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Two for the GOES: Exploring Gambling Outcome Expectancies Scores Across Mixed and Offline-Only Gamblers in Relation to Problem Gambling Risk Status. 两份 GOES:探索混合赌博者和离线赌博者的赌博结果预期得分与问题赌博风险状况的关系。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-06-27 DOI: 10.1007/s10899-023-10234-x
Andrea C Richardson, Mal Flack, Kim M Caudwell

As online gambling becomes more prevalent, understanding the motives of online gamblers has become a key focus for research and practice. The aim of this study was to understand differences in gambling-related outcome expectancies between mixed (both online and offline) gamblers and offline-only gamblers, by incorporating gambling harm risk categories from the problem gambling severity index (PGSI). This study comprised a secondary data analysis of the 2015 Northern Territory Gambling Prevalence and Wellbeing Survey. A sample of 1207 individuals in the Northern Territory who had reported gambling at least once in the previous 12 months were used in the analyses. General linear and structural equation modelling were used to ascertain differences in gambling outcome expectancies, in relation to gambling modality (i.e., mixed, offline-only) and PGSI scores. Mixed gamblers tended to score higher on all outcome expectancies than their offline-only counterparts. Outcome expectancy scores were higher in individuals in higher-risk PGSI categories. The escape outcome expectancy was dependent on both modality and risk category. Invariance testing of a low and problem gambling risk subsample revealed differential relationships for both the escape and excitement outcome expectancies for mixed and offline-only gamblers. The results provide an important contribution to the existing literature regarding motivation and outcome expectancies in relation to gambling modality and problem gambling severity. The findings highlight the importance of considering both gambling outcome expectancies and modality when considering problem gambling.

随着网络赌博日益盛行,了解网络赌博者的动机已成为研究和实践的重点。本研究旨在通过纳入问题赌博严重程度指数(PGSI)中的赌博危害风险类别,了解混合(包括线上和线下)赌博者与纯线下赌博者之间在赌博相关结果预期方面的差异。本研究包括对2015年北领地赌博流行率和福利调查的二次数据分析。在分析中使用了北领地 1207 名在过去 12 个月中至少赌博过一次的个人样本。采用一般线性和结构方程模型来确定赌博结果预期与赌博方式(即混合赌博、离线赌博)和PGSI得分之间的差异。混合型赌博者在所有结果预期方面的得分往往都高于纯离线型赌博者。在高风险的 PGSI 类别中,结果预期得分更高。逃脱结果预期取决于方式和风险类别。对低风险和问题赌博子样本的不变量测试表明,混合赌博者和离线赌博者的逃避和兴奋结果预期存在差异。这些结果对现有文献中关于赌博动机和结果预期与赌博方式和问题赌博严重程度的关系做出了重要贡献。研究结果强调了在考虑问题赌博时同时考虑赌博结果预期和赌博方式的重要性。
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引用次数: 0
Impulsivity, Gambling-Related Cognitions, Cognitive Reappraisal and Gambling Behaviour in a Malaysian Sample. 马来西亚样本中的冲动性、赌博相关认知、认知再评价和赌博行为。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-08-07 DOI: 10.1007/s10899-023-10246-7
Gillian Shu Lin Tan, Cai Lian Tam

The relationships between cognitive reappraisal and problem gambling have been widely studied in different contexts. However, previous research findings remain inconsistent. This discrepancy might be attributed to the effects of interactions between cognitive reappraisal and other risk factors for problem gambling. Using moderation models, this study examined the association between impulsivity, gambling-related cognitive distortions, cognitive reappraisal and problem gambling in a sample of Malaysian gamblers. A total of 149 community gamblers (103 males, 46 females; mean age = 32.18) completed an online questionnaire. Problem gambling was measured with the South Oaks Gambling Screen (SOGS); cognitive reappraisal was measured using the Emotion Regulation Questionnaire-Cognitive Reappraisal Subscale (ERQ-CR); impulsivity was measured with the Short-UPPS-P Impulsive Behaviour Scale (SUPPS-P); and gambling-related cognitive distortions were measured using the Gambling Related Cognitions Scale (GRCS). The results revealed impulsivity and gambling-related cognitive distortions as significant predictors of problem gambling. At high levels, impulsivity and cognitive distortions are significant moderator variables that strengthen the association between cognitive reappraisal and problem gambling. These findings demonstrate that reappraisal skills could exacerbate problem gambling severity amongst impulsive or self-deceptive gamblers. Future research with larger and more representative samples is needed to validate and generalise these findings.

认知再评价与问题赌博之间的关系已在不同的背景下被广泛研究。然而,以往的研究结果仍不一致。造成这种差异的原因可能是认知重评与其他问题赌博风险因素之间的相互作用。本研究采用调节模型,对马来西亚赌徒样本中的冲动性、赌博相关认知扭曲、认知重评和问题赌博之间的关联进行了研究。共有 149 名社区赌徒(103 名男性,46 名女性;平均年龄 = 32.18 岁)完成了在线问卷调查。问题赌博通过南橡树赌博筛查(South Oaks Gambling Screen,SOGS)进行测量;认知再评价通过情绪调节问卷-认知再评价分量表(ERQ-CR)进行测量;冲动性通过冲动行为短量表(Short-UPPS-P Impulsive Behaviour Scale,SUPPS-P)进行测量;赌博相关认知扭曲通过赌博相关认知量表(Gambling Related Cognitions Scale,GRCS)进行测量。结果显示,冲动性和赌博相关认知扭曲是预测问题赌博的重要因素。在高水平上,冲动性和认知扭曲是重要的调节变量,可加强认知再评价与问题赌博之间的联系。这些研究结果表明,在冲动型或自我欺骗型赌博者中,重评技能可能会加剧问题赌博的严重程度。今后需要对更大规模和更具代表性的样本进行研究,以验证和推广这些发现。
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引用次数: 0
A Systematic Review of Attentional Bias in Problem Gambling. 问题赌博中注意偏差的系统评价。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-11-09 DOI: 10.1007/s10899-023-10260-9
Zoe Farr, Niall M Broomfield, Kenny R Coventry

A large body of previous research has provided support for the role of attentional bias as a maintaining factor in addiction. This systematic review aimed to investigate the extent and nature of attentional bias as a phenomenon which exists within problem gamblers. Studies were identified through searches of three databases (MedLine, PSYCHINFO, and Web of Science) and examination of the reference lists of the final studies meeting criteria for inclusion. The scope of the review included empirical studies making experimental comparisons of problem gamblers and non-problem gamblers across a range of attentional paradigms. A comparison of effect sizes was conducted across studies comparing problem to non-problem gamblers within and between attention paradigms. Twenty-two studies were reviewed systematically across ten experimental paradigms. Attentional bias was demonstrated in 16 of the 22 studies, with attentional bias effects varying across paradigms. Quality assessment revealed two main limitations across studies: lack of a priori power analysis, and failure to control for gambling frequency as a possible confounding variable. Findings support the role of attentional bias as a potential maintaining factor in problem gambling behaviour, in line with evidence for substance addiction. Recommendations for future studies are outlined alongside a discussion of clinical implications.

大量先前的研究已经为注意力偏差作为成瘾维持因素的作用提供了支持。这篇系统综述旨在调查注意力偏差作为一种存在于问题赌徒中的现象的程度和性质。研究是通过搜索三个数据库(MedLine、PSYCHINFO和Web of Science)和检查符合纳入标准的最终研究的参考文献列表来确定的。综述的范围包括实证研究,在一系列注意力范式中对问题赌徒和非问题赌徒进行实验比较。在注意力范式内和注意力范式间比较问题赌徒和非问题赌徒的研究中,对效应大小进行了比较。对22项涉及10个实验范式的研究进行了系统回顾。在22项研究中,有16项研究证明了注意偏差,注意偏差的影响因范式而异。质量评估揭示了研究中的两个主要局限性:缺乏先验功率分析,以及未能控制赌博频率作为可能的混杂变量。研究结果支持注意力偏差作为问题赌博行为的潜在维持因素的作用,这与药物成瘾的证据一致。在讨论临床意义的同时,还概述了未来研究的建议。
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引用次数: 0
Emotional Dysregulation, Shame and Guilt Predict Severity of Gambling Among a Population of Gamblers. 情绪失调、羞耻感和内疚感可预测赌博人群的赌博严重程度。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-09-07 DOI: 10.1007/s10899-023-10248-5
Samantha Tessier, Lucia Romo, Oulmann Zerhouni

Over the last few years, gambling has diversified, particularly with the arrival of legislation authorizing online gambling in 2010 in France. Psychology has been very interested in emotional regulation strategies, and more recently and more sparsely in the presence of shame and guilt. Through an observational study (N = 1955) shame, guilt, and emotional regulation were assessed among gamblers. We found that (i) Less guilt is associated with problem gambling, (ii) Shame-proneness is similar regardless of the type of gamblers, (iii) Every facet of emotion regulation indicates less effective strategies for problem gamblers excepted for a behavior oriented to a goal. These results suggest the importance of shame or guilt as predictors of problem gambling, as well as processes underlying emotion regulation.

在过去的几年里,博彩业呈现出多样化的趋势,尤其是随着 2010 年法国立法批准网络博彩的到来。心理学一直对情绪调节策略非常感兴趣,而最近对羞耻感和负罪感的研究则更为稀少。通过一项观察研究(N = 1955),我们对赌徒的羞耻感、负罪感和情绪调节进行了评估。我们发现:(i) 较少的负罪感与问题赌博有关;(ii) 耻辱感倾向与不同类型的赌徒相似;(iii) 情绪调节的每个方面都表明问题赌徒的有效策略较少,但以目标为导向的行为除外。这些结果表明,羞耻感或内疚感是预测问题赌博的重要因素,也是情绪调节的基本过程。
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引用次数: 0
Online Gambling: A Systematic Review of Risk and Protective Factors in the Adult Population. 在线赌博:成人人群风险和保护因素的系统回顾。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-11-14 DOI: 10.1007/s10899-023-10258-3
Michela Ghelfi, Paola Scattola, Gilberto Giudici, Veronica Velasco

In recent decades, internet gambling has seen strong growth and diffusion due to intrinsic characteristics that make it particularly attractive to players (accessibility, anonymity, variety of games). This paper aims to present the current state of knowledge of the risk and protective factors of online gambling. A literature search conducted in the PubMed, PsychInfo, and Scopus databases found 42 articles, which were included in the review. Methodological aspects and risk and protective factors were analysed cross-sectionally. The results concerning risk and protective factors were distinguished by the level of analysis: individual, relational, and contextual. Two types of comparisons were considered: online vs. offline gamblers and online nonproblematic vs. problematic gamblers. The results of the two comparisons were juxtaposed to analyse their consistency and the different associations with factors. In general, the review showed that risk factors and variables at the individual level are investigated to a greater extent, while protective factors at the relational and contextual level need more in-depth study in future research. More specifically, this review found that even if online and offline gamblers shared most risk and protective factors, there are variables that they would not have in common. These factors could be important to consider in preventive interventions aimed at online gamblers and online problematic gamblers.

近几十年来,由于其内在特征(可访问性、匿名性、游戏多样性)对玩家特别有吸引力,互联网赌博出现了强劲的增长和扩散。本文旨在介绍目前对网络赌博的风险和保护因素的认识状况。在PubMed、PsychInfo和Scopus数据库中进行的文献检索发现了42篇文章,这些文章被纳入了综述。方法方面和风险和保护因素进行了横断面分析。有关风险因素和保护因素的结果根据分析水平进行区分:个体、关系和环境。研究人员考虑了两种类型的比较:在线赌徒与离线赌徒,在线无问题赌徒与有问题赌徒。两种比较的结果并置,以分析其一致性和与因素的不同关联。总的来说,综述表明,个体层面的危险因素和变量的研究程度较大,而关系和情境层面的保护因素需要在未来的研究中更加深入。更具体地说,这项审查发现,即使在线和离线赌徒共享大多数风险和保护因素,也有一些变量是他们不相同的。在针对在线赌徒和在线问题赌徒的预防性干预措施中,这些因素可能是重要的考虑因素。
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引用次数: 0
Characteristics of Chinese Lottery Consumers' Financial Literacy and its Relationship with Problem Lottery Gambling. 中国彩票消费者金融素养特征及其与问题彩票赌博的关系
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-11-21 DOI: 10.1007/s10899-023-10267-2
Yixin Wang, Zhixu Yang, Ziqiang Xin

Problem lottery gambling among lottery consumers has increased globally over the years, rendering it necessary to explore their financial literacy characteristics and to answer whether financial literacy inhibits problem lottery gambling. In the present research, a total of 316 Chinese lottery consumers, who constitute the culturally underrepresented samples in the extant literature, completed a survey about financial literacy and problem lottery gambling. Using the propensity score matching method, we compared financial literacy between Chinese lottery consumers and Chinese general population (N = 10,058). The results showed that the five facets of financial literacy (i.e., financial knowledge, financial capacity, financial management values, financial ethics, and wealth values) among Chinese lottery consumers were significantly lower than Chinese general population. Among Chinese lottery consumers, their Homo sociologicus index (including financial ethics and wealth values) negatively predicted problem lottery gambling, but the Homo economicus index (including financial knowledge, financial capacity, and financial management values) was not significantly associated with problem lottery gambling. The theoretical and practical implications of these findings were discussed.

近年来,全球彩票消费者的问题彩票赌博有所增加,因此有必要探讨他们的金融素养特征,并回答金融素养是否会抑制问题彩票赌博。在本研究中,共有316名中国彩票消费者完成了关于金融素养和问题彩票赌博的调查,这些消费者构成了现有文献中文化代表性不足的样本。采用倾向得分匹配方法,我们比较了中国彩票消费者和中国普通人群(N = 10,058)的金融素养。结果表明,中国彩票消费者的金融素养5个方面(即金融知识、金融能力、理财价值观、金融伦理和财富价值观)显著低于中国普通人群。中国彩票消费者的社会人指数(包括金融伦理和财富价值观)与问题彩票赌博呈负相关,而经济人指数(包括金融知识、财务能力和财务管理价值观)与问题彩票赌博无显著相关。讨论了这些发现的理论和实践意义。
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引用次数: 0
Brief Report: The Rise of Online Betting in Ontario. 简要报告:安大略省在线博彩业的崛起。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-12-13 DOI: 10.1007/s10899-023-10268-1
Nigel E Turner, Lindsay Sinclair, Flora I Matheson

In this paper we examine the nature of calls for the Ontario Problem Gambling Helpline from June 2021 to Jan 2023 to determine if the increased marketing of online and sports gambling has changed the nature of calls to the helpline. An interrupted time series model comparing the monthly calls before and after the expansion of online gambling and advertising (April 2023), found a significant effect. Calls related to the other games examined did not have a significant interrupted time series effect of from the expansion and advertising of online gambling. The results of this analysis clearly indicate an association between the expansion of legalized gambling and gambling advertising with the number of people who call the helpline for problem related to online gambling.

在本文中,我们研究了 2021 年 6 月至 2023 年 1 月期间安大略省问题赌博求助热线的来电性质,以确定在线赌博和体育赌博营销的增加是否改变了求助热线的来电性质。一个间断时间序列模型比较了在线赌博和广告扩大之前和之后(2023 年 4 月)的每月来电情况,发现了显著的影响。与其他游戏相关的来电并未因在线赌博的扩大和广告宣传而产生明显的间断时间序列效应。分析结果清楚地表明,赌博合法化和赌博广告的扩大与因在线赌博问题而拨打帮助热线的人数之间存在关联。
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引用次数: 0
Are There Riskier Types of Gambling? 是否有风险更大的赌博类型?
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-06-24 DOI: 10.1007/s10899-023-10231-0
Nolan B Gooding, Robert J Williams

Gambling-related harm is a public health issue requiring market regulation and efforts aimed at prevention and treatment. An important consideration for the regulation of gambling is whether certain types of gambling are intrinsically more harmful than others. The present study was a comprehensive investigation of this issue in a nationwide sample of 10,199 Canadian adult gamblers that included 1346 individuals with problem gambling. We investigated (a) the univariate cross-sectional association between individual types of gambling and problem gambling; (b) the cross-sectional association between individual gambling types and problem gambling when controlling for breadth of gambling involvement; (c) the prospective/lagged relationship between participation in different gambling types and future problem gambling; and (d) the self-reports of people with gambling problems concerning the types and modalities they consider to be most problematic. Our collective results indicate that breadth of gambling involvement is a stronger predictor of gambling problems than involvement in any particular type, but that involvement in certain types (electronic gambling machines in particular, and casino table games and online gambling to a lesser extent) does confer additional risk.

与赌博有关的危害是一个公共健康问题,需要对市场进行监管,并努力预防和治疗。对赌博进行监管的一个重要考虑因素是,某些类型的赌博是否在本质上比其他类型的赌博更有害。本研究对这一问题进行了全面调查,在全国范围内抽样调查了 10,199 名加拿大成年赌徒,其中包括 1346 名问题赌徒。我们调查了:(a) 单变量横截面赌博类型与问题赌博之间的关系;(b) 在控制赌博参与广度的情况下,横截面赌博类型与问题赌博之间的关系;(c) 参与不同赌博类型与未来问题赌博之间的前瞻/滞后关系;(d) 赌博问题患者对他们认为最有问题的赌博类型和方式的自我报告。我们的综合结果表明,参与赌博的广度比参与任何特定类型的赌博更能预测赌博问题,但参与某些类型的赌博(特别是电子赌博机,其次是赌场桌面游戏和网上赌博)确实会带来额外的风险。
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引用次数: 0
The Role of Social Support and Belonging in Predicting Recovery from Problem Gambling. 社会支持和归属感在预测问题赌博康复中的作用。
IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-06-01 Epub Date: 2023-06-07 DOI: 10.1007/s10899-023-10225-y
Katy L Penfold, Jane Ogden

Research indicates a role for both social support and belonging in addiction recovery, however little is known about the role of these constructs in the recovery from problem gambling, and whether they relate to the effectiveness of mutual aid groups such as Gamblers Anonymous. The aim of this study was therefore to explore the relationship between social support and belonging, and to assess the role of demographics (including group membership of GA), social support and/or belongingness in predicting gambling addiction recovery in terms of gambling urges and quality of life. Using a cross sectional design, participants identifying as having problem gambling (n = 60) completed an online questionnaire with two independent variables (Social Support and Belonging), two dependent variables (Gambling Urges and Quality of Life) to assess gambling addiction recovery and measures of GA membership. The results showed no significant association between gender, age, ethnicity, education or employment status and gambling urges or quality of life. Membership to GA, and length of membership were significantly associated with gambling recovery indicating that being a member of GA and longer membership was associated with lower gambling urges and higher quality of life. Further, the results showed a high but not perfect correlation between social support and belonging (r(58) = .81, p =  < .01). A regression analysis showed that although there was a significant correlation between social support and belongingness, they played different roles in gambling addiction recovery. Social support alone predicted higher quality of life, but not a reduction in gambling urges; belonging (along with being a member of GA) predicted a reduction in gambling urges, but not an increase in quality of life. Social support and belonging have a differential impact on aspects of gambling addiction, and should be considered as different constructs. In particular, whilst the process underpinning reduced gambling urges is membership of GA and the sense of belonging it provides its members, social support per se is a better predictor of quality of life. These findings have implications for the development of treatment for problem gamblers in the future.

研究表明,社会支持和归属感在赌瘾戒除中起着重要作用,但人们对这些因素在问题赌博戒除中的作用以及它们是否与匿名戒赌互助小组的有效性有关却知之甚少。因此,本研究旨在探讨社会支持和归属感之间的关系,并评估人口统计学(包括匿名戒赌互助会的团体成员资格)、社会支持和/或归属感在预测赌博成瘾康复中的赌博冲动和生活质量方面的作用。通过横断面设计,被确认为有赌博问题的参与者(n = 60)完成了一份在线问卷,其中包含两个自变量(社会支持和归属感)、两个因变量(赌博冲动和生活质量),用于评估赌博成瘾的恢复情况以及性别问题协会成员的衡量标准。结果显示,性别、年龄、种族、教育或就业状况与赌博冲动或生活质量之间没有明显关联。性别平等协会会员资格和会员资格持续时间与赌瘾康复有显著关联,表明性别平等协会会员资格和会员资格持续时间与较低的赌博冲动和较高的生活质量有关。此外,研究结果表明,社会支持与归属感之间存在高度但非完美的相关性(r(58) = .81,p = 0.001,p = 0.002)。
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引用次数: 0
An Empirical Investigation of the Three-Pathway Model and its Contribution to the Gambling Disorder Psychopathology. 三途径模型及其对赌博障碍精神病理学贡献的实证调查。
IF 2.4 3区 心理学 Q1 Social Sciences Pub Date : 2024-05-28 DOI: 10.1007/s10899-024-10316-4
Bruna Mayara Lopes, Hermano Tavares

Background: Blaszczynski and Nower (2002) proposed a theoretical model that leads to problem gambling via three pathways: (1) operant conditioning; (2) emotional vulnerability; and (3) impulsivity and psychopathy. In the current investigation, we explored the relationship between these three putative causative dimensions and clinical core features of Gambling Disorder (GD): gambling craving, gambling-related cognitive distortions, gambling (wagering) behavior, and gambling severity.

Results: Data on 343 people with disordered gambling were analyzed. Measures representing the three pathways were analyzed using principal component analysis (PCA). The PCA generated three profiles. The original dimension of impulsivity/psychopathy was divided into two parts; the impulsivity-related traits were combined with symptoms of depression and anxiety to form one single component representing a volatile emotional, cognitive and behavioral style, named the Affect-instability component. The other two components were Psychopathy and Operant Behavior. Linear regression models for each PCA component found that the Affect-instability component was associated with all core features of GD, i.e., craving, cognitive distortions, gambling behavior and severity (standardized Β range: 0.298-0.448, all p < 0.001). Operant Behavior was significantly associated with gambling behavior (standardized Β=-0.137, p = 0.038) and gambling severity (standardized Β=-0.157, p = 0.006). Psychopathy was associated only with gambling cognitive distortions (standardized Β=-0.300, p < 0.001), suggesting a wider dimension of cognitive challenges in GD.

Discussion: An instability component encompassing emotional and cognitive dysregulation was the strongest predictor of all clinical features of GD. The correlation between operant conditioning and gambling severity suggests that behavioral conditioning plays a role in the persistence of maladaptive gambling.

背景:Blaszczynski 和 Nower(2002 年)提出了一个理论模型,该模型通过以下三个途径导致问题赌博:(1) 操作性条件反射;(2) 情绪脆弱性;(3) 冲动和心理变态。在目前的研究中,我们探讨了这三个假定的致病因素与赌博障碍(GD)的临床核心特征(赌博渴望、赌博相关认知扭曲、赌博(下注)行为和赌博严重程度)之间的关系:分析了 343 名赌博障碍患者的数据。采用主成分分析法(PCA)对代表三种途径的测量指标进行了分析。主成分分析产生了三个特征。冲动性/精神病态的原始维度被分为两部分;冲动性相关特征与抑郁和焦虑症状相结合,形成了一个单一的成分,代表了一种多变的情绪、认知和行为风格,被命名为情感不稳定性成分。另外两个成分分别是心理变态和操作行为。针对每个 PCA 成分的线性回归模型发现,情感不稳定性成分与 GD 的所有核心特征,即渴求、认知扭曲、赌博行为和严重程度相关(标准化 Β 范围:0.298-0.448):0.298-0.448, all p 讨论:包括情绪和认知失调在内的不稳定性成分是预测 GD 所有临床特征的最有力因素。操作性条件反射与赌博严重程度之间的相关性表明,行为条件反射在适应不良赌博的持续存在中起着一定的作用。
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引用次数: 0
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Journal of Gambling Studies
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