Personality disorders and pathological gambling: A review and re-examination of prevalence rates

被引:34
|
作者
Bagby, R. Michael [1 ,2 ]
Vachon, David D. [1 ]
Bulmash, Eric [3 ]
Quilty, Lena C. [2 ]
机构
[1] Ctr Addict & Mental Hlth, Toronto, ON M5T 1R8, Canada
[2] Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON M5T 1R8, Canada
[3] Queens Univ, Kingston, ON K7L 3N6, Canada
关键词
D O I
10.1521/pedi.2008.22.2.191
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The current study reviews and reexamines the association between pathological gambling and personality disorders (PDs). To date, the majority of investigations have examined the prevalence of PDs in a single group of treatment-seeking pathological gamblers (PGs); very few of these studies included a comparison group, and even fewer compared PGs to nonpathological gamblers who, in contrast to nongamblers, resemble PGs in their attraction to and engagement in gambling behavior. The current study included a sample composed of nontreatment-seeking pathological gamblers and a comparison group of nonpathological gamblers (NPGs); these participants completed a self-report instrument (SCID-II/PQ) and were administered a structured clinical interview (SCID-II) designed to assess PDs. Compared to the SCID-II, the SCID-II/PQ produced significantly higher PD prevalence rate estimates and symptom endorsements. Although the pattern of specific PD prevalence and symptom endorsement varied somewhat across the instruments, PGs consistently displayed significantly higher levels of borderline PD than NPGs; this pattern endured even after controlling for Axis I disorders and overlap among Axis 11 PDs.
引用
收藏
页码:191 / 207
页数:17
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