美国退伍军人中的赌博和药物使用障碍:美国退伍军人中的赌博和药物使用障碍:患病率、临床特征和自杀风险》(Prevalence, Clinical Characteristics, and Suicide Risk.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-12-01 Epub Date: 2024-09-29 DOI:10.1007/s10899-024-10359-7
Elina A Stefanovics, Marc N Potenza, Jack Tsai, Robert H Pietrzak
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引用次数: 0

摘要

在美国退伍军人中,赌博和药物使用障碍(SUDs)非常普遍,而且经常并发。然而,人们对退伍军人中 SUDs 和赌博的临床和行为相关性及自杀风险知之甚少,而这有助于为针对这两种疾病并发的针对性干预措施提供信息。在目前的研究中,我们分析了具有全国代表性的 4069 名退伍军人样本数据,这些退伍军人参加了全国退伍军人健康和复原力研究(National Health and Resilience in Veterans Study)。我们对退伍军人的终生药物依赖和过去一年的赌博情况(简要问题赌博筛查)进行了自我报告测量。研究人员进行了多项式逻辑回归分析,以检查四组之间的差异:非 SUD/非赌博组,40.3%;仅 SUD 组,27.3%;仅赌博组,16.3%;以及 SUD + 赌博组,16.1%。纯赌博组、纯药物滥用组和药物滥用+赌博组相对于非药物滥用/非赌博组报告了更多的不良童年经历。与非药物滥用/非赌博组相比,单纯药物滥用组和药物滥用+赌博组在所有生前和当前临床及创伤变量方面的几率更高。与只患 SUD 组相比,SUD + 赌博组出现自杀、非自杀性自伤、尼古丁依赖和心理健康治疗的几率更高,与只赌博组相比,SUD + 赌博组出现所有评估临床指标的几率更高。研究结果表明,在美国退伍军人中,药物滥用和赌博与巨大的心理创伤和心理健康负担有关,其中药物滥用和赌博并发尤其与自杀/自残和心理健康治疗有关。研究结果强调了针对这一人群中的药物滥用、赌博和相关问题(如与创伤有关的心理健康困难)进行多成分评估和干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk.

Gambling and substance use disorders (SUDs) are prevalent among U.S. military veterans and often co-occur. However, little is known about the clinical and behavioral correlates and suicidal risk of SUDs and gambling among veterans that can help inform targeted interventions for their co-occurrence. In the current study, we analyzed data from a nationally representative sample of 4069 veterans who participated in the National Health and Resilience in Veterans Study. Self-reported measures of lifetime SUDs and past-year gambling (Brief Problem Gambling Screen) were administered. A multinomial logistic regression analysis was conducted to examine differences between four groups: non-SUD/non-gambling, 40.3%; SUD-only 27.3%; Gambling-only 16.3%; and SUD + Gambling, 16.1%. The Gambling-only, SUD-only, and SUD + Gambling groups reported more adverse childhood experiences relative to the non-SUD/non-gambling group. The SUD-only and SUD + Gambling groups had higher odds for all lifetime and current clinical and trauma variables relative to the non-SUD/non-gambling group. The SUD + Gambling group had higher odds of suicidality, non-suicidal self-injury, nicotine dependence and mental health treatment relative to the SUD-only group and all assessed clinical measures relative to the Gambling-only group. Results suggest that SUDs and gambling are associated with substantial trauma and mental health burden among U.S. veterans, with co-occurring SUDs and gambling linked particularly to suicidality/self-harm and mental health treatment. The findings underscore the importance of multicomponent assessments and interventions targeting SUDs, gambling, and related concerns, such as trauma-related mental health difficulties, in this population.

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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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