Towards a Validation of the Three Pathways Model of Pathological Gambling

被引:49
|
作者
Valleur, Marc [1 ]
Codina, Irene [1 ]
Venisse, Jean-Luc [2 ,3 ,4 ]
Romo, Lucia [5 ,6 ,7 ]
Magalon, David [8 ]
Fatseas, Melina [9 ,10 ]
Chereau-Boudet, Isabelle [11 ]
Gorsane, Mohamed-Ali [12 ,13 ]
Guilleux, Alice [3 ,4 ,14 ]
Grall-Bronnec, Marie [2 ,3 ,4 ]
Challet-Bouju, Gaelle [2 ,3 ,4 ]
机构
[1] Hop Marmottan, GPS Perray Vaucluse, Marmottan Med Ctr, 17 Rue Armaille, F-75017 Paris, France
[2] Univ Hosp Nantes, Dept Addictol & Psychiat, Clin Invest Unit BALANCED BehaviorAL AddictioNs &, Nantes, France
[3] Univ Nantes, EA 4275 SPHERE BioStat Pharmacoepidemiol & Human, Fac Med, Nantes, France
[4] Univ Nantes, EA 4275 SPHERE BioStat Pharmacoepidemiol & Human, Fac Pharmaceut Sci, Nantes, France
[5] Univ Paris Ouest Nanterre Def, EA 4430 CLIPSYD CLInique PSYchanal Dev, Nanterre, France
[6] Louis Mourier Hosp Colombes, AP HP, Colombes, France
[7] St Anne Hosp Psychiat & Neurosci, Psychotherapies Unit, Paris, France
[8] St Marguerite Univ Hosp Marseille, Dept Adult Psychiat, Marseille, France
[9] Univ Bordeaux, Sanpsy CNRS USR 3413, Psychiat Lab, Bordeaux, France
[10] Charles Perrens Hosp, Bordeaux, France
[11] Univ Hosp Clermont Ferrand, Dept Psychiat, Clermont Ferrand, France
[12] Paul Brousse Univ Hosp Villejuif, AP HP, Psychiat & Addictol Dept, Villejuif, France
[13] GPS Perray Vaucluse, Henri EY Hosp, Paris, France
[14] Univ Hosp Nantes, Unit Methodol & Biostat, Nantes, France
关键词
Problem gambling; Etiology; Gambling subtypes; Co morbidity; Impulsivity; Pathway model; Addiction; UTAH RATING-SCALE; FRENCH VERSION; GAMBLERS; BEHAVIOR; SUBTYPES; TEMPERAMENT; CHARACTER;
D O I
10.1007/s10899-015-9545-y
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
With the aim of validating the three pathways hypothesis of pathological gambling (Blaszczynski and Nower in Addiction 97:487-499, 2002) 372 pathological gamblers meeting DSM IV (2000) criteria were assessed via a structured clinical interview as well as being subjected to personality tests and evaluation of their gambling practices. Our results show that it is possible to identify three subgroups corresponding to the three pathways: behaviourally conditioned problem gamblers, emotionally vulnerable problem gamblers and antisocial impulsivist problem gamblers. Our results particularly demonstrate that impulsivist gamblers preferentially choose semi-skilful gambling (horse racing and sports gambling) whereas emotionally vulnerable gamblers are significantly more attracted to games of chance (one-armed bandits, scratch cards, etc.) This led us to propose a functional presentation of the three pathways model which differs somewhat from the Blaszczynski and Nower presentation.
引用
收藏
页码:757 / 771
页数:15
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