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Clinical Characteristics and Symptom Severity in Patients with Gambling Disorder in Japan. 日本赌博障碍患者的临床特征及症状严重程度
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-27 DOI: 10.1007/s10899-025-10423-w
Sachio Matsushita, Chie Nitta, Moemi Shibasaki, Kotaro Nishimura, Takanobu Matsuzaki, Ryuhei So, Susumu Higuchi

Background and aims: Japan has a unique gambling environment compared with other countries: pachinko and pachislot dominate the gambling market and are easily accessible. We investigated the clinical characteristics of treatment-seeking Japanese patients with gambling disorder (GD), focusing on factors related to GD severity.

Methods: This cross-sectional analysis used data from the Japan Collaborative Clinical Study on Gambling Disorder (JaCCS-G), a multicenter collaborative prospective study evaluating the effectiveness of outpatient treatment for GD. Twenty medical institutions with outpatient gambling clinics participated in this study. Individuals with GD who visited participating facilities and were diagnosed with GD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, were included. Semi-structured interviews were conducted to assess gambling behavior and psychiatric comorbidities. We administered the Gambling Symptom Assessment Scale to assess gambling symptom severity, the Gambling Related Cognitions Scale to assess irrational thoughts in GD, and the Barratt Impulsiveness Scale (11th version) (BIS-11) to assess impulsivity.

Results: A total of 202 patients with GD participated in the JACCS-G. Pachinko was the most common type of gambling seen in patients with GD, followed by pachislot and horse racing. BIS-11 total score significantly differed among patients with mild, moderate, and severe GD. Antisocial personality disorder (ASPD) was associated with GD severity.

Discussion and conclusions: These results reflect the unique gambling environment in Japan, where pachinko is the most accessible and prevalent form of gambling. Assessing GD severity may help identify individuals with heightened impulsivity or ASPD, enabling more targeted interventions and improved treatment strategies. (249 words).

背景和目的:与其他国家相比,日本有一个独特的赌博环境:弹珠机和弹珠机占据了赌博市场,并且很容易获得。我们调查了寻求治疗的日本赌博障碍(GD)患者的临床特征,重点关注与GD严重程度相关的因素。方法:本横断面分析使用来自日本赌博障碍合作临床研究(JaCCS-G)的数据,这是一项多中心合作前瞻性研究,评估门诊治疗GD的有效性。20家设有赌博门诊的医疗机构参与本研究。根据《精神障碍诊断与统计手册》第五版,访问参与机构并被诊断患有GD的GD患者被包括在内。采用半结构化访谈来评估赌博行为和精神合并症。采用赌博症状评估量表评估赌博症状的严重程度,赌博相关认知量表评估GD中的非理性想法,Barratt冲动性量表(BIS-11)评估冲动性。结果:共有202例GD患者参加了JACCS-G。柏青哥是GD患者中最常见的赌博类型,其次是柏青哥和赛马。轻、中、重度GD患者BIS-11总分差异有统计学意义。反社会人格障碍(ASPD)与GD严重程度相关。讨论和结论:这些结果反映了日本独特的赌博环境,弹珠机是最常见的赌博形式。评估GD的严重程度可能有助于识别冲动或反社会人格障碍的个体,从而实现更有针对性的干预和改进的治疗策略。(249字)。
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引用次数: 0
Constructing Mediated Betting Discourse: A Typology of Responsible Gambling Language Identified Through ESPN's Sports Wagering Shows. 构建中介博彩话语:通过ESPN的体育投注节目确定的负责任赌博语言的类型学。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-26 DOI: 10.1007/s10899-025-10437-4
Brian A Petrotta, Travis R Bell

Media play an integral part in the presentation of information surrounding gambling, and thus, it is important to consider the sharing of such details to inform and educate about suggested participation in sports wagering. This study analyzes discourse during ESPN's dedicated sports betting program, ESPN Bet Live (formerly Daily Wager), to produce a typology of responsible mediated gambling language offered by on-air talent and through visual graphics to an active gambling audience. Analysis of 45 episodes aired during the men's and women's NCAA basketball tournaments between 2021 and 2024 revealed four broad categories- announcer transparency, bet certainty, bookmaking education, and investment terminology- and four distinct types of evidence- X's & O's, traditional statistics, betting statistics, and non-scientific. Announcers rarely communicated specific responsible gambling recommendations but offered justification primarily through analysis of game play and traditional statistics. As media coverage of sports betting hurdles beyond journalistic responsibility of reporting scandals to the integration of gambling information and recommendations, it is incumbent upon sports media to present wagering information in a responsible manner.

媒体在呈现有关赌博的信息方面发挥着不可或缺的作用,因此,重要的是要考虑分享这些细节,以告知和教育建议参与体育博彩。本研究分析了ESPN专门的体育博彩节目ESPN Bet Live(以前的Daily Wager)中的话语,以产生一种由直播人才通过视觉图形向活跃的赌博观众提供的负责任的中介赌博语言的类型。分析了2021年至2024年期间NCAA男女篮球锦标赛期间播出的45集节目,揭示了四大类——播音员透明度、投注确定性、博彩教育和投资术语——以及四种不同类型的证据——X和O、传统统计、博彩统计和非科学统计。播音员很少传达具体的负责任赌博建议,而是主要通过分析游戏玩法和传统统计数据提供理由。媒体对体育博彩的报道已经超越了报道丑闻的新闻责任,而是整合博彩信息和建议,体育媒体有责任以负责任的方式呈现博彩信息。
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引用次数: 0
Gambling in the Shadow of War: Evidence of Increased Problem Gambling for Men with Difficulties in Emotional Regulation During a Mass Trauma. 战争阴影下的赌博:在大规模创伤中情绪调节困难的男性赌博问题增加的证据。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-09 DOI: 10.1007/s10899-025-10417-8
Uri Lifshin, Hagit Bonny-Noach, Vera Skvirsky, Dvora Shmulewitz, Merav Vider, Ariel Kor, Shaul Lev-Ran, Mario Mikulincer

Research suggests that Problem Gambling (PG) may result from maladaptive emotional regulation strategies aimed at escaping emotions and stress caused by negative life events and trauma. The current study, aimed to examine the effect of exposure to the mass trauma of October 7, 2023 terror attack and the consequent Swords of Iron war in Israel, and difficulties in emotional regulation on PG. We utilized longitudinal data of self-reports in the Problem Gambling Severity Index collected before the terror attack (April 2022) and during the Swords of Iron war (December 2023, March 2024, June 2024; N = 899) from a large sample of adult Jewish Israelis. Participants also completed the Difficulties in Emotional Regulation Scale before the war (April 2022). Results indicated that for non-problem gamblers, among men, high difficulties in emotion regulation scores were associated with increased PG scores from the time before to the times during the war (bs > 0.53, p-values < 0.003) but not for women or men with low difficulties in emotion regulation scores (bs < 0.36, p-values > 0.167). Among participants at moderate risk for PG and problem gamblers, there was a decrease in PG scores, especially among participants low in difficulties in emotion regulation, beyond gender. Findings highlight the important role of collective traumatic events and difficulties in emotion regulations as predictors of problem gambling. We discuss the study limitations, including the relatively small number of participants at risk for PG and the specificity of the sample, and offer directions for future research.

研究表明,问题赌博(PG)可能是由于适应不良的情绪调节策略,旨在逃避负面生活事件和创伤引起的情绪和压力。本研究旨在检验2023年10月7日以色列恐怖袭击和随后的铁之剑战争的大规模创伤暴露对PG的影响,以及情绪调节的困难。我们利用了在恐怖袭击前(2022年4月)和铁之剑战争期间(2023年12月,2024年3月,2024年6月;N = 899)收集的问题赌博严重程度指数的纵向数据,这些数据来自大样本的以色列成年犹太人。参与者还在战前(2022年4月)完成了情绪调节困难量表。结果表明,对于非问题赌徒,在男性中,高情绪调节困难得分与战前至战争期间PG得分增加相关(bs > 0.53, p值0.167)。在PG风险中等的参与者和问题赌徒中,PG得分有所下降,尤其是在情绪调节困难程度较低的参与者中,这种下降超越了性别。研究结果强调了集体创伤事件和情绪调节困难作为问题赌博预测因素的重要作用。我们讨论了研究的局限性,包括有PG风险的参与者相对较少以及样本的特异性,并为未来的研究提供了方向。
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引用次数: 0
The Future of the Gambling Industry is AI: Insights from Expert Interviews on Human-AI Collaboration, Regulation, and Ethics. 博彩业的未来是人工智能:来自专家访谈对人类-人工智能协作,监管和道德的见解。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-05 DOI: 10.1007/s10899-025-10422-x
Nasim Binesh, Kalpana Ponnada, Ahmad Syah

In this study, a total of 41 experts were interviewed in two phases (2021 and 2023). The interviews were transcribed and examined with advanced machine learning models like k-mean clustering and BERT. The findings revealed five main themes: human-AI collaboration, regulatory changes, AI model development, gaming system and player engagement, and AI ethics and risks. The findings show a shift from the experimental nature of AI in 2021 to emerging patterns of terns personalized player interaction, data-driven decision-making, and predictive analytics. Challenges were detected (e.g., regulatory gaps, algorithmic bias, operational integration, fraud prevention, and responsible gambling), and solutions were provided to address them. This research contributes to understanding AI's transformative role in the hospitality and tourism industry, providing actionable insights for operators, regulators, and researchers navigating the balance between innovation and responsibility.

本研究分2021年和2023年两个阶段对41位专家进行了访谈。访谈被转录并使用先进的机器学习模型(如k-均值聚类和BERT)进行检查。调查结果揭示了五个主要主题:人类与人工智能的合作、监管变化、人工智能模型开发、游戏系统和玩家参与、人工智能伦理和风险。研究结果表明,2021年人工智能将从实验性质转变为个性化玩家互动、数据驱动决策和预测分析等新兴模式。发现了挑战(例如,监管空白、算法偏差、业务整合、欺诈预防和负责任的赌博),并提供了解决方案。这项研究有助于理解人工智能在酒店和旅游业中的变革性作用,为运营商、监管机构和研究人员在创新和责任之间取得平衡提供可行的见解。
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引用次数: 0
Psychometric Validation of the Chinese Version of Gambling Symptom Assessment Scale (C-GSAS). 中文版赌博症状评定量表(C-GSAS)的心理计量学验证。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-04 DOI: 10.1007/s10899-025-10414-x
Shu-Wei Liu, Su-Chen Fang, Li-Fen Chen, Pei-Chi Tu, Hsuan-Yun Su, Wei-Chien Huang, Po-Chiao Liao, Hu-Ming Chang, Ming-Chyi Huang

Reliable tools for assessing gambling symptom severity in gambling disorder (GD) are critical for both research and clinical intervention. The Gambling Symptom Assessment Scale (GSAS) is widely used but lacks validation in Chinese-speaking populations. Our study aimed to evaluate the psychometric properties of the Chinese version of GSAS (C-GSAS) among 186 treatment-seeking GD patients. Internal consistency was excellent (Cronbach's α = 0.93), and exploratory factor analysis revealed a two-factor model: Cognitive-Preparatory and Emotional-Consequential Factors. Confirmatory factor analysis supported the two-factor structure with satisfactory model fit indices. Concurrent validity was established through significant correlations with the Chinese version of Problem Gambling Severity Index (β = 0.32, p < 0.01) and a Visual Analog Scale for gambling craving (β = 0.67, p < 0.01). The C-GSAS is a reliable and valid measure for assessing gambling severity in patients with GD.

评估赌博障碍(GD)中赌博症状严重程度的可靠工具对研究和临床干预都至关重要。赌博症状评估量表(GSAS)被广泛使用,但在汉语人群中缺乏有效性。本研究旨在评估186例求诊GD患者的中文版GSAS (C-GSAS)的心理测量特性。内部一致性极好(Cronbach’s α = 0.93),探索性因子分析显示两因素模型:认知-预备因素和情绪-后果因素。验证性因子分析支持双因子结构,模型拟合指标满意。通过与中文版本的问题赌博严重程度指数(β = 0.32, p
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引用次数: 0
Distinguishing Persistent Versus Episodic Clusters of At-Risk Respondents on the Problem Gambling Severity Index. 在问题赌博严重程度指数上区分持续性与偶发性风险应答者群集。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-01 Epub Date: 2025-05-08 DOI: 10.1007/s10899-025-10386-y
W Spencer Murch, Rebecca Scheurich, Eva Monson, Martin French, Sylvia Kairouz

The Problem Gambling Severity Index (PGSI) is a popular tool for assessing past-year problems related to gambling. Multiple categorization schemes have been proposed, with scores 3-7 variously interpreted as reflecting a 'moderate' degree of problems. Crucially, it is possible to land in this Moderate-risk category by reporting one or two persistent problems, or up to seven problems that occur more sporadically. Given that DSM-V gambling disorder may occur either persistently or episodically, this confounding of problems' occurrence and their frequency necessitates the development of a method for delineating the PGSI's Moderate-risk category. We propose a variance clustering approach for understanding Moderate-risk cases on the PGSI. Using 3,868 Moderate-risk cases from an existing database of 18,494 Canadian online gamblers, we use K-means clustering to identify distinct subgroups within the variances of collected PGSI surveys. We find that three clusters (which correspond to lower [61.83%], higher [8.85%], and intermediate [29.32%] variance cases) are not equal in size, and are separated at cutoffs equal to 0.40 and 0.81. These clusters differ in terms of the number of PGSI items endorsed, and multiple dimensions of participants' sociodemographic background. These variance boundaries, and the case clusters they separate, are easy to compute and offer useful context that further informs summed survey scores falling in the Moderate-risk category of the PGSI. Additional applications, and avenues for further research are discussed.

赌博问题严重指数(PGSI)是一种流行的工具,用于评估过去一年与赌博有关的问题。已经提出了多种分类方案,得分3-7被不同地解释为反映“中等”程度的问题。至关重要的是,报告一个或两个持续存在的问题,或者最多七个偶尔发生的问题,就有可能进入中等风险类别。鉴于DSM-V赌博障碍可能持续或偶尔发生,这种问题发生的混淆及其频率需要开发一种方法来描述PGSI的中度风险类别。我们提出一种方差聚类方法来理解PGSI上的中等风险病例。从现有的18,494名加拿大在线赌徒数据库中选取3,868例中等风险病例,我们使用K-means聚类来识别收集到的PGSI调查差异中的不同亚组。我们发现三个集群(对应于低[61.83%],高[8.85%]和中间[29.32%]的方差情况)的大小不相等,并且在等于0.40和0.81的截止点分开。这些组在认可的PGSI项目数量和参与者社会人口背景的多个维度方面有所不同。这些差异边界和它们分离的病例集群易于计算,并提供有用的背景,进一步告知PGSI中中等风险类别的总调查分数。讨论了其他应用和进一步研究的途径。
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引用次数: 0
Associations Between Taq1A/C957T Polymorphic Variants and Autonomic Responsivity in a Slot Machine Task: Influence of Real-Life Gambling Exposure and Sex. Taq1A/C957T多态性变异与老虎机任务自主反应的关系:现实生活赌博暴露和性别的影响
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-01 Epub Date: 2025-05-30 DOI: 10.1007/s10899-025-10398-8
Cathrine Hultman, Mattias Rehn, Guillaume Sescousse, Kent Nilsson, Sofia Vadlin, Cecilia Åslund

Monetary reward processing during gambling is associated with dopaminergic functioning. Emotional reactivity to different gambling stimuli can be indexed by autonomic nervous system (ANS) responses measured by skin conductance responses (SCR) and heart rate (HR). Genetic markers regulating neural dopaminergic activity, such as the D2 dopamine receptor, might confer differential sensitivity to gambling stimuli, which may also be modulated by previous exposure to gambling. To date, no previous studies have explored the relationship between genetic markers of the D2 dopamine receptor, real-life gambling exposure and ANS responses during gambling. Hence, this study explored associations and interactions between DRD2 C957T (rs6277) and ANKK1 Taq1A (rs1800497) genotypes, real-life gambling frequency and autonomic responses during reward anticipation and outcome delivery in a slot machine task producing wins, near-misses and full-misses. Participants (n = 270) performed a computerized slot machine task with recordings of SCRs and HR responses during gambling performance and provided saliva samples for DNA extraction. Taq1A A1 carriers showed increased SCRs and HR responses during reward anticipation and to wins. Greater responsivity during anticipation, as well as to wins and full-misses, was also observed in C957T heterozygotes. Regarding real-life gambling involvement, higher gambling frequency among Taq1A A1 carriers was associated with decreased HR responses during anticipation and to wins. Results suggest that polymorphic variants of the D2 dopamine receptor may confer differential sensitivity to different gambling stimuli which may further be modulated by real-life gambling exposures. However, further studies are needed in well powered samples of gamblers and control subjects.

赌博过程中的金钱奖励处理与多巴胺能功能有关。对不同赌博刺激的情绪反应可以通过自主神经系统(ANS)反应(皮肤电导反应(SCR)和心率(HR)来衡量。调节神经多巴胺能活动的遗传标记,如D2多巴胺受体,可能赋予对赌博刺激的不同敏感性,这也可能被以前的赌博暴露所调节。到目前为止,还没有先前的研究探索D2多巴胺受体的遗传标记、现实生活中的赌博暴露和赌博过程中的ANS反应之间的关系。因此,本研究探讨了DRD2 C957T (rs6277)和ANKK1 Taq1A (rs1800497)基因型、现实生活中的赌博频率以及在老虎机任务中产生获胜、差点失败和完全失败的奖励预期和结果传递过程中的自主反应之间的关联和相互作用。参与者(n = 270)在赌博过程中记录scr和HR的反应,并提供唾液样本用于DNA提取。Taq1A A1携带者在奖励预期和获胜时表现出更高的scr和HR反应。在C957T杂合子中也观察到更大的预判反应,以及对胜利和完全失败的反应。在现实生活中,Taq1A A1携带者的赌博频率越高,在预期和获胜时的人力资源反应就越低。结果表明,D2多巴胺受体的多态变异可能赋予对不同赌博刺激的不同敏感性,这可能进一步被现实生活中的赌博暴露所调节。然而,需要在赌徒和控制对象中进行进一步的研究。
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引用次数: 0
The Prevalence and Predictors of Problem Gambling Among Adults in New Mexico: A Sociodemographic Analysis. 新墨西哥州成人问题赌博的流行程度和预测因素:一项社会人口分析。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-01 Epub Date: 2025-03-08 DOI: 10.1007/s10899-025-10380-4
Monique N Rodríguez, Kristopher M Goodrich, Lindsey M Bell, Martha W Waller, Lei Zhang, Elizabeth Lilliott

This study investigated the prevalence and potential factors of problem gambling among adults in New Mexico. The state has a diverse population and a well-established gambling industry. The study used data from a survey of 19,202 adults in 2018 and 2019 and found that problem gambling rates (3.1-3.9%) were significantly higher than the national average. The study revealed significant differences in problem gambling prevalence based on sociodemographic factors, with higher rates among males, younger adults, and racial/ethnic minorities, particularly Native American/American Indian respondents. Substance use behaviors and adverse childhood experiences (ACEs) showed strong associations with problem gambling. Logistic regression analyses showed that being male, identifying as Latinx or Native American/American Indian, having lower educational attainment, experiencing housing instability, engaging in substance use, and reporting multiple ACEs significantly increased the odds of problem gambling. A risk score index indicated that the likelihood of problem gambling increased considerably with the accumulation of risk factors. These findings highlight the complex and multifaceted nature of problem gambling in New Mexico, underscoring the need for culturally sensitive interventions. The study offers valuable insights for policymakers, healthcare providers, and community organizations to develop evidence-based strategies to address problem gambling in this specific demographic context.

本研究调查新墨西哥州成人问题赌博的流行程度及潜在因素。该州拥有多样化的人口和完善的博彩业。该研究使用了2018年和2019年对19202名成年人进行的调查数据,发现问题赌博率(3.1-3.9%)明显高于全国平均水平。该研究揭示了基于社会人口因素的问题赌博流行率的显着差异,男性,年轻人和种族/少数民族的比率较高,特别是美洲原住民/美洲印第安人的受访者。药物使用行为和不良童年经历(ace)与问题赌博有很强的联系。逻辑回归分析显示,男性、拉丁裔或美洲原住民/美洲印第安人、受教育程度较低、经历过住房不稳定、从事药物使用和报告多次ace显著增加了问题赌博的几率。风险评分指数显示,随着风险因素的累积,问题赌博的可能性显著增加。这些发现突出了新墨西哥州问题赌博的复杂性和多面性,强调了对文化敏感干预的必要性。该研究为政策制定者、医疗保健提供者和社区组织提供了有价值的见解,以制定基于证据的策略来解决这一特定人口背景下的问题赌博。
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引用次数: 0
Symptom Clusters in Individuals Seeking Treatment for Gambling Disorder. 寻求赌博障碍治疗的个体的症状群。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-01 Epub Date: 2025-05-17 DOI: 10.1007/s10899-025-10389-9
Blaine E Stiglets, Meredith K Ginley, Rory A Pfund, James P Whelan

Gambling Disorder (GD), diagnostically, is a unidimensional construct where each additional symptom corresponds to increased severity. Many individuals experience addiction symptoms in specific symptom clusters, with membership to one profile of symptoms or other better representing disorder severity than raw symptom counts. This study explored whether similarly informative symptom clusters exist among adults seeking treatment for gambling harms. The sample included 440 adults seeking treatment for gambling disorder who completed an assessment of diagnostic criteria at intake. Three distinct classes were identified through a latent class analysis of GD criteria: Escape and Chasing, Preoccupation and Distress, and All symptoms. The All-symptoms class showed the highest elevation of cognitive distortions but shared similar levels of self-efficacy with the Preoccupation and Distress class. The Escape and Chasing class was found to exhibit the highest level of gambling-related self-efficacy and shared similar levels of cognitive distortions with the Preoccupation and Distress class. Significant differences were found in the demographic variables of having children under the age of 18 and employment status. Results show symptom profiles that run counter to the DSM-5's conceptualization of GD and indicate heterogeneity of individuals seeking treatment from gambling harms. Future areas of research are discussed.

赌博障碍(GD),诊断,是一个单维结构,其中每一个额外的症状对应于增加的严重程度。许多人在特定的症状群中经历成瘾症状,隶属于一种症状或其他比原始症状计数更能代表疾病严重程度的特征。本研究探讨了在寻求赌博危害治疗的成年人中是否存在类似的信息症状群。样本包括440名寻求赌博障碍治疗的成年人,他们在入院时完成了诊断标准的评估。通过对GD标准的潜在分类分析,确定了三个不同的类别:逃避和追逐,专注和痛苦,以及所有症状。全症状组表现出最高的认知扭曲程度,但自我效能感的水平与“关注和痛苦”组相似。研究发现,“逃避与追逐”组表现出与赌博相关的最高水平的自我效能感,与“专注与苦恼”组的认知扭曲程度相似。在18岁以下子女和就业状况的人口统计变量中发现了显著差异。结果显示,症状概况与DSM-5的GD概念背道而驰,表明个体寻求赌博伤害治疗的异质性。讨论了今后的研究方向。
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引用次数: 0
Correlates of Problem Gambling in Canada: The Moderating Effect of Sex. 加拿大问题赌博的相关因素:性别的调节作用。
IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI: 10.1007/s10899-025-10404-z
Nolan Brian Gooding, Eliscia Siu-Lin Liang Sinclair, W Spencer Murch, Hyoun Soo Kim, Daniel S McGrath, David Carson Hodgins

Numerous studies report sex differences in the prevalence of problem gambling (PG), but the etiological basis of these differences across recognized risk factors is unclear. Data from a large, nationally-stratified Canadian survey (n = 10,044) were used to explore whether sex moderates relationships between PG and its risk factors, including (1) gambling participation, (2) gambling motivations, (3) mental health, and (4) substance use. The sample was 53.6% female, had a mean age of 52.4 years (SD = 15.4), and 61.8% had Northern/Western European heritage. The magnitude of the relationship between sixteen (44%) study variables and PG varied between sexes, though these effects were generally small. These variables include: (1) past month participation in lotteries, electronic gambling machines, sports betting, bingo, and financial speculation; (2) all measures of gambling intensity (breadth, frequency, expenditure); (3) enhancement and coping motivations for gambling; and (4) five additional substance use and mental health variables. With the exception of past month bingo participation, posttraumatic stress disorder, history of substance-related problems, negative life events, and impulsivity, these effects were larger for females relative to males. Finally, multivariate analyses revealed notable differences in the risk factors for PG, with variation in male PG being uniquely explained by gambling to develop skill, substance use disorder, negative life events, and age, and variation in female PG being uniquely explained by online gambling, breadth of gambling involvement, and coping motives. These findings highlight potential sex-specific pathways to PG that should be the subject of future research.

许多研究报告了问题赌博(PG)患病率的性别差异,但这些差异在公认的风险因素之间的病因学基础尚不清楚。来自加拿大一项大型全国分层调查(n = 10044)的数据被用于探讨性别是否调节PG及其危险因素之间的关系,包括(1)赌博参与,(2)赌博动机,(3)心理健康,(4)物质使用。样本中53.6%为女性,平均年龄52.4岁(SD = 15.4), 61.8%为北欧/西欧血统。16个(44%)研究变量与PG之间的关系大小因性别而异,尽管这些影响通常很小。这些变量包括:(1)过去一个月参与彩票、电子赌博机、体育博彩、宾果游戏和金融投机;(2)所有赌博强度指标(广度、频率、支出);(3)赌博行为的增强和应对动机;(4)另外五个物质使用和心理健康变量。除了上个月参加宾果游戏、创伤后应激障碍、药物相关问题史、负面生活事件和冲动之外,这些影响对女性的影响比男性更大。最后,多变量分析揭示了PG的风险因素的显著差异,男性PG的变化与赌博发展技能、物质使用障碍、负面生活事件和年龄有关,女性PG的变化与在线赌博、赌博参与的广度和应对动机有关。这些发现强调了潜在的性别特异性途径,应该是未来研究的主题。
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引用次数: 0
期刊
Journal of Gambling Studies
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