Scholarlink

<p><b>Objective.</b> To determine the main clinical, psychopathological, and psychometric parameters of pathological gambling (PG) and internet addictions (IA) in adolescent patients with non-psychotic disorders. <b>Materials and methods.</b> A total of 93 patients with IA and/or PG were examined during the period 2020–2024. Patients’ mean age at the time of initial assessment was 21.5 ± 3.2 years. Clinical, psychopathological, and psychometric methods were used, along with retrospective analysis. <b>Results.</b> Patients were divided into three groups defined by types of non-chemical addictions: Group 1 (<i>n</i> = 21, 22.6%), with a predominance of PG, was distinguished by a marked hereditary burden of behavioral and chemical addictions among first- and second-degree relatives. These patients were found to have a significant prevalence of affective disorders (71.43%) with high levels of suicidal activity (38.10%), as well as the greatest level of pathological impulsivity according to the Barratt scale – 96 (94.00–99.00) points. The second group (<i>n</i> = 43, 46.2%), with IA, was characterized by a predominance of neurotic disorders of the anxious and obsessive-compulsive types (72.09%) and eating disorders (20.93%). The mixed, third, group (<i>n</i> = 29, 31.2%) was characterized by the latest onset of addictive activity and was socially maladaptive, with addition of chemical dependencies (62.07%), the highest prevalence of affective pathology (86.21%), and a high incidence of non-suicidal self-injury (68.97%). <b>Conclusions.</b> A relationship was found between variants of non-chemical addiction and comorbid affective and neurotic disorders and autoaggressive and suicidal behavior. Prognostic markers significant for determining the further trajectory for each of the groups were identified; the most severe course, indicating a more unfavorable prognosis, was found in the mixed group. The elevated and pathological level of impulsivity found here dictates the need for further study of this phenomenon and the development of preventive and therapeutic targets.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Comparative Clinical and Psychometric Parameters of Pathological Gambling and Internet Addictions in Young Patients with Mental Disorders

  • 期刊论文

  • 发表日期：

    2026年3月16日

查看全文
  • E. S. Krylova,
  • A. A. Kuleshov,
  • V. G. Kaleda

摘要

Objective. To determine the main clinical, psychopathological, and psychometric parameters of pathological gambling (PG) and internet addictions (IA) in adolescent patients with non-psychotic disorders. Materials and methods. A total of 93 patients with IA and/or PG were examined during the period 2020–2024. Patients’ mean age at the time of initial assessment was 21.5 ± 3.2 years. Clinical, psychopathological, and psychometric methods were used, along with retrospective analysis. Results. Patients were divided into three groups defined by types of non-chemical addictions: Group 1 (n = 21, 22.6%), with a predominance of PG, was distinguished by a marked hereditary burden of behavioral and chemical addictions among first- and second-degree relatives. These patients were found to have a significant prevalence of affective disorders (71.43%) with high levels of suicidal activity (38.10%), as well as the greatest level of pathological impulsivity according to the Barratt scale – 96 (94.00–99.00) points. The second group (n = 43, 46.2%), with IA, was characterized by a predominance of neurotic disorders of the anxious and obsessive-compulsive types (72.09%) and eating disorders (20.93%). The mixed, third, group (n = 29, 31.2%) was characterized by the latest onset of addictive activity and was socially maladaptive, with addition of chemical dependencies (62.07%), the highest prevalence of affective pathology (86.21%), and a high incidence of non-suicidal self-injury (68.97%). Conclusions. A relationship was found between variants of non-chemical addiction and comorbid affective and neurotic disorders and autoaggressive and suicidal behavior. Prognostic markers significant for determining the further trajectory for each of the groups were identified; the most severe course, indicating a more unfavorable prognosis, was found in the mixed group. The elevated and pathological level of impulsivity found here dictates the need for further study of this phenomenon and the development of preventive and therapeutic targets.