Charalampos PAPAGEORGİOU, Helen LAZARATOU, Marina ECONOMOU, Melpomeni MALLİORİ, Dimitris ANAGNOSTOPOULOS, Assimina PALEOLOGOU, George PAPADİMİTRİOU

Yunanlı ergenlerde patolojik kumar oynama ve eş zamanlı duygusal/davranışsal sorunlar

Amaç: Ergenlerde patolojik kumar oynama önemli bir sağlık sorununu oluşturmaktadır. Çok az sayıda çalışma ergenlikte kumar oynama ile duygusal/davranışsal sorunlar arasındaki ilişkiyi araştırmıştır. Bu çalışmanın amacı, büyük Atina bölgesinde yapılan bir okul araştırmasının verilerini kullanarak ergenlikte patolojik kumar oynama ile duygusal/davranışsal sorunlar arasındaki ilişkiyi incelemekti. Gereç ve Yöntemler: Toplam örneklem, büyük Atina bölgesinde bulunan ve rastgele seçilen temsili bir grup özel ve devlet okuluna devam eden 2 159 lise öğrencisinden (%45,4 erkek ve %54,6 kız) oluşmaktaydı. Veriler, bir okul saati içinde doldurulan öz bildirim anketleri kullanılarak toplanmıştır. Patolojik kumar oynama verilerine erişim için çalışma grubuna Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı-IV Gençler için Adapte Edilmiş Çoklu Yanıt anketi uygulandı. Duygusal/davranışsal sorunların varlığı Güçler ve Güçlükler anketi ile değerlendirildi. İki bin yüz kırk bir katılımcının bütün verileri incelendi. Tamamlanmamış veriler bulunan on sekiz anket çalışma dışında bırakıldı. Bulgular: Ergenlikte patolojik kumar oynayanlarda duygusal/davranışsal sorunlar saptandı. Bütün Güçler ve Güçlükler anketi alt ölçekleri patolojik kumar oynama ile anlamlı derecede ilişkili bulundu. Özellikle, duygusal belirtiler, davranış bozuklukları, dikkat/hiperaktivite ve sosyal işlev bozukluğu, ergenlikte patolojik kumar oynama ile anlamlı derecede ve bağımsız olarak ilişkili bulundu. Patolojik kumar oynayanlarda prososyal ölçek puanları daha düşük bulundu. Çıkarımlar: Bu makale ergenlikte patolojik kumar oynama ile diğer belirtilerin birlikteliğini aydınlatmayı ve tartışmayı hedeflemiştir. Patolojik kumar oynama bozukluğu olan ergenlerde duygusal/davranışsal sorunların anlamlı şekilde eş zamanlı olarak bulunması, bu ergenlerde bu belirtilerin taranması ve daha sonra bunların tedavi edilmesi gereksinimini göstermektedir.

Problem gambling and concurrent emotional/ behavioral problems among Greek adolescents

Aim: Problem gambling in adolescents constitutes a major health problem. Very few studies have investigated the relationship of adolescent gambling with emotional/behavioral problems. The aim of this study was to examine the association between adolescent problem gambling and emotional/behavioral problems using data from a school survey in the greater Athens area. Material and Methods: The total sample consisted of 2159 high school students (45.4% males and 54.6% females) from a random and representative sample of public and private schools in the greater Athens area. Data were collected in the form of self-reported questionnaires during one school hour. To access problem gambling the Diagnostic and Statistical Manual of Mental Disorders-IV Multiple Response Adapted for Juveniles questionnaire was administered to the study population. The presence of emotional/behavioral problems was assessed via the Strengths and Difficulties Questionnaire. Full data from 2141 participants were analyzed. Eighteen questionnaire with incomplete data were excluded. Results: Problem gambling in adolescence is in line with the presence of emotional/behavioral problems. All Strengths and Difficulties Questionnaire subscales were significantly associated with problem gambling. Specifically, emotional symptoms, conduct problems, attention/hyperactivity, and social dysfunction were all significantly and independently associated with adolescent pathologic gambling. The prosocial scale had lower scores in problem gamblers. Conclusion: This article aims to highlight and discuss the coexistence of adolescent problem gambling with other symptoms. The significant association of emotional/behavioral problems among adolescents with problem gambling indicates a need to screen for these symptoms and for their subsequent treatment among adolescents with problem gambling.

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