Attachment and alexithymia play a central role in the appearance and persistence of pathological gambling and related comorbid addictive behaviours among adolescents and young adults. The aim of the present study was to explore the differences between problem gamblers and non-problem gamblers in gambling severity, spending, video gaming, alcohol and drugs use, attachment, and alexithymia, as well as the interaction among these variables. The study sample included 560 participants non-problem gamblers (mean age = 15.49 years) and 54 problem gamblers (mean age = 16.43 years). Gambling disorder (SOGS-RA), drugs, alcohol, video games and spending (MULTICAGE CAD-4), attachment (IPPA), and alexithymia (TAS-20) were measured. Student’s t, Pearson’s r, and multiple mediation analyses were conducted. Problem gamblers scored significantly higher in all substance and non-substance addictive behaviours and alexithymia; as well as significantly lower scores in mother and father attachment scales. Moreover, gambling was negatively associated to father and mother attachment, and positively associated to alexithymia. Finally, alexithymia was found to mediate between parental attachment and gambling, spending, videogame, drug and alcohol abuse, especially in the case of mother attachment. This study demonstrated that adolescent and young adult problem gamblers show higher comorbid addictions than non-problem gamblers, in the same way as higher levels of alexithymia and poorer father attachment. Given that higher comorbidity in early ages is associated with worse prognosis and higher psychopathology in adult life, early detection and treatment purposes becomes essential.

依恋和焦虑症在青少年和年轻人中病理性赌博和相关合并成瘾行为的出现和持续中起着核心作用。本研究的目的是探讨问题赌徒和非问题赌徒在赌博严重性，消费，视频游戏，酒精和毒品使用，依恋和智力障碍以及这些变量之间的相互作用方面的差异。研究样本包括560名无问题赌徒（平均年龄= 15.49岁）和54名有问题赌徒（平均年龄= 16.43岁）。测量了赌博障碍（SOGS-RA），药物，酒精，视频游戏和消费（MULTICAGE CAD-4），依恋（IPPA）和运动障碍（TAS-20）。学生的t，皮尔逊的r，并进行了多种调解分析。问题赌徒在所有物质和非物质成瘾行为以及运动障碍方面得分均显着较高；以及母亲和父亲依恋量表的分数明显较低。此外，赌博与父母的依恋负相关，而与运动障碍则呈正相关。最后，发现残障症可以在父母依恋与赌博，消费，电子游戏，吸毒和酗酒之间进行调解，特别是在母亲依恋的情况下。这项研究表明，青少年和年轻的成年问题赌徒比无问题的赌徒表现出更高的共病成瘾，这与较高的阅读障碍和较差的父亲依恋相同。