병적 도박의 유형별 특징 : 1년 추적 조사

Subtypes and Characteristics of Pathological Gambling : One-Year Follow-Up

Objectives ： This study evaluated the characteristics and prognoses of pathological gamblers in accord with the three subtypes of the Pathways Model. Methods ： Subjects were inpatients with pathological gambling (N=30). We obtained these subjects’ demographic data, evaluated them using a neuropsychological battery, and investigated their prognoses at their third, sixth, and twelfth months after discharge. Results ： The ‘Emotionally vulnerable problem gamblers (EV)’ and ‘antisocial, impulsive prob-lem gamblers (AI)’ subtypes had significantly more depressive illnesses than the ‘behaviorally conditioned problem gamblers (BC)’ subtype had. Moreover, the AI subtype had significantly higher relapse rates at the third, sixth, and twelfth months than either the BC or EV subtypes had. Conclusion : These results suggest the differing Pathway Model subtypes in pathological gambling have different etiologies, progressions, and prognoses, and that problem gamblers of the AI subtype have a high relapse rate. Furthermore, this suggests the Pathway Model of pathological gambling could be useful in the understanding and treatment of pathological gambling.