COPING IN THOSE WITH PATHOLOGICAL-GAMBLING PARTNERS

有病态赌博伴侣的人通常会经历高度的抑郁和其他心理困扰。越来越多的人从家庭压力和应对理论的角度来看待这种痛苦。 换句话说，个人的情绪和身体问题是他或她沮丧的努力，以科普由合作伙伴的赌博造成的破坏的结果。 然而，尚未对这一人群的应对努力进行系统评估。 此外，针对有病态赌博伴侣的个人的治疗计划的内容缺乏强有力的经验基础。 该测量和治疗开发项目通过以下方式解决了这些方法学问题：（a）系统地开发赌徒情况量表（GSI），这是一种对有病态赌博伴侣的个人应对技能的角色扮演测量，以及（B），使用临床相关的量表内容，为这一人群设计和试点测试应对技能培训计划。 该项目分三个阶段完成。 在第一阶段，开发了一个由这一人群经历的代表性赌博相关问题情况的池。 内容领域内的情况，然后分配到平行的形式，和认知和行为反应评分标准系统开发。 在第二阶段，GSI的心理测量特性进行了评估，在个人与病理赌博合作伙伴的治疗和非治疗人群。 这些心理测量学特性包括：（a）GSI的概化性分析，估计人、情境、形式和评分者的方差分量;（B）替代形式信度分析;（c）重测信度分析;（d）GSI在实际赌博相关应对、个人功能和赌徒功能方面的并行效度分析。 在第三阶段，为有病态赌博伙伴的个人制定应对技能培训计划并进行试点测试。 该计划的内容将基于第一阶段制定的材料和响应标准。在这个试点中，受试者被随机分配到应对技能培训或等待列表控制条件。 培训计划的效果进行了评估方面的变化，在主题的应对技能（使用替代GSI形式），主题和赌徒的功能。 GSI开发和试点的GSI为基础的培训计划将填补赌博治疗文献中的一个严重的空白，并作为一个强大的基础上，建立未来的临床试验评估技能培训计划的个人面临的合作伙伴的病态赌博。

Individuals with pathological-gambling partners often experience a high degree of depression and other psychological distress. Increasingly this distress has been viewed from within family stress and coping theory. In other words, the emotional and physical problems of the individual are the result of his or her frustrated efforts to cope with disruption caused by the partner's gambling. Systematic assessment of coping efforts in this population, however, have not occurred. Also, the content of treatment programs for individuals with pathological-gambling partners have lacked a strong empirical base. This measurement and therapy development project addresses these methodological problems by (a) systematically developing the Gambler Situation Inventory (GSI), a role-play measure of coping skills in individuals with pathological-gambling partners, and (b), using clinically-relevant inventory content, designing and pilot-testing a coping skills training program for this population. The project is completed in three phases. In Phase I, a pool of representative gambling-related problem situations experienced by this population is developed. Situations within content area then are assigned to parallel forms, and cognitive and behavioral response scoring criteria systematically developed. In Phase II, the psychometric properties of the GSI are evaluated in individuals with pathological-gambling partners from treatment and nontreatment populations. These psychometric properties include: (a) generalizability analyses of the GSI with estimation of variance components for persons, situations, forms, and raters; (b) analysis of alternate form reliability; (c) analysis of test-retest reliability; and (d) analysis of concurrent validity of the GSI with respect to actual gambling-related coping, individual functioning, and the gambler's functioning. In Phase III, a coping skills training program for individuals with pathological-gambling partners is developed and pilot-tested. The content of this program will be based on material and response criteria developed during Phase I. In this pilot, subjects are randomly assigned to either a coping skills training or wait-list control condition. The effect of the training program is assessed with respect to changes in subject coping skills (using alternate GSI forms), and subject and gambler functioning. GSI development and piloting of the GSI-based training program will fill a serious void in the gambling treatment literature, and serve as a strong foundation upon which to build future clinical trials evaluating skill training programs for individuals confronted with a partner's pathological gambling.