Abstract:
Armed forces veterans are especially prone to experiencing a variety of addictive disorders, including gambling disorder. Even so, gambling disorder in veterans remains understudied generally, and there remain significant gaps in the research literature with regards to how gambling disorder relates to the experience and expression of comorbid substance use disorders. The present work examines the prevalence, presentation, and clinical associations of substance use disorders in U.S. Armed Forces veterans receiving inpatient treatment for gambling disorder. Participants (N = 664) were veterans from all branches of the U.S. Armed Forces receiving inpatient treatment for gambling disorder through the Department of Veteran Affairs Healthcare System. Clinical data from the time of intake was analyzed. A substantial portion of veterans (36.1%) met current criteria for an SUD, with another 16.5% reporting a history of SUD. Alcohol use disorder was the most commonly reported SUD (76.1% of those with a current SUD), with polysubstance use disorders and stimulant use disorders each occurring in at least 25% of those with SUDs. SUD status was related to greater levels of impulsivity, but there was no evidence that SUD status was related to gambling symptom severity, gambling preferences, or further psychiatric comorbidities.
摘要:
武装部队退伍军人特别容易经历各种成瘾障碍,包括赌博障碍。即便如此,退伍军人的赌博障碍仍然普遍被研究不足,关于赌博障碍与共病物质使用障碍的经验和表达的关系,研究文献中仍然存在显著差距。目前的工作检查了患病率,介绍,和美国武装部队退伍军人因赌博障碍接受住院治疗的药物使用障碍的临床关联。参与者(N=664)是来自美国武装部队所有分支机构的退伍军人,他们通过退伍军人事务部医疗保健系统接受了赌博障碍的住院治疗。分析摄入时间的临床数据。大部分退伍军人(36.1%)符合SUD的当前标准,另有16.5%的人报告了SUD的历史。酒精使用障碍是最常见的SUD(当前SUD患者的76.1%),多物质使用障碍和兴奋剂使用障碍分别发生在至少25%的SUD患者中。SUD状态与更高水平的冲动性有关,但是没有证据表明SUD状态与赌博症状严重程度有关,赌博偏好,或进一步的精神合并症。