PDF(Pubmed)
Abstract：
Gambling disorder is common, affects 0.5-2% of the population, and is under-treated. Duration of untreated illness (DUI) has emerged as a clinically important concept in the context of other mental disorders, but DUI in gambling disorder, has received little research scrutiny.
Data were aggregated from previous clinical trials in gambling disorder with people who had never previously received any treatment. DUI was quantified, and clinical characteristics were compared as a function of DUI status.
A total of 298 individuals were included, and the mean DUI (standard deviation) was 8.9 (8.4) years, and the median DUI was 6 years. Longer DUI was significantly associated with male gender, older age, earlier age when the person first started to gamble, and family history of alcohol use disorder. Longer DUI was not significantly associated with racial-ethnic status, gambling symptom severity, current depressive or anxiety severity, comorbidities, or disability/functioning. The two groups did not differ in their propensity to drop out of the clinical trials, nor in overall symptom improvement associated with participation in those trials.
These data suggest that gambling disorder has a relatively long DUI and highlight the need to raise awareness and foster early intervention for affected and at-risk individuals. Because earlier age at first gambling in any form was strongly linked to longer DUI, this highlights the need for more rigorous legislation and education to reduce exposure of younger people to gambling.
Data were aggregated from previous clinical trials in gambling disorder with people who had never previously received any treatment. DUI was quantified, and clinical characteristics were compared as a function of DUI status.
A total of 298 individuals were included, and the mean DUI (standard deviation) was 8.9 (8.4) years, and the median DUI was 6 years. Longer DUI was significantly associated with male gender, older age, earlier age when the person first started to gamble, and family history of alcohol use disorder. Longer DUI was not significantly associated with racial-ethnic status, gambling symptom severity, current depressive or anxiety severity, comorbidities, or disability/functioning. The two groups did not differ in their propensity to drop out of the clinical trials, nor in overall symptom improvement associated with participation in those trials.
These data suggest that gambling disorder has a relatively long DUI and highlight the need to raise awareness and foster early intervention for affected and at-risk individuals. Because earlier age at first gambling in any form was strongly linked to longer DUI, this highlights the need for more rigorous legislation and education to reduce exposure of younger people to gambling.
摘要：
目标：赌博障碍很常见，影响了0.5%-2%的人口，并且治疗不足。在其他精神障碍的背景下，未经治疗的疾病持续时间（DUI）已成为临床上重要的概念，但是赌博障碍的DUI，几乎没有受到研究审查。
方法：数据来自以前从未接受过任何治疗的人的赌博障碍临床试验。DUI被量化，和临床特征作为DUI状态的函数进行比较。
结果：共纳入298人，平均DUI(标准偏差)为8.9(8.4)年，DUI的中位数为6年。较长的DUI与男性显著相关，年龄较大,当这个人第一次开始赌博时，和酒精使用障碍的家族史。更长的DUI与种族身份没有显着相关，赌博症状严重程度，目前抑郁或焦虑的严重程度，合并症,或残疾/功能。两组在退出临床试验的倾向上没有差异，与参与这些试验相关的总体症状改善也是如此。
结论：这些数据表明，赌博障碍具有相对较长的DUI，并强调需要提高认识并促进对受影响和风险个体的早期干预。因为任何形式的早期赌博都与较长的酒后驾车密切相关，这凸显了需要更严格的立法和教育，以减少年轻人赌博的风险。
方法：数据来自以前从未接受过任何治疗的人的赌博障碍临床试验。DUI被量化，和临床特征作为DUI状态的函数进行比较。
结果：共纳入298人，平均DUI(标准偏差)为8.9(8.4)年，DUI的中位数为6年。较长的DUI与男性显著相关，年龄较大,当这个人第一次开始赌博时，和酒精使用障碍的家族史。更长的DUI与种族身份没有显着相关，赌博症状严重程度，目前抑郁或焦虑的严重程度，合并症,或残疾/功能。两组在退出临床试验的倾向上没有差异，与参与这些试验相关的总体症状改善也是如此。
结论：这些数据表明，赌博障碍具有相对较长的DUI，并强调需要提高认识并促进对受影响和风险个体的早期干预。因为任何形式的早期赌博都与较长的酒后驾车密切相关，这凸显了需要更严格的立法和教育，以减少年轻人赌博的风险。
