Avtor/Urednik		Jeriček, Helena; Čebašek-Travnik, Zdenka; Dernovšek, Mojca-Zvezdana
Naslov		Patološko hazardiranje na Slovenskem: anketiranje psihiatrov
Prevedeni naslov		The Slovenian psychiatrists' opinion on pathological gambling in their patients - a survey
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 44, št. 3
Leto izdaje		2005
Obseg		str. 127-33
Jezik		slo
Abstrakt		Background: Pathological gambling does not belong to substance dependence disorders according to modern medical classification (F63.0), it is treated in a similar clinical setting due to numerous similarities in behavioural changes. The survey is the first of this kind in Slovenia, aims to find out how often persons with the pathological gambling disorder visit psychiatrists do and how they present their problems, and also what is the psychiatrists' opinion on this problem. Methods: The questionnaire was sent to all 220 psychiatrists registered in Slovenia. 52 of them responded. Results: Most of the psychiatrists (22) mentioned that the number of patients with the pathological gambling disorder has increased in recent years. Most common cases include addiction to slot machines (43%), card games (13%) and roulette (11%). The consequences of pathological gambling that psychiatrists encountered included various mental disorders: acute stress disorder (17%), suicidal behaviour (12%), anxious depression (12%) and depressive episodes (12%). Pathological gambling is not usually the primary diagnosis. More often it is proposed only as secondary or even tertiary diagnosis. The psychiatrists also offered help to the relatives of persons with the pathological gambling disorder. Most of the psychiatrists (30) agree that Slovenia needs a special programme for treatment for the compulsive gambling disorder, but more then half of them (29) do not wish to participate in such a programme. Most of the psychiatrists (37) also believe that relatives and other potential victims of pathological gamblers ought to be specially protected. Conclusions: The results of the inquiry show that more and more persons with the pathological gambling are contacting psychiatrists. We conclude that further inquiries would be needed. On the ground of these inquiries we could form directions for prevention and treatment in this field.
Izvleček		Uvod: Čeprav patološko hazardiranje po medicinski klasifikaciji ne spada med bolezni odvisnosti (F63.0), ga zaradi številnih vedenjskih podobnosti vendarle zdravimo na podoben način. Z raziskavo, ki je prva tovrstna študija v Sloveniji, so avtorji želeli ugotoviti, kako pogosto in na kakšen način osebe, ki imajo težave zaradi iger na srečo, prihajajo k psihiatru, in kaj psihiatri menijo o tem. Metode: Anketni vprašalnik je bil poslan na naslove vseh 220 v Sloveniji registriranih psihiatrov. Odgovorilo jih je 52. Rezultati: Večina (22 od 49) respondentov meni, da je število oseb, ki iščejo pomoč zaradi patološkega hazardiranja, v zadnjih letih naraslo. Psihiatri so se največkrat srečali z odvisnostjo od igralnih naprav (43%), iger s kartami (13%) in s kroglico (11 %). Zaradi iger na srečo so se psihiatri srečevali z najrazličnejšimi duševnimi motnjami, največkratz akutno stresno motnjo (17%), samomorilnim vedenjem (12%), anksioznim depresivnim stanjem (12%) in depresivnimi epizodami (12%). Diagnozo patološko hazardiranje so manjkrat uporabili kot prvo diagnozo, večkrat kot drugo ali tretjo. Psihiatri so pomoč nudili tudi svojcem oseb, pri katerih se je pojavilo patološko hazardiranje. Večina anketiranih psihiatrov (30) meni, da bi v Sloveniji potrebovali poseben program za zdravljenje patološkega hazardiranja, vendar pa več kot polovica (29) pri izvajanju takega programa ni pripravljena sodelovati. Večina anketiranih psihiatrov tudi (37) meni, da bi morali biti svojci ali druge možne žrtve patološkega hazarderja posebej zaščiteni. Sklepi: Z raziskavo smo ugotovili, da se pri psihiatrih oglaša vedno več oseb z diagnozo patološko hazardiranje. Potrebne bi bile še nadaljnje raziskave in izdelava usmeritev za preventivno in kurativno delo na tem področju.
Deskriptorji		GAMBLING PSYCHOTHERAPY QUESTIONNAIRES