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Self-injurious behavior and gambling-related attitudes, perceptions and behaviors in adolescents.
Journal of Psychiatric Research ( IF 4.8 ) Pub Date : 2020-02-25 , DOI: 10.1016/j.jpsychires.2020.02.016
Luis C Farhat 1 , Aaron J Roberto 2 , Jeremy Wampler 3 , Marvin A Steinberg 4 , Suchitra Krishnan-Sarin 2 , Rani A Hoff 5 , Marc N Potenza 6
Affiliation  

Gambling is prevalent among adolescents and adolescents are vulnerable to experiencing gambling-related problems. Although problem gambling and suicidal behavior have been linked in adults and self-injurious behaviors may predict future suicidality, prior studies have not investigated relationships between problem-gambling severity and self-injurious behavior in adolescents. Data from 2234 Connecticut high-school students were analyzed in chi-square tests and logistic regression models to examine self-injurious behaviors in relation to at-risk/problem gambling with respect to sociodemographic characteristics, gambling attitudes and perceptions, and extracurricular and health measures. Individuals who engaged in self-injurious behavior (versus those who did not) reported more permissive views towards gambling and were more likely to exhibit at-risk/problem gambling. Stronger relationships between problem-gambling severity and gambling in casinos (OR 4.85, 95%CI 1.94, 12.12) and non-strategic gambling (1.92, 95%CI 1.01, 3.66) were observed in adolescents who acknowledged engagement in self-injurious behavior versus those who did not. Links between self-injurious behaviors and more permissive gambling attitudes and perceptions and at-risk/problem gambling suggest the need for improved interventions targeting co-occurring self-injurious behaviors and gambling. Stronger relationships between problem-gambling severity and casino and non-strategic gambling among adolescents with self-injurious behaviors suggest adolescents with self-injurious behavior may engage in specific forms of gambling as maladaptive coping strategies to alleviate suffering. Prevention and treatment approaches targeting distress management and improving adaptive coping skills may be important for targeting self-injurious behaviors in adolescents with at-risk/problem gambling.

中文翻译:

青少年的自我伤害行为和与赌博相关的态度,看法和行为。

赌博在青少年中十分普遍,青少年容易遭受与赌博有关的问题。尽管问题赌博和自杀行为已在成年人中联系在一起,自残行为可能预示着未来的自杀倾向,但先前的研究尚未调查问题赌博严重性与青少年自残行为之间的关系。在卡方检验和逻辑回归模型中分析了来自2234名康涅狄格州高中学生的数据,以检验与高风险/问题赌博相关的自我伤害行为,涉及社会人口统计学特征,赌博态度和看法以及课外和健康措施。从事自残行为的个人(相对于未从事自残行为的个人)对赌博的态度更为宽容,并且更有可能表现出存在风险/问题的赌博。在承认参与自残行为的青少年中,问题赌博的严重性与赌场中的赌博(OR 4.85,95%CI 1.94,12.12)和非策略性赌博(1.92,95%CI 1.01,3.66)之间的关系更紧密那些没有。自残行为与更宽容的赌博态度和看法以及有风险/问题的赌博之间的联系表明,需要针对共同发生的自残行为和赌博的改进干预措施。在具有自残行为的青少年中,问题赌博的严重性与赌场和非策略性赌博之间的更强关系表明,具有自残行为的青少年可能会采取特定形式的赌博作为缓解痛苦的不良适应策略。针对遇险管理和提高适应性应对技能的预防和治疗方法,对于针对处于危险/问题赌博中的青少年的自我伤害行为而言可能很重要。
更新日期:2020-02-25
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