Gambling Disorder is a complex and multifaceted phenomenon which requires a careful understanding by analysing both the life experiences and the psychopathological components linked to this type of behaviour. This study aimed to apply a Comprehensive Model of Addiction and to delve deeper the dimensions involved in the vulnerability and maintenance of the disease. Therefore, the effect of alexithymia and traumatic experiences in mediating the relationship between insecure attachment and dissociation, as well as the roles of impulsiveness and compulsiveness in influencing obsessiveness were explored in pathological gamblers. A sample composed of 253 individuals with a mean age of 47.8 years (SD = 12.4) with a diagnosis of Gambling Disorder (82.6% males, 17.4% females) completed the battery of measures. Results showed that alexithymia significantly mediates the relationship between insecure attachment and dissociation, while no significance was found in the effect of complex trauma. Furthermore, a significant impact role of impulsiveness and compulsiveness in determining obsessiveness was found. Therefore, the data suggested that alexithymia may increase the risk of developing a gambling disorder, mediating the association between insecure attachment and dissociation. The model of craving which could have a core role in disease maintenance processes was also confirmed, highlighting a significant influence of impulsiveness and compulsiveness on obsessiveness. Such findings might have relevant implications to increase the effectiveness of both preventive interventions and therapeutic works, favouring positive results for a better mental health of the subjects.

赌博障碍是一种复杂且多方面的现象，需要通过分析与此类行为相关的生活经历和精神病理学成分来仔细理解。本研究旨在应用一个综合成瘾模型，并深入研究与疾病的脆弱性和维持有关的维度。因此，述情障碍和创伤经历在调节不安全依恋和分离之间的关系中的作用，以及冲动和强迫性在影响强迫症中的作用在病态赌徒中进行了探讨。样本由 253 人组成，平均年龄为 47.8 岁（SD = 12.4) 诊断为赌博障碍（82.6% 男性，17.4% 女性）完成了一系列措施。结果表明，述情障碍显着介导了不安全依恋与分离之间的关系，而在复杂创伤的影响中未发现显着性差异。此外，发现冲动和强迫性在确定强迫性方面具有显着的影响作用。因此，数据表明，述情障碍可能会增加患赌博障碍的风险，从而调节不安全依恋和分离之间的关联。可能在疾病维持过程中起核心作用的渴望模型也得到了证实，突出了冲动和强迫性对强迫症的显着影响。