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首页> 外文期刊>The journal of clinical psychiatry >Marital status, childhood maltreatment, and family dysfunction: A controlled study of pathological gambling
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Marital status, childhood maltreatment, and family dysfunction: A controlled study of pathological gambling

机译：婚姻状况，儿童期虐待和家庭功能障碍：病理性赌博的对照研究

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Background: Pathological gambling is a prevalent public health problem associated with depression, substance misuse, crime, and suicide. Despite these challenges, little attention has been directed to examining its negative consequences on families and marriages, including divorce rates, childhood maltreatment, and family dysfunction. Method: From February 2005 to June 2010, subjects with DSM-IV-defined pathological gambling and community controls were assessed for marital and family variables and indices of childhood maltreatment. The Family Assessment Device (FAD) was used to evaluate family functioning. Results: Ninety-five subjects with DSM-IV pathological gambling and 91 control subjects without pathological gambling were recruited and assessed. They were similar in age, gender, and employment status. Persons with pathological gambling were more likely than controls to have ≥ 1 divorce (odds ratio [OR] = 2.56; 95% CI, 1.35-4.87; P = .004), to live alone (OR = 4.49; 95% CI, 1.97-10.25; P < .001), and to report any type of childhood maltreatment (OR = 4.02; 95% CI, 2.12-7.64; P < .001). They did not differ on number of siblings or ordinal position among siblings. Pathological gambling subjects reported significantly worse family functioning than control subjects as assessed by all 7 FAD subscales. On the FAD general functioning subscale, 55% of pathological gambling families and 33% of control families were rated "unhealthy" (OR = 2.17; 95% CI, 1.14-4.12; P = .018). Severity of gambling was positively correlated with divorce, childhood maltreatment, and the FAD roles subscale. Conclusions: People with pathological gambling are more likely than controls to have been divorced, to live alone, and to report having experienced childhood maltreatment than controls. They also report greater family dysfunction.
机译：背景：病理性赌博是与抑郁症，滥用药物，犯罪和自杀相关的普遍的公共健康问题。尽管存在这些挑战，但很少有人关注其对家庭和婚姻的负面影响，包括离婚率，童年虐待和家庭功能障碍。方法：从2005年2月至2010年6月，对具有DSM-IV定义的病理赌博和社区控制的受试者的婚姻和家庭变量以及儿童虐待的指数进行评估。家庭评估设备（FAD）用于评估家庭功能。结果：招募并评估了95名患有DSM-IV病理性赌博的受试者和91名无病理性赌博的对照受试者。他们的年龄，性别和就业状况相似。进行病理性赌博的人比对照组更有可能≥1离婚（优势比[OR] = 2.56; 95％CI，1.35-4.87; P = .004），单独生活（OR = 4.49; 95％CI，1.97） -10.25; P <0.001），并报告任何类型的儿童虐待（OR = 4.02; 95％CI，2.12-7.64; P <0.001）。他们在兄弟姐妹的数量或兄弟姐妹之间的顺序位置上没有差异。根据所有7种FAD分量表的评估，病理赌博受试者的家庭功能显着低于对照受试者。在FAD一般功能子量表上，55％的病理赌博家庭和33％的对照家庭被评为“不健康”（OR = 2.17; 95％CI，1.14-4.12; P = .018）。赌博的严重程度与离婚，儿童虐待和FAD角色分量表呈正相关。结论：与对照组相比，有病理性赌博的人离婚，单独生活，并报告曾经历过儿童虐待的可能性要高于对照组。他们还报告了更大的家庭功能障碍。

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