Allen, Jeff M.
影响因子：
4
作者：
Erickson, L;Molina, CA;Petry, NM
通讯作者：
Petry, NM
影响因子：
2.9
作者：
Black, Donald W.;Arndt, Stephan;Allen, Jeff
通讯作者：
Allen, Jeff
影响因子：
2.4
作者：
Edgerton, Jason D.;Melnyk, Timothy S.;Roberts, Lance W.
通讯作者：
Roberts, Lance W.