Sleep Problems and Gambling Disorder: Cross-Sectional Relationships in a Young Cohort.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI:10.1007/s10899-024-10335-1
Holly A Austin, Samuel R Chamberlain, Jon E Grant, David S Baldwin
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Abstract

Aims: To investigate the potential association between gambling disorder and symptoms of sleep problems (including insomnia and excessive daytime sleepiness). It was hypothesised that, compared to controls, individuals with gambling disorder would have significantly greater disturbance of sleep, as indicated by increased scores in: (1) sleep items on the Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Rating Scale for Depression (HAM-D); (2) total score on the HAM-A and HAM-D; and (3) the Epworth Sleepiness Scale (ESS).

Methods: Secondary analysis of previously published data from 152 young adults, aged 18-29 years. Individuals were stratified into three groups: controls, those at risk of gambling disorder, and those with gambling disorder. One-way ANOVAs with post-hoc tests were conducted to determine whether groups differed significantly in sleep item scores and total scores of the HAM-A and HAM-D, and the ESS.

Results: HAM-D scale insomnia item scores were significantly higher in the disorder group, when compared to controls, this being particularly marked for middle and late insomnia. The HAM-A item score indicated significantly worse sleep quality in the disorder group, compared to at risk and control groups. Total HAM-A and HAM-D scores were significantly higher in the disorder group, but ESS scores did not differ significantly.

Conclusion: Measures of disruptions in sleep were significantly higher in gambling disorder than controls. Anxiety and depressive symptom severity was also significantly higher in the gambling disorder group. Further research could have implications for identification and treatment of sleep disorders and psychiatric comorbidities in gambling disorder.

睡眠问题与赌博障碍:年轻群体中的横截面关系。
目的:研究赌博障碍与睡眠问题(包括失眠和白天过度嗜睡)症状之间的潜在联系。假设与对照组相比,赌博障碍患者的睡眠障碍会明显加重,表现为:(1) 汉密尔顿焦虑评定量表(HAM-A)和汉密尔顿抑郁评定量表(HAM-D)的睡眠项目得分增加;(2) 汉密尔顿焦虑评定量表(HAM-A)和汉密尔顿抑郁评定量表(HAM-D)的总分增加;(3) 埃普沃思嗜睡量表(ESS)得分增加:对以前发表的 152 名 18-29 岁年轻人的数据进行二次分析。个人被分为三组:对照组、有赌博障碍风险的组和有赌博障碍的组。进行单因素方差分析和事后检验,以确定各组在睡眠项目得分、HAM-A、HAM-D 和 ESS 总分上是否存在显著差异:结果:与对照组相比,失眠症组的 HAM-D 量表失眠项目得分明显较高,尤其是中期和晚期失眠。与危险组和对照组相比,失眠症组的 HAM-A 项目得分显示睡眠质量明显较差。失眠症组的HAM-A和HAM-D总分明显更高,但ESS得分没有明显差异:结论:与对照组相比,赌博障碍组的睡眠干扰度明显更高。赌博障碍组的焦虑和抑郁症状严重程度也明显高于对照组。进一步的研究可能会对识别和治疗赌博障碍患者的睡眠障碍和精神并发症产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.00
自引率
16.70%
发文量
72
期刊介绍: Journal of Gambling Studies is an interdisciplinary forum for the dissemination on the many aspects of gambling behavior, both controlled and pathological, as well as variety of problems attendant to, or resultant from, gambling behavior including alcoholism, suicide, crime, and a number of other mental health problems. Articles published in this journal are representative of a cross-section of disciplines including psychiatry, psychology, sociology, political science, criminology, and social work.
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