약 10주간의 입원 치료 프로그램을 완수한 병적 도박 환자들의 임상적 특징 : 치료 후의 우울, 불안 상태 변화

The Clinical Characteristics of Pathological Gamblers Who Completed about 10 Weeks’ Admission Treatment Programs : The Change of Depression and Anxiety after Treatment

ObjectivesZZThe purpose of this study is investigate the clinical characteristics and the change of depression and anxiety in pathological gamblers who completed 10-week admission treatment programs. MethodsZZTo investigate the clinical characteristics, we included 40 pathological gamblers who completed admission treatment programs from Jan 2006 to Jun 2010. To measure the change through treatment, we included 16 patients who completed pre-treatment and post-treatment assessment scales, including the Korean-National Opinion Research Center DSM-IV Screen for Gambling Problems (K-NODS), Beck’s Depression Inventory (BDI), and the State-trait Anxiety Inventory (STAI), from May 2008 to Aug 2008. ResultsZZMean age of the patients was 42.9±9.0 years and mean intelligent quotient was 109.7± 10.4. Thirty (75%) patients showed comorbid disorders, including depression (14 patients, 35%), anxiety disorder (five patients, 12.5%), alcohol use disorder (five patients, 12.5%), and personality disorder (four patients, 10%). After treatment, K-NODS, BDI, STAI-I, and STAI-II scores showed improvement, from 9.1±1.5 to 7.6±2.7, from 23.5±5.8 to 11.1±3.2, from 52.6±10.3 to 41.9±7.1, and from 53.7±10.6 to 46.0±4.4, respectively. ConclusionZZIn treatment of pathological gambling, comorbid psychiatric risk factors, such as depression and anxiety should be considered. J Korean Neuropsychiatr Assoc 2012;51:395-401