赌博康复社区的探索性研究:纯粹赌徒与滥用药物赌徒的比较

IF 1.3 Q4 SUBSTANCE ABUSE Journal of Gambling Issues Pub Date : 2021-09-23 DOI:10.4309/jgi.2021.48.2
Alessandro Quaglieri, Emanuela Mari, Pierluigi Cordellieri, Elena Paoli, Francesca Dimarco, Mario Postiglione, Giampaolo Nicolasi, Tania Fontanella, Umberto Guidoni, Sandro Vedovi, A. Giannini
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引用次数: 1

摘要

大多数现有文献表明,赌博障碍(GD)通常与几种精神疾病有关。情绪障碍、冲动、性格特征和认知功能损伤的合并症也经常被调查。然而,目前在没有药物滥用共病的个体中研究这种障碍并不常见;因此,我们研究的主要目的是比较有和没有药物使用障碍的GD患者的心理状况。共有60名参与者(100%男性),包括20名GD患者、20名物质依赖性赌徒(SDG)和20名健康对照者(HC),接受了多项临床测量,以调查冲动、敌意、情绪和人格特征,以及认知任务(即决策任务)。我们的研究结果显示,与HC组相比,两个实验组在情绪障碍、冲动和敌意特征方面存在差异。“纯”GD组与SDG组的差异仅在于与情绪障碍相关的特征(例如,状态-特质焦虑量表-Y2、Beck抑郁量表II和攻击维度),而SDG组在与风险选择相关的决策过程中表现出更大的损伤。这项研究表明,研究纯GD以阐明其潜在机制而不产生神经毒性作用的重要性。这可以为治疗和理解这种复杂的疾病做出重要贡献。
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An Exploratory Study in Gambling Recovery Communities: A Comparison Between ‘‘Pure’’ and Substance-Abusing Gamblers
Most of the available literature has shown that gambling disorder (GD) is often associated with several psychiatric conditions. Comorbidities with mood disorders, impulsiveness, personality traits, and impairments in cognitive function have also been frequently investigated. However, it is currently uncommon to study this disorder in individuals without comorbid substance abuse; therefore, the primary aim of our study was to compare the psychological profile of individuals with GD with and without substance use disorder. A total of 60 participants (100% male), including 20 individuals with GD, 20 substance-dependent gamblers (SDGs), and 20 healthy controls (HCs), were assessed with several clinical measures to investigate impulsivity, hostility, mood, and personality traits, as well as with cognitive tasks (i.e., decision-making tasks). Our results showed differences in both experimental groups compared with the HC group in mood disorders, impulsivity, and hostility traits. The ‘‘pure’’ GD group differed from the SDG group only in characteristics related to mood disorders (e.g., State-Trait Anxiety Inventory-Y2, Beck Depression Inventory-II, and assault dimension), whereas greater impairment in decision making processes related to risky choices was shown in the SDG group. This study suggests the importance of studying pure GD to clarify the underlying mechanisms without the neurotoxic effects of the substances. This could provide an important contribution to the treatment and understanding of this complex disorder.
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来源期刊
Journal of Gambling Issues
Journal of Gambling Issues SUBSTANCE ABUSE-
CiteScore
2.20
自引率
0.00%
发文量
17
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