A multicenter cross-sectional study of gambling disorder among patients with methamphetamine use disorder in drug rehabilitation centers: prevalence, correlates, and network analysis.

IF 3.6 3区 医学 Q1 PSYCHIATRY
Pu Peng, Yuzhu Hao, Xiaojie Zhang, Yuejiao Ma, Xuebing Liu, Danlin Shen, Wenwen Shen, Bin Zhao, Dongxiao Li, Sarah E Beck, Yaira Z Nunez, Marc N Potenza, Joel Gelernter, Tieqiao Liu, Bao-Zhu Yang
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Abstract

Background: This study sought to investigate the prevalence, correlates, and network structure of the manifested symptoms in gambling disorder (GD) among methamphetamine (MA) use disorder (MUD) patients in China.

Methods: We interviewed 1069 patients using the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA), Chinese version. Besides MA and other substance use disorders, GD was also ascertained by SSADDA. Other psychiatric diagnoses were ascertained, including major depressive episodes (MDEs), antisocial personality disorder, suicide and self-harm, and environmental factors, including childhood experiences.

Results: Of 1069 participants, 711 met the DSM-5 diagnostic criteria for MUD. Among the 711 participants with MUD, 52.3% met DSM-5 diagnostic criteria for GD. We found that alcohol use together with MA, childhood violent experiences, MDEs, severe MUD, and gambling duration significantly differed between MUD participants with and without GD. In the GD-MUD network, the central symptoms were gambling preoccupation (GD1), giving up important activities (MUD6), financial trouble (GD9), and MA tolerance (MUD5). MA tolerance (MUD5) also served as a bridge symptom across the network, exhibiting substantial associations with gambling preoccupation (GD1).

Conclusion: GD is prevalent among individuals in treatment for MUD in China. Network analysis suggests that gambling preoccupation and MA tolerance represent central features, and that MA tolerance serves as a bridge across GD and MUD.

戒毒中心甲基苯丙胺使用障碍患者赌博障碍的多中心横断面研究:患病率、相关性和网络分析。
背景:本研究旨在调查中国甲基苯丙胺(MA)使用障碍(MUD)患者赌博障碍(GD)表现症状的患病率、相关因素和网络结构。方法:采用中文版药物依赖与酒精中毒半结构化评估量表(SSADDA)对1069例患者进行访谈。除了MA和其他物质使用障碍外,GD也通过SSADDA确定。其他精神病学诊断也被确定,包括重度抑郁发作(MDEs)、反社会人格障碍、自杀和自残,以及环境因素,包括童年经历。结果:在1069名参与者中,711名符合DSM-5的MUD诊断标准。在711名患有MUD的参与者中,52.3%符合DSM-5的GD诊断标准。我们发现,在有和没有GD的MUD参与者中,酒精使用与MA、童年暴力经历、MDEs、严重MUD和赌博持续时间存在显著差异。在GD-MUD网络中,中心症状为赌博成瘾(GD1)、放弃重要活动(MUD6)、财务困难(GD9)和MA耐受(MUD5)。MA耐受性(MUD5)也是跨网络的桥梁症状,显示出与赌博成瘾(GD1)的实质性关联。结论:GD在中国MUD治疗个体中普遍存在。网络分析表明,赌博倾向和MA容忍度是主要特征,MA容忍度是GD和MUD之间的桥梁。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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