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Virtual Reality Adaptive Training for Personalized Stress Inoculation. 用于个性化压力接种的虚拟现实自适应训练。
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-28 DOI: 10.1177/00187208241241968
Tor Finseth, Michael C Dorneich, Nir Keren, Warren D Franke, Stephen Vardeman

Objective: To evaluate a personalized adaptive training program designed for stress prevention using graduated stress exposure.

Background: Astronauts in the high-risk space mission environment are prone to performance-impairing stress responses, making preemptive stress inoculation essential for their training.

Methods: This work developed an adaptive virtual reality-based system that adjusts environmental stressors based on real-time stress indicators to optimize training stress levels. Sixty-five healthy subjects underwent task training in one of three groups: skill-only (no stressors), fixed-graduated (prescheduled stressor changes), and adaptive. Psychological (subjective stress, task engagement, distress, worry, anxiety, and workload) and physiological (heart rate, heart rate variability, blood pressure, and electrodermal activity) responses were measured.

Results: The adaptive condition showed a significant decrease in heart rate and a decreasing trend in heart rate variability ratio, with no changes in the other training conditions. Distress showed a decreasing trend for the graduated and adaptive conditions. Task engagement showed a significant increase for adaptive and a significant decrease for the graduated condition. All training conditions showed a significant decrease in worry and anxiety and a significant increase in the other heart rate variability metrics.

Conclusion: Although all training conditions mitigated some stress, the preponderance of trial effects for the adaptive condition supports that it is more successful at decreasing stress.

Application: The integration of real-time personalized stress exposure within a VR-based training program not only prepares individuals for high-stress situations by preemptively mitigating stress but also customizes stressor levels to the crew member's current state, potentially enhancing resilience to future stressors.

摘要背景:在高风险的太空任务环境中,宇航员很容易出现有损表现的应激反应,因此对他们进行先期应激接种训练至关重要:背景:宇航员在高风险的太空任务环境中很容易产生有损表现的应激反应,因此先发制人的应激接种对他们的训练至关重要:方法:这项研究开发了一种基于虚拟现实的自适应系统,可根据实时压力指标调整环境压力,以优化训练压力水平。65 名健康受试者在三组中的一组接受了任务训练:纯技能组(无压力源)、固定分级组(预先安排的压力源变化)和自适应组。对心理(主观压力、任务参与度、苦恼、担忧、焦虑和工作量)和生理(心率、心率变异性、血压和皮肤电活动)反应进行了测量:适应性训练条件下的心率明显下降,心率变异比呈下降趋势,其他训练条件下的心率和心率变异比没有变化。分级条件和适应条件下的压力呈下降趋势。任务参与度在适应训练条件下有明显提高,而在分级训练条件下有明显下降。所有训练条件都表明,担心和焦虑明显减少,其他心率变异性指标明显增加:结论:尽管所有训练条件都减轻了一些压力,但适应性条件的试验效果占优势,这表明适应性条件在减轻压力方面更为成功:应用:在基于 VR 的培训计划中整合实时个性化压力暴露,不仅能通过预先减轻压力为个人应对高压力情况做好准备,还能根据机组人员的当前状态定制压力水平,从而有可能增强对未来压力的适应能力。
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引用次数: 0
Job-Seeking Experiences of Trans Adults in South Korea. 韩国变性成人的求职经历。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2023-12-20 DOI: 10.1080/00918369.2023.2295336
Jimin Sung, Jaehee Yi, Min Ah Kim, Gaben Sanchez

Being trans is stigmatized and can make it difficult to fit into the job market in South Korean society. This study explored trans individuals' job-seeking experience and the impact of gender identity on their career choices and development using a qualitative approach. In-depth interviews were conducted with 20 trans adults with job-seeking experiences who were recruited through purposive and snowball sampling in South Korea. Ten subthemes were identified in three overarching themes: (a) limiting myself in job search; (b) challenges in the job application and interview process; and (c) having a desire to build a meaningful career. Participants limited their choices for employment in favor of gender-neutral jobs or trans-inclusive work environments. In the job-seeking process, they faced challenges due to society's rigid binary gender roles and the negative stereotypes about trans identities. Despite stress and identity-related conflict, participants expressed a desire to overcome challenges, build a meaningful career, and flourish at work without compromising their gender identity. This study highlights the experiences of trans individuals in their job-seeking journey. Psychosocial interventions and career support services could help trans individuals in the job-seeking process by identifying their unique challenges to employment and providing assistance to cope with stigma and oppression.

在韩国社会,变性是一种耻辱,会让人难以融入就业市场。本研究采用定性方法探讨了变性人的求职经历以及性别认同对其职业选择和发展的影响。研究人员通过目的性抽样和滚雪球式抽样,在韩国招募了 20 名有求职经历的变性成人,对他们进行了深入访谈。访谈确定了三个总体主题下的十个次主题:(a)求职过程中的自我限制;(b)求职和面试过程中的挑战;以及(c)建立有意义职业生涯的愿望。参与者限制了自己的就业选择,倾向于选择性别中立的工作或跨性别包容的工作环境。在求职过程中,由于社会僵化的二元性别角色和对变性身份的负面成见,他们面临着各种挑战。尽管存在压力和与身份相关的冲突,但参与者表示希望克服挑战,建立有意义的职业生涯,并在不损害其性别身份的情况下在工作中蓬勃发展。这项研究强调了变性人在求职过程中的经历。社会心理干预和职业支持服务可以帮助变性人在求职过程中识别他们在就业方面所面临的独特挑战,并提供帮助以应对污名化和压迫。
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引用次数: 0
Gender and Sexuality Disparities in Perception, Attitude and Social Intimacy Among Sinophone Youth Toward Transgender and Gender Non-Conforming Individuals: Based on an Internet Survey. 中文青年对变性人和性别不符者的看法、态度和社会亲密关系中的性别和性差异:基于互联网调查。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2024-01-16 DOI: 10.1080/00918369.2023.2287031
Xiyuan Hu, Heng Wang

The study aims at assessing gender and sexuality characteristics (GSC) in perception, attitude, and social intimacy among Sinophone youth toward transgender and gender non-conforming (TGNC) people. Based on an internet survey with 3 825 valid questionnaires, we distinguished the general public into TGNC, cisgender heterosexual, and cisgender non-heterosexual individuals. Then we classified TGNC individuals into trans females, trans males, and non-binary/genderqueer people and cisgender individuals into cisgender females and cisgender males. The chi-square test, one-way analysis of variance (ANOVA), and multiple linear regression were used. We found that the evident gender and sexuality disparities in perception, attitude, and social intimacy toward TGNC individuals exist both in and out of TGNC individuals. Negative perceptions and attitudes as well as alienated social intimacy were most pronounced among cisgender heterosexual people (Chi-square test, one-way ANOVA, and multiple linear regression: all p < .001). Cisgender females exhibit higher levels of supportiveness compared to cisgender males. Trans females were the most positive while they also had more concerns regarding public space and gender expression-related issues. The findings are practical for community-based advocacy for raising public awareness of the presences and experiences of TGNC people in Sinophone societies.

本研究旨在评估讲中文的年轻人对变性者和性别不符合者(TGNC)的认知、态度和社会亲密关系中的性别和性特征(GSC)。基于 3 825 份有效问卷的网络调查,我们将一般公众分为 TGNC、顺性别异性恋者和顺性别非异性恋者。然后,我们将 TGNC 人分为变性女性、变性男性和非二元/性别同者,将顺性别者分为顺性别女性和顺性别男性。我们使用了卡方检验、单因素方差分析(ANOVA)和多元线性回归。我们发现,在对 TGNC 个人的认知、态度和社会亲密关系方面,TGNC 个人内外都存在明显的性别和性差异。顺性别异性恋者的负面看法和态度以及疏远的社会亲密关系最为明显(卡方检验、单因素方差分析和多元线性回归:均 p
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引用次数: 0
Differences by Emotion Regulation in the Association Between Discrimination and Tobacco Use Among Sexual Minority Young Adults. 性少数青年歧视与烟草使用关系的情绪调节差异。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2023-11-21 DOI: 10.1080/00918369.2023.2283864
Erin A Vogel, Katelyn F Romm, Carla J Berg

Little research has examined factors, such as emotion regulation strategies, that amplify or mitigate associations between discrimination and tobacco use among sexual minority young adults (SMYAs). SM-identifying YA (ages 18-34) women (N = 450; Mage = 24.11; 31.1% racial or ethnic minority) and men (N = 254; Mage = 24.68; 28.0% racial or ethnic minority) residing in 6 US metropolitan areas were surveyed. Bivariate analyses examined associations of sociodemographics (i.e. age, race, ethnicity, education), discrimination, and emotion regulation strategies (i.e. cognitive reappraisal, expressive suppression) with tobacco use outcomes (i.e. past 30-day cigarette, e-cigarette, other tobacco [aggregated across cigars, hookah] use). Multivariable logistic regressions were built for each tobacco use outcome and included sociodemographic covariates, discrimination and emotion regulation strategies, and interactions between discrimination and emotion regulation strategies. Among SMYA women, a significant interaction of discrimination and cognitive reappraisal indicated that discrimination was associated with greater odds of past 30-day e-cigarette use only among women with lower levels of cognitive reappraisal. Discrimination and emotion regulation were not significantly associated with tobacco use among men. SMYA women with lesser use of cognitive reappraisal may be at heightened risk for e-cigarette use if they experience discrimination. Tobacco cessation programs for SM women should incorporate emotion regulation skills.

很少有研究调查了诸如情绪调节策略等因素,这些因素放大或减轻了性少数年轻人(SMYAs)中歧视与烟草使用之间的联系。年龄18-34岁有sm特征的女性(N = 450;法师= 24.11;31.1%种族或少数民族)和男性(N = 254;法师= 24.68;28.0%(种族或少数民族)居住在美国6个大都市区。双变量分析检查了社会人口统计学(即年龄、种族、民族、教育)、歧视和情绪调节策略(即认知重新评估、表达抑制)与烟草使用结果(即过去30天的香烟、电子烟、其他烟草[累计雪茄、水烟]使用)的关联。对每个烟草使用结果建立多变量logistic回归,包括社会人口学协变量、歧视和情绪调节策略,以及歧视和情绪调节策略之间的相互作用。在SMYA女性中,歧视和认知重新评估的显著相互作用表明,只有认知重新评估水平较低的女性,歧视与过去30天使用电子烟的几率更高有关。在男性中,歧视和情绪调节与烟草使用没有显著关联。较少使用认知重新评估的SMYA女性如果遭受歧视,可能会增加使用电子烟的风险。SM女性的戒烟计划应该包括情绪调节技巧。
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引用次数: 0
'I Am they.' Non-Binary Representation in Television Fiction as a Manifestation of Social Conceptions. 我是他们电视小说中的非二元代表是社会观念的体现。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2024-01-09 DOI: 10.1080/00918369.2024.2302424
Vítor Blanco-Fernández, Isabel Villegas-Simón, María T Soto-Sanfiel

This qualitative research uses a case study to observe non-binary representation in TV fiction. The Dan character from the Spanish series HIT (RTVE, 2020-present), who is the first openly non-binary character in Spanish TV fiction, is analyzed through the lens of Queer Media Studies. The research applies a combination of content and discourse analysis. Qualitative content categories include a character's visibility, identity, relevance, embodiment, and social interaction. Discourse analysis categories include character's construction, lexicalization, propositional framing, and focus. Results show that Dan's non-binary depiction revolves around three significant axes: dualism, confusion, and exceptional talent. These axes frame social attitudes toward non-binary people and are composed by a set of features identified in Dan's case which also informs society's mind-sets. These traits are proposed as an analytical-theoretical tool for further analyses of non-binary representation in different cultural contexts. The outcomes of this research may inform audiovisual industries, regulations and academia, and are useful to consolidate non-binary media studies.

本定性研究采用案例研究的方式,观察电视小说中的非二元表征。西班牙电视剧《HIT》(RTVE,2020 年至今)中的丹是西班牙电视小说中第一个公开的非二元角色,本研究通过同性恋媒体研究的视角对丹进行了分析。研究采用了内容分析和话语分析相结合的方法。定性内容类别包括角色的可见性、身份、相关性、体现和社会互动。话语分析类别包括角色的构建、词汇化、命题框架和焦点。结果显示,丹的非二元描写围绕着三个重要轴心:二元论、困惑和卓越才能。这些轴心框定了社会对非二元人的态度,并由在丹的案例中发现的一系列特征组成,这些特征也影响着社会的心态。我们建议将这些特征作为分析理论工具,用于进一步分析不同文化背景下的非二元代表性。这项研究的成果可为视听产业、法规和学术界提供信息,并有助于巩固非二元媒体研究。
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引用次数: 0
Access to Healthcare and Unmet Needs in the Canadian Lesbian-Gay-Bisexual Population. 加拿大女同性恋-男同性恋-双性恋人群获得医疗保健和未满足需求的途径
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2023-11-29 DOI: 10.1080/00918369.2023.2287034
Patrick M Hickey, Lisa A Best, David Speed

Individuals who identify as a sexual minority, including those who are lesbian, gay, or bisexual (LGB), face barriers to healthcare as well as increased discrimination, stigmatization, and negative experiences during healthcare use. Further, few healthcare providers have education and training focused on the specific healthcare needs of individuals who are part of a sexual minority group. Given the limited research on Canadian healthcare access for sexual minorities, our purpose was to use data (n > 2,800) from the 2015-16 Canadian Community Health Survey (CCHS) to investigate the perceptions of healthcare access for LGB and non-LGB Canadians. Although non-LGB and LGB participants reported comparable access to a regular care provider and were equally likely to have consulted with a general practitioner in the past 12 months, LGB respondents were more likely to have seen a specialist and reported more unmet health needs. Although we expected the linear effects of both race and sex to vary by LGB status, this effect only occurred in one model. Current results have implications for addressing health inequalities for sexual minorities, including poorer health outcomes and greater discrimination.

被认定为性少数群体的个人,包括女同性恋、男同性恋或双性恋(LGB),在获得医疗保健方面面临障碍,并且在使用医疗保健期间面临更多的歧视、污名化和负面经历。此外,很少有保健提供者针对性少数群体的个人的具体保健需求进行教育和培训。鉴于对加拿大性少数群体医疗保健可及性的研究有限,我们的目的是使用2015-16年加拿大社区健康调查(CCHS)的数据(n > 2,800)来调查LGB和非LGB加拿大人对医疗保健可及性的看法。尽管非同性恋和同性恋参与者报告说,在过去12个月里,他们获得正规保健提供者的机会相当,并且同样有可能咨询过全科医生,但同性恋受访者更有可能去看专科医生,并报告了更多未得到满足的保健需求。虽然我们预计种族和性别的线性效应会因LGB状态而变化,但这种效应只发生在一个模型中。目前的研究结果对解决性少数群体的健康不平等问题,包括较差的健康结果和更大的歧视具有影响。
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引用次数: 0
Psychometric Exploration of the Swedish Translation of the Sexual Orientation Microaggressions Scale (SOMS), and a Commentary on the Validity of the Construct of Microaggressions. 性取向微侵犯量表(SOMS)瑞典译本的心理测量学探讨及微侵犯建构的效度评析。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2023-11-29 DOI: 10.1080/00918369.2023.2284809
Guendalina Di Luigi, Benjamin Claréus, Theodor Mejias Nihlén, Anna Malmquist, Matilda Wurm, Tove Lundberg

The aim of the present study was to assess the psychometric properties of a Swedish translation of the Sexual Orientation Microaggressions Scale (SOMS) in a convenience sample of 267 Swedish LGB+ people (Mean age = 36.41). Testing suggested some strengths in terms of factor structure and 2-week test-retest reliability (ICC > .79). Also, internal consistency (α = .80-.91) and convergent validity were supported for most subscales. However, the Assumption of Deviance subscale was associated with low response variability and internal consistency (α = .35), and the correlational pattern between the Environmental Microaggressions subscale and mental health variables diverged from the overall trend. Furthermore, measurement invariance between homo- and bisexual participants was not supported for most subscales, and although microaggressions would be theoretically irrelevant to a small comparison sample of heterosexual people (N = 76, Mean age = 40.43), metric invariance of the Environmental Microaggressions subscale was supported in comparison to LGB+ people. We argue that these limitations suggest a restricted applicability of the SOMS in a Swedish context, and this has consequences for the definition and operationalization of the construct of microaggressions as a whole. Therefore, more research on the latent properties of microaggressions in Swedish as well as in other contexts is required.

本研究的目的是在267名瑞典LGB+人群(平均年龄为36.41岁)的方便样本中评估瑞典语性取向微侵犯量表(SOMS)的心理测量特性。检验结果显示,在因子结构和2周重测信度方面具有一定优势(ICC > .79)。大多数子量表的内部一致性(α = 0.80 - 0.91)和收敛效度均得到支持。然而,偏差假设子量表与低反应变异性和内部一致性相关(α = 0.35),环境微侵犯子量表与心理健康变量之间的相关模式偏离整体趋势。此外,大多数子量表不支持同性恋和双性恋参与者之间的测量不变性,尽管微侵犯在理论上与一小部分异性恋人群(N = 76,平均年龄= 40.43)的比较样本无关,但环境微侵犯子量表的度量不变性在与LGB+人群的比较中得到了支持。我们认为,这些限制表明SOMS在瑞典背景下的适用性有限,这对微观侵犯的整体定义和操作化产生了影响。因此,需要对瑞典语和其他语境中微侵犯的潜在特性进行更多的研究。
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引用次数: 0
Uses and Grindifications: Examining the Motivators and Antecedents of Grindr Usage Among GBMSM. 使用与磨合:研究 GBMSM 使用 Grindr 的动机和前因。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2024-01-24 DOI: 10.1080/00918369.2023.2297953
Brian C Aitken, Laramie Taylor

Grindr is a popular geospatial networking application (GSNA) among gay, bisexual, and men who have sex with men (GBMSM); it can be used for variety of goals (e.g. finding dates, making friends, or coordinating a hookup) depending on the user's wants. These needs and wants, however, do not arise in a vacuum. Informed by uses and gratification (U&G) theory, this paper examined individual factors such as race, body image and depression as drivers of the motivations behind Grindr usage In an online cross-sectional survey (N = 102), we explored the antecedents of six different motivations (i.e. friendship, sex, entertainment, romantic partnership, social inclusion, and location-based community) for Grindr use among GBMSM. The results revealed that romance and friendship motives increased Grindr usage compared to the other four motivation categories. Across motivation categories, habitual Grindr usage was a significant driver of continued Grindr use. Individual factors such as race, sociosexuality and self-disclosure also influenced users' motivations to use Grindr. Overall, the results point to individual factors eliciting differing motivations for Grindr use, resulting in either outcome-based or passive usage of the application.

Grindr 是一款在男同性恋、双性恋和男男性行为者(GBMSM)中广受欢迎的地理空间网络应用程序(GSNA);根据用户的需求,它可用于实现各种目标(如寻找约会对象、交友或协调勾搭)。然而,这些需求和愿望并不是凭空产生的。根据使用和满足(U&G)理论,本文研究了种族、身体形象和抑郁等个人因素对使用 Grindr 动机的影响。在一项在线横截面调查(N = 102)中,我们探讨了 GBMSM 使用 Grindr 的六种不同动机(即友谊、性、娱乐、恋爱关系、社会包容和基于位置的社区)的前因。结果显示,与其他四种动机相比,恋爱和友谊动机会增加 Grindr 的使用率。在所有动机类别中,习惯性使用 Grindr 是持续使用 Grindr 的重要驱动因素。种族、社会性别和自我披露等个人因素也影响了用户使用 Grindr 的动机。总之,研究结果表明,个人因素会引起不同的使用 Grindr 的动机,从而导致基于结果或被动地使用该应用程序。
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引用次数: 0
Illegal Online Gambling Site Detection using Multiple Resource-Oriented Machine Learning. 利用多资源导向机器学习检测非法在线赌博网站。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.1007/s10899-024-10337-z
Moohong Min, Donggi Augustine Lee

The COVID-19 pandemic has led to faster digitalization and illegal online gambling has become popular. As illegal online gambling brings not only financial threats but also breaches in overall cyber security, this study defines the concept of absolute illegal online gambling (AIOG) using a machine-learning-driven approach with information gathered from public webpages. By analysing 11,172 sites to detect illegal online gambling, the proposed model classifies key features such as URLs (Uniform Resource Locator), WHOIS, INDEX, and landing page information. With a combination of text and image analyses with machine learning-driven approach, the proposed model offers the ensemble combination of attributes for high detection performance with the verification of common attributes from metadata in online gambling. This study suggests a strategy for dynamic resource utilization to increase the classification accuracy of the current environment. As a result, this research expands the scope of hybrid web mining through constant updating of data to achieve content-based filtering.

COVID-19 大流行导致数字化进程加快,非法在线赌博也变得流行起来。由于非法在线赌博不仅会带来经济威胁,还会破坏整体网络安全,因此本研究利用从公共网页收集的信息,采用机器学习驱动的方法,定义了绝对非法在线赌博(AIOG)的概念。通过分析 11,172 个检测非法在线赌博的网站,所提出的模型对 URL(统一资源定位器)、WHOIS、INDEX 和登陆页面信息等关键特征进行了分类。通过将文本和图像分析与机器学习驱动方法相结合,所提出的模型提供了高检测性能的属性组合,并验证了在线赌博元数据中的常见属性。本研究提出了一种动态资源利用策略,以提高当前环境下的分类准确性。因此,本研究通过不断更新数据扩大了混合网络挖掘的范围,实现了基于内容的过滤。
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引用次数: 0
Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk. 美国退伍军人中的赌博和药物使用障碍:美国退伍军人中的赌博和药物使用障碍:患病率、临床特征和自杀风险》(Prevalence, Clinical Characteristics, and Suicide Risk.
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-01 Epub Date: 2024-09-29 DOI: 10.1007/s10899-024-10359-7
Elina A Stefanovics, Marc N Potenza, Jack Tsai, Robert H Pietrzak

Gambling and substance use disorders (SUDs) are prevalent among U.S. military veterans and often co-occur. However, little is known about the clinical and behavioral correlates and suicidal risk of SUDs and gambling among veterans that can help inform targeted interventions for their co-occurrence. In the current study, we analyzed data from a nationally representative sample of 4069 veterans who participated in the National Health and Resilience in Veterans Study. Self-reported measures of lifetime SUDs and past-year gambling (Brief Problem Gambling Screen) were administered. A multinomial logistic regression analysis was conducted to examine differences between four groups: non-SUD/non-gambling, 40.3%; SUD-only 27.3%; Gambling-only 16.3%; and SUD + Gambling, 16.1%. The Gambling-only, SUD-only, and SUD + Gambling groups reported more adverse childhood experiences relative to the non-SUD/non-gambling group. The SUD-only and SUD + Gambling groups had higher odds for all lifetime and current clinical and trauma variables relative to the non-SUD/non-gambling group. The SUD + Gambling group had higher odds of suicidality, non-suicidal self-injury, nicotine dependence and mental health treatment relative to the SUD-only group and all assessed clinical measures relative to the Gambling-only group. Results suggest that SUDs and gambling are associated with substantial trauma and mental health burden among U.S. veterans, with co-occurring SUDs and gambling linked particularly to suicidality/self-harm and mental health treatment. The findings underscore the importance of multicomponent assessments and interventions targeting SUDs, gambling, and related concerns, such as trauma-related mental health difficulties, in this population.

在美国退伍军人中,赌博和药物使用障碍(SUDs)非常普遍,而且经常并发。然而,人们对退伍军人中 SUDs 和赌博的临床和行为相关性及自杀风险知之甚少,而这有助于为针对这两种疾病并发的针对性干预措施提供信息。在目前的研究中,我们分析了具有全国代表性的 4069 名退伍军人样本数据,这些退伍军人参加了全国退伍军人健康和复原力研究(National Health and Resilience in Veterans Study)。我们对退伍军人的终生药物依赖和过去一年的赌博情况(简要问题赌博筛查)进行了自我报告测量。研究人员进行了多项式逻辑回归分析,以检查四组之间的差异:非 SUD/非赌博组,40.3%;仅 SUD 组,27.3%;仅赌博组,16.3%;以及 SUD + 赌博组,16.1%。纯赌博组、纯药物滥用组和药物滥用+赌博组相对于非药物滥用/非赌博组报告了更多的不良童年经历。与非药物滥用/非赌博组相比,单纯药物滥用组和药物滥用+赌博组在所有生前和当前临床及创伤变量方面的几率更高。与只患 SUD 组相比,SUD + 赌博组出现自杀、非自杀性自伤、尼古丁依赖和心理健康治疗的几率更高,与只赌博组相比,SUD + 赌博组出现所有评估临床指标的几率更高。研究结果表明,在美国退伍军人中,药物滥用和赌博与巨大的心理创伤和心理健康负担有关,其中药物滥用和赌博并发尤其与自杀/自残和心理健康治疗有关。研究结果强调了针对这一人群中的药物滥用、赌博和相关问题(如与创伤有关的心理健康困难)进行多成分评估和干预的重要性。
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引用次数: 0
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