A familial subtype of gambling disorder.

IF 6.6 1区 医学 Q1 PSYCHIATRY
Journal of Behavioral Addictions Pub Date : 2024-08-13 Print Date: 2024-10-04 DOI:10.1556/2006.2024.00042
Jon E Grant, Ibrahim Aslan, Samuel R Chamberlain
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引用次数: 0

Abstract

Background: Although family history of psychiatric disorders has often been considered potentially useful in understanding clinical presentations in patients, it is less clear what a positive gambling family history means for people with gambling disorder. We sought to understand the clinical impact of having a first-degree relative with gambling disorder in a sample of adults with gambling disorder.

Methods: Data from 455 participants (aged 18-65 years) who had participated in previous pharmacological and psychotherapeutic clinical trials for gambling disorder were pooled in a secondary analysis. Demographic and clinical variables were compared between those who did versus did not have one or more first-degree relative(s) with gambling disorder. Additionally, we examined whether a family history of gambling disorder was associated with treatment outcome.

Results: 223 (49.0%) participants had at least one first-degree family member(s) with gambling disorder. In terms of clinical variables, family history of gambling disorder was significantly associated with being female, having an earlier age of gambling onset, longer duration of untreated gambling illness, a greater likelihood of developing legal problems secondary to gambling, and higher rates of alcohol use disorder in family members. Family history of gambling disorder was also associated with a greater gambling symptom improvement from pharmacotherapy.

Conclusions: These results indicate that gamblers with a first-degree family member with a gambling disorder may have a unique clinical presentation and better response to treatment interventions.

家族性赌博障碍亚型。
背景:虽然精神病家族史通常被认为有助于了解患者的临床表现,但对于赌博障碍患者来说,阳性赌博家族史意味着什么,目前还不太清楚。我们试图了解一级亲属患有赌博障碍对成年赌博障碍患者的临床影响:在一项二次分析中,我们汇集了 455 名参与者(年龄在 18-65 岁之间)的数据,这些参与者曾参加过针对赌博障碍的药物和心理治疗临床试验。比较了有与没有一个或多个一级亲属患有赌博障碍者的人口统计学和临床变量。此外,我们还研究了赌博障碍家族史是否与治疗结果有关。结果:223名参与者(49.0%)至少有一名一级亲属患有赌博障碍。在临床变量方面,赌博障碍家族史与女性、赌博发病年龄较早、赌博疾病未经治疗的时间较长、因赌博而继发法律问题的可能性较大以及家庭成员酗酒率较高等因素有显著相关性。赌博障碍家族史也与药物治疗对赌博症状的改善程度有关:这些结果表明,有一级家庭成员患有赌博障碍的赌徒可能会有独特的临床表现,并对治疗干预措施有更好的反应。
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来源期刊
CiteScore
12.30
自引率
7.70%
发文量
91
审稿时长
20 weeks
期刊介绍: The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.
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