Psychological and behavioral characteristics of gambling disorder and related health service system
10.3969/j.issn.1006-9771.2024.10.007
- VernacularTitle:赌博障碍的心理行为特征与健康相关服务体系
- Author:
Zheng GAN
1
;
Lian LIU
Author Information
1. 苏州大学体育学院,江苏 苏州市 215021
- Keywords:
gambling disorder;
psychological behavior characteristics;
health-related services
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(10):1172-1178
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the psychological and behavioral manifestations of gambling disorder and its implications for health services. Methods International Classification of Diseases,11th Revision(ICD-11)and International Classification of Function-ing,Disability and Health(ICF)were employed to analyze the psychological,behavioral and functional impacts of gambling disorder.World Health Organization(WHO)mental health policy documents and gambling disorder-related health services were systematically reviewed,encompassing Comprehensive Mental Health Action Plan 2013-2030,mhGAP Intervention Guide 2.0,UN Mental Health and Human Rights Action Plan and Sustainable Development Goals(SDGs).A health service system tailored for gambling disorder was constructed,drawing up-on the WHO Rehabilitation in Health Systems framework. Results Gambling disorders primarily characterized with impaired control,escalating bets(tolerance),repeated unsuc-cessful attempts to quit,gambling as an escape mechanism,and the persistent detrimental effects of gambling on personal,familial and social functioning.Individuals with gambling disorder impaired in attention,decision-mak-ing and emotional regulation,leading to poor work performance and social relationship.Environmental factors were very important that family and social support systems fostered recovery,while gambling environments,so-cioeconomic pressures and other adverse factors exacerbated addiction.The WHO health service for gambling disorder included prevention,intervention,treatment,rehabilitation and health promotion.The health service sys-tem included six building blocks:leadership and governance,financing,mental health workforce development,service delivery,medical products and technologies,and health information systems. Conclusion Gambling disorder may impair attention,decision-making and emotional function,and diminish work pro-ductivity and social relationship.Environmental factors play a pivotal role.Health-related services for gambling disorder should encompass prevention,treatment,rehabilitation and health promotion,necessitating a comprehen-sive health service system addressing leadership and governance,financing,workforce,service delivery,medical products and technologies,and health information systems.
