A pathways model of problem and pathological gambling

被引:1337
作者
Blaszczynski, A
Nower, L
机构
[1] Univ Sydney, Dept Psychol, Sydney, NSW 2006, Australia
[2] Univ Missouri, Dept Social Work, St Louis, MO 63121 USA
关键词
addiction; biology of gambling; impulsivity; pathological gambling; pathway model;
D O I
10.1046/j.1360-0443.2002.00015.x
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
At the moment, there is no single conceptual theoretical model of gambling that adequately accounts for the multiple biological, psychological and ecological variables contributing to the development of pathological gambling. Advances in this area arc hampered by imprecise definitions of pathological gambling, failure to distinguish between gambling problems and problem gamblers and a tendency to assume that pathological gamblers form one, homogeneous population with similar psychological principles applying equally to all members of the class. The purpose of this paper is to advance a pathways model that integrates the complex array of biological, personality, developmental, cognitive. learning theory and ecological determinants of problem and pathological gambling. It is proposed that three distinct. subgroups of gamblers manifesting impaired control over their behaviour can be identified. These groups include (a) behaviourally conditioned problem gamblers, (b) emotionally vulnerable problem gamblers and (c) antisocial, impulsivist problem gamblers. The implications for clinical management arc discussed.
引用
收藏
页码:487 / 499
页数:13
相关论文
共 88 条
[1]  
Abbott M, 1995, J Gambl Stud, V11, P287, DOI 10.1007/BF02104794
[2]  
Abbott M.W., 1996, Journal of Gambling Studies, V12, P43
[3]   REAL AND LABORATORY GAMBLING, SENSATION-SEEKING AND AROUSAL [J].
ANDERSON, G ;
BROWN, RIF .
BRITISH JOURNAL OF PSYCHOLOGY, 1984, 75 (AUG) :401-410
[4]  
[Anonymous], 1998, MEASURING PROBLEM GA
[5]  
[Anonymous], J GAMBL STUD, DOI DOI 10.1007/BF01014625
[6]  
Bazargan M., 2001, Clinical Gerontologist, V22, P51, DOI 10.1300/J018v22n03_06
[7]   Characteristics of problem gambling in a Canadian context: A preliminary study using a DSM-IV-based questionnaire [J].
Beaudoin, CM ;
Cox, BJ .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 1999, 44 (05) :483-487
[8]   Altered dopamine function in pathological gambling [J].
Bergh, C ;
Eklund, T ;
Sodersten, P ;
Nordin, C .
PSYCHOLOGICAL MEDICINE, 1997, 27 (02) :473-475
[9]  
BERGLER E, 1958, PSYCHOL GAMBLING
[10]   Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior [J].
Black, DW ;
Moyer, T .
PSYCHIATRIC SERVICES, 1998, 49 (11) :1434-1439