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痛苦。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，个人的情感和身体问题是他或她在应对伴侣赌博造成的干扰时受挫的结果。然而，尚未对这一人群的应对努力进行系统评估。此外，针对有病理性赌博伙伴的个人的治疗计划的内容也缺乏强有力的经验基础。这一测量和治疗开发项目通过以下方式解决这些方法问题：(A)系统地开发赌徒情况调查表(GSI)，这是一种对有病态赌博伙伴的个人的应对技能进行角色扮演的衡量标准，以及(B)使用与临床相关的清单内容，为这一群体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，发展了这些人口所经历的与赌博有关的具有代表性的问题情况。然后，将内容区域内的情况分配为平行形式，并系统地制定认知和行为反应评分标准。在第二阶段，GSI的心理测量学特性在治疗和非治疗人群中有病理性赌博伙伴的个人中进行评估。这些心理测量学特性包括：(A)GSI的概括性分析，估计了个人、情境、形式和评分者的方差成分；(B)替代形式的可靠性分析；(C)重测可靠性分析；以及(D)GSI关于与赌博有关的实际应对、个人功能和赌博者功能的同时效度分析。在第三阶段，为有病态赌博伴侣的个人制定了应对技能培训计划，并进行了试点测试。该计划的内容将基于第一阶段制定的材料和反应标准。在这一试点中，受试者被随机分配到应对技能培训或等待名单控制条件下。培训计划的效果是根据受试者应对技能(使用替代的GSI形式)以及受试者和赌徒功能的变化来评估的。GSI的开发和基于GSI的培训计划的试点将填补赌博治疗文献中的一个严重空白，并作为建立未来临床试验的坚实基础，评估针对面临伴侣病理性赌博的个人的技能培训计划。

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.