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Clustering Gambling Disorder Patients with Lotteries as a Preferred Form of Gambling
Journal of Gambling Studies ( IF 3.396 ) Pub Date : 2020-03-17 , DOI: 10.1007/s10899-020-09940-7
Roser Granero , Daniela León-Vargas , Virginia Martín-Romera , Fernando Fernández-Aranda , Teresa Mena-Moreno , Amparo del Pino-Gutiérrez , Ester Codina , Mónica Gómez-Peña , Laura Moragas , Neus Aymamí , Gemma Mestre-Bach , Zaida Agüera , Cristina Vintró-Alcaraz , María Lozano-Madrid , Gemma Casalé-Salayet , José M. Menchón , Susana Jiménez-Murcia

Few studies have focused on the specific subtype of gamblers who present lotteries as their main gambling problem. This study aimed to explore empirical subgroups of treatment-seeking patients who endorsed lotteries as their preferred form of gambling. The sample included n = 342 patients who were included in two-step cluster analysis procedures using sociodemographic and clinical measures as indicator variables. Three clusters were identified: (a) Cluster 1 (labeled as “severely impaired young men”, n = 108, 31.6%) included mainly single young men that were employed, with short disorder duration, high gambling severity and high levels of comorbid psychopathology; (b) Cluster 2 (labeled as “moderate severity and highly functional”, n = 120, 35.1%) included patients that were middle-aged, highly educated, married, employed, with high socioeconomic position indexes and functional personality traits; and (c) Cluster 3 (labeled as “older, moderately impaired patients”, n = 114, 33.3%) included older patients, the highest percentage of separated or divorced subjects, high unemployment, low socioeconomic status and low levels of education. This study indicates that gambling disorder profiles characterized by lotteries as a preferred form of gambling constitute a heterogeneous group in which distinct, empirically based phenotypes can be identified. These factors should be taken into account for the development of reliable assessment instruments and for the design of effective prevention and treatment programs.

中文翻译:

将具有彩票的赌博性疾病患者聚类为赌博的首选形式

很少有研究关注将彩票作为其主要赌博问题的赌徒的特定亚型。这项研究旨在探讨将彩票作为他们首选的赌博形式的寻求治疗的患者的经验亚组。该样本包括342例患者,共纳入342例患者,他们采用社会人口统计学和临床​​指标作为指标变量,进行了两步式聚类分析。确定了三个集群:(a)集群1(标记为“严重受损的年轻人”,n = 108,31.6%)主要包括受雇的单身年轻人,其病情持续时间短,赌博严重程度高且合并精神病学水平高; (b)第2组(标记为“中度严重程度和高功能”,n = 120,占35.1%)包括中年,高学历,已婚,受雇,具有较高的社会经济地位指数和功能人格特征;(c)第3组(标记为“中度受损的老年患者”,n = 114,33.3%)包括老年患者,分居或离婚的受试者百分比最高,失业率高,社会经济地位低和教育水平低。这项研究表明,以彩票为优选形式的赌博为特征的赌博失调状况构成了一个异类,在其中可以识别出不同的,基于经验的表型。在开发可靠的评估工具和设计有效的预防和治疗方案时,应考虑这些因素。分离或离婚的对象百分比最高,失业率高,社会经济地位低和教育水平低。这项研究表明,以彩票为优选形式的赌博为特征的赌博失调状况构成了一个异类,在其中可以识别出不同的,基于经验的表型。在开发可靠的评估工具和设计有效的预防和治疗方案时,应考虑这些因素。分离或离婚的对象百分比最高,失业率高,社会经济地位低和教育水平低。这项研究表明,以彩票为优选形式的赌博为特征的赌博失调状况构成了一个异类,在其中可以识别出不同的,基于经验的表型。在开发可靠的评估工具和设计有效的预防和治疗方案时,应考虑这些因素。
更新日期:2020-03-17
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