Gambling addiction (GA) is now considered a worldwide health issue. Although the topic of disorder awareness is a central issue in clinical practice, there are few studies examining this dimension in relation to GA. To bridge this gap, we conducted a qualitative study, administering interviews focused on awareness of GA and eliciting narratives of both the disorder and the whole life of participants. We adopted both qualitative and quantitative methods of research, using computer-aided content analysis. We administered to a sample of 15 treatment-seeking gamblers the Psychiatric Interview for Gambling Addiction and performed a qualitative analysis of the text using the T-Lab software. Five main thematic domains and four factors emerged, shedding light on specific aspects underlying the development of and recovery from GA. Specifically, the results suggested that dissociation processes, materialistic thinking and difficulties in social achievement underlie the subjective experience of GA. Moreover, closeness in interpersonal relationships and awareness of the disorder emerged as core features in the process of change. As a whole, the results highlight the specificities of disorder awareness in addicted gamblers. We discuss these results within the context of previous research and suggest clinical implications for the treatment of GA.

中文翻译：

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发出赌博成瘾的声音：个人叙事分析。

赌博成瘾（GA）现在被认为是全球性的健康问题。尽管意识障碍的主题是临床实践中的中心问题，但很少有研究检查与GA相关的这一方面。为了弥合这种差距，我们进行了定性研究，进行了针对GA意识的访谈，并引述了有关疾病和参与者整个生命的叙述。我们使用计算机辅助内容分析，采用定性和定量研究方法。我们对15名寻求治疗的赌徒进行了赌博成瘾精神病访谈，并使用T-Lab软件对文字进行了定性分析。出现了五个主要主题领域和四个因素，阐明了通用航空发展和从通用航空恢复中的特定方面。特别，结果表明，解离过程，唯物主义思维和社会成就的困难是GA的主观经验。此外，人际关系的亲密性和对疾病的认识已成为变化过程中的核心特征。总体而言，结果突出了上瘾赌徒对疾病意识的特殊性。我们在先前研究的背景下讨论这些结果，并建议对GA治疗的临床意义。结果突出显示了成瘾赌徒对疾病意识的特殊性。我们在先前研究的背景下讨论这些结果，并建议对GA治疗的临床意义。结果突出显示了成瘾赌徒对疾病意识的特殊性。我们在先前研究的背景下讨论这些结果，并建议对GA治疗的临床意义。