Personality Disorders among Pathological Gamblers

被引:82
作者
Blaszczynski A. [1 ,2 ]
Steel Z. [1 ]
机构
[1] Professional Unit, Health Services Building, Liverpool Hospital, Liverpool
关键词
Psychological Distress; Treatment Program; Behavioral Treatment; Problem Gambling; Research Unit;
D O I
10.1023/A:1023098525869
中图分类号
学科分类号
摘要
The objective of this study was to investigate the prevalence of DSM-III-R diagnostic categories of personality disorders in pathological gamblers and to highlight the possible association between such disorders, psychological distress and selected forms of gambling. The Personality Disorders Questionnaire-Revised and a battery of psychometric measures were administered to a sample of 82 consecutive admissions to a behavioral treatment program for gambling problems at an impulse control disorders research unit in Sydney, Australia. Seventy-three percent of subjects were male. The total sample reported having gambled a mean of 15 years of which, on average, the last 6.4 years were associated with problems. Results indicated that the majority of subjects met diagnostic criteria for at least one Personality Disorder (93%), with an average of 4.6 personality disorders per subject. The majority of gamblers evidenced personality disorders from the Cluster B grouping with particularly high rates of borderline, histrionic, and narcissistic personality disorders which were found to be associated with high levels of impulsivity and affective instability. Antisocial personality disorder and narcissistic personality disorder were both found to be possible mediators of the severity of the problem gambling behaviours.
引用
收藏
页码:51 / 71
页数:20
相关论文
共 48 条
  • [31] Hyler S., Skodol A., Oldham J., Kellman H., Doidge N., Validity of the Personality Diagnostic Questionnaire - Revised: A replication in an outpatient sample, Comprehensive Psychiatry, 33, pp. 73-77, (1992)
  • [32] Kruedelbach N., McCormick R., Schulz S., Grueneich C., Impulsivity, coping styles and triggers for craving in substance abusers with borderline personality disorders, Journal of Personality Disorders, 7, pp. 214-223, (1993)
  • [33] Lesieur H., Prevalencia, caracteristicas y traumientos de los jugadores patologicos en Estados Unidos, Psicologia Conductual, 1, pp. 339-407, (1993)
  • [34] Lesieur H., Blume S., The South Oaks Gambling Screen: A new instrument for the identification of pathological gamblers, American Journal of Psychiatry, 144, pp. 1184-1188, (1987)
  • [35] Lesieur H., Blume S., Characteristics of pathological gamblers identified among patients on a psychiatric admission service, Hospital and Community Psychiatry, 41, pp. 1009-1012, (1990)
  • [36] Lesieur H., Blume S., Zoppa R., Alcoholism, drug abuse and gambling, Alcoholism. Clinical and Experimental Research, 10, pp. 33-38, (1986)
  • [37] Linden R., Pope H., Jonas J., Pathological gambling and major affective disorder: Preliminary findings, Journal of Clinical Psychiatry, 47, pp. 201-203, (1986)
  • [38] McConaghy N., Armstrong M., Blaszczynski A., Allcock C., Controlled comparison of aversive therapy and imaginal desensitisation in compulsive gambling, British Journal of Psychiatry, 142, pp. 366-372, (1983)
  • [39] McCormick R., Taber J., Kruedelbach N., Russo A., Personality profiles in hospitalised pathological gamblers: The California Personality Inventory, Journal of Clinical Psychology, 43, pp. 521-527, (1987)
  • [40] Ramirez L., McCormick R., Russo A., Taber J., Patterns of substance abuse in pathological gamblers undergoing treatment, Addictive Behaviors, 8, pp. 425-428, (1983)