Seeking Treatment for Gambling - a 10-year Retrospective Clinical and Register Study of Gambling Patterns and Physical and Psychiatric Comorbidity in Patients With Gambling Disorder
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- Region Skane
- 入组人数
- 1,200
- 试验地点
- 1
- 主要终点
- Longitudinal change in clinical picture.
研究概览
简要总结
Retrospective chart review and register study of all patients who sought treatment at Region Skåne gambling disorder treatment unit, from December, 2015, through November, 2025. Patients' problematic gambling patterns, gambling self-exclusion behaviour and existing comorbidities and medications, are studied in association with routes of referral, prior treatment contacts and diagnoses for mental and physical disorders in primary care and specialist care.
详细描述
For all patients seeking treatment during the full 10-year history of the facility (December, 2015-November, 2025), the following variables are gathered and described and studied with respect to associations with one another:
- Age
- Legal gender
- Tobacco use and alcohol problems requiring treatment
- Problematic gambling type(s), such as sports betting, online casino, horse race betting, land-based electronic gambling machines, bingo, and gambling within videogames.
- History of voluntary self-exclusion from gambling on the Swedish nationwide system for self-exclusion from licensed gambling operators (the so-called 'Spelpaus' system)
- Living conditions (housing) and socio-economic conditions (over-indebtedness, history of enforcement agency contacts, granted debt settlement)
- Current employment status (unemployed, degree of employment)
- Co-morbid psychiatric and physical disorders
- Prescribed medications
- Emergency hospital visits for mental health disorders (at psychiatric emergency units)
- In-patient psychiatric treatment episodes (including duration of hospitalisations)
- Routes of referral to the gambling disorder treatment unit (self-referral, primary care, occupational health care, psychiatric units, social services, health care unit for physical disease, or other units)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients seeking treatment at the Gambling disorder treatment unit of Region Skåne, Malmö, Sweden, Dec, 2015-Nov, 2025
排除标准
- •Treatment occasions considered, after chart review, to not have detected any need for problem gambling assessment or intervention.
结局指标
主要结局
Longitudinal change in clinical picture.
时间窗: Full observational period (10 years).
Longitudinal change in clinical picture with respect to gambling pattern, self-exclusion behavior, physical and psychiatric comorbidity, routes of treatment seeking, and need for emergency/in-patient care.
次要结局
未报告次要终点
研究者
Anders C Håkansson
Professor, consultant physician
Region Skane