我国部分精神科医生对赌博成瘾认知程度的调查  

GAMBLING ADDICTION IN MENTAL HEALTH IN CHINA: A SURVEY OF PSYCHIATRISTS

作　　者：黄秀琴[1] 李梦晨[2] 苑宏[3] Sanju George 

机构地区：[1]北京军区总医院全军心理卫生指导中心,北京100700 [2]解放军第254医院心理门诊,天津300142 [3]北京军区联勤部卫生部卫生防疫处,北京100042 [4]The Bridge Clinic,Birmingham and Solihull Mental Health NHS Foundation Trust,Birmingham B15 2QZ,England

出　　处：《中国药物依赖性杂志》2013年第2期141-146,共6页Chinese Journal of Drug Dependence

摘　　要：目的:为了调查我国精神科医生对赌博成瘾的认识、经验和态度,以便做好今后的教育或培训工作,为促进我国精神科医生对于赌博成瘾的认知而提出更多建设性的建议。方法:采用自行设计的问卷来调查我国部分地区精神科医生对赌博成瘾的认识、诊断和治疗经验、接受培训的经历及有关态度。结果:共收回有效问卷110份,其中45%的精神科医生在临床实践中没有见过赌博成瘾病人,见过者中有67%的人见过病人不超过5个。所有110名被调查者中只有1人接受过赌博成瘾治疗的教育/培训,尽管有83%的人愿意接受该障碍识别与治疗方面的培训。90%以上的被调查者能认识到赌博成瘾的不良后果,80%者同意该障碍是一个公共卫生问题并且为一种成瘾障碍,70%者同意该障碍易共患其他重要的精神障碍,但仅有41%者知道精神病人赌博问题发生率比一般人群高。36%者表示能够评估并诊断赌博障碍,同时,23%者表示能够治疗该障碍。缺少知识、培训、资源及政府的支持是妨碍精神科医生参与治疗该障碍的主要因素,这些因素也是导致赌博成瘾在精神卫生场所未被识别的主要原因。结论:大多数精神科医生对赌博成瘾仅有很少的认识,几乎没有人接受过这方面的教育/培训。我国大多数精神科医生不仅对赌博成瘾的临床经验很少,也没有能力诊治该障碍。Objective：To understand the awareness, experiences, and attitudes towards gambling addiction of psychiatrists in our country, to provide information for further professional teaching/training and more constructive advices to promote cognition to the mental disorder for Chinese psychiatrists. Methods：A self-designed questionnaire was applied to survey the psychiatrists, about their awareness,experiences on diagnosis , treatment and receiving training, and attitudes towards gambling addiction. Results：One hundred and ten psychiatrists completed the questionnaire. Among all the 110 subjects,45% have not ever seen patients addicted to gambling in their clinical practice, and 67% of them have not seen more than 5 patients; Only one of the 110 subjects have ever received teaching/training in the management of gambling addiction, even though more than 83% would like to receive training in the identification and treatment of it. biore than 90% were aware of adverse consequence resulting from gambling addiction, and more than 80% agreed with that it was a public health problem and an addictive disorder ; 70% agreed that it often comorbided with significant psychiatric disorders. However, only 41% were aware that psychiatric patients have higher rates of gambling problems than the general population. Among all the subjects, 36% were confident in assessing and diagnosing gambling disorders, and so were 23% in treatment of them. Lack of knowledge, training, resources and support from specialist services were potential barriers to getting involved in the management of gambling addicts, which also causing gambling problems go undetected in mental health settings. Conclusion ： Most of the psychiatrists had little awareness of gambling addiction, almost none of them had received any teaching/training. Nether few of psychiatrists had experience and nor they have ability in diagnosing and treatment of gambling problems.

关 键 词：赌博成瘾 病理性赌博 精神科医生 调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学]