지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.12
- 수록면
- 324 - 339 (16page)
이용수
초록· 키워드
오류제보하기
Objectives：The rate of participating to gambling even in old age is rapidly increasing. However, there are few studies on the gambling effect to health. The pathological gambling can be related to job loss, bankrupcy, arrest, divorce, mental health problem, general health abnormality. Therefore, the aims of this study were to compare gambling behaviors among Korean elderly and adults, to know the rate of pathological gambling and to determine cutoff point, and to provide data to develop a brief pathological gambling screening test specific to the Korean elderly by comparing items of the rating instrument of pathological gambling.
Methods：The subjects who were volunteers without history of neuropsychiatric illnesses living in Busan were randomly selected among elderly males within age 60 to 85(N=105) and adult males within age 30 to 49(N=100). The structured interviews and assessments using various rating instruments which required about 40 minutes were performed by three psychiatric residents with the aid of 3-4th grade medical students who were totally blind about subjects. The demographic data(age, sex, education, occupation, religion, marriage, living style, income, etc), physical illness(stroke, metabolic disorder, degenerative arthritis, cancer, etc), pathological gambling(the Korean Version of the South Oaks Gambling Screen, the SOGS-K), gambling history(initiating age, duration, stakes, frequency, companion, etc) were included.
Results：1) On comparing of gambling behavior in the Korean elderly males to those in adult males, there were statistically significant difference in the duration, stakes, motivation and types of gambling(p＜0.001, respectively). Otherwise, there were no statistically significant difference in frequency, companion, parental gambling problem and initiating age of gambling. 2) Using cutoff score 5 as in USA, the rate of pathological gambling in elderly(41.0%) was significantly higher than those in adults(24.0%)(p＜0.05). However, applying cutoff score tentatively determined by the mean±S.D., there were no statistically significant difference between elderly(cutoff score 7, 12.4%) and adults(cutoff score 6, 21.0%). 3) There were significant difference between normal and pathological gambling subgroups of elderly in severity of gambling(p＜0.05), living alone(p＜0.05), housing(p＜0.005), monthly income(p＜0.05), smoking(p＜0.05) and motivation of gambling(p＜0.05). There were significant difference between normal and pathological gambling subgroups of adults in education(p＜0.001), religion(p＜0.05), physical illness (p＜0.005), initiation age of gambling (p＜0.05), frequency of gambling(p＜0.005), stakes(p＜0.05) and total money spending in gambling per month(p＜0.005). 4) In five items including item number 7(p＜0.005), 9(p＜0.005), 10(p＜0.05), 11(p＜0.001) and 14(p＜0.05) among the countable items of the SOGS-K(item number 4-11, 13-15, and 16a-16i), there were significant difference between adults and elderly, which might be used to make the brief form of the SOGS-K.
Conclusions：The gambling behavior of Korean elderly seems to be intimately related to the lack of recreational resources and mental health problems. Therefore, we expect our results can be reflected to the welfare policy for the Korean elderly to provide social and medical services, developing brief pathological gambling screening test to detect gambling problems earlier among Korean elderly.
Methods：The subjects who were volunteers without history of neuropsychiatric illnesses living in Busan were randomly selected among elderly males within age 60 to 85(N=105) and adult males within age 30 to 49(N=100). The structured interviews and assessments using various rating instruments which required about 40 minutes were performed by three psychiatric residents with the aid of 3-4th grade medical students who were totally blind about subjects. The demographic data(age, sex, education, occupation, religion, marriage, living style, income, etc), physical illness(stroke, metabolic disorder, degenerative arthritis, cancer, etc), pathological gambling(the Korean Version of the South Oaks Gambling Screen, the SOGS-K), gambling history(initiating age, duration, stakes, frequency, companion, etc) were included.
Results：1) On comparing of gambling behavior in the Korean elderly males to those in adult males, there were statistically significant difference in the duration, stakes, motivation and types of gambling(p＜0.001, respectively). Otherwise, there were no statistically significant difference in frequency, companion, parental gambling problem and initiating age of gambling. 2) Using cutoff score 5 as in USA, the rate of pathological gambling in elderly(41.0%) was significantly higher than those in adults(24.0%)(p＜0.05). However, applying cutoff score tentatively determined by the mean±S.D., there were no statistically significant difference between elderly(cutoff score 7, 12.4%) and adults(cutoff score 6, 21.0%). 3) There were significant difference between normal and pathological gambling subgroups of elderly in severity of gambling(p＜0.05), living alone(p＜0.05), housing(p＜0.005), monthly income(p＜0.05), smoking(p＜0.05) and motivation of gambling(p＜0.05). There were significant difference between normal and pathological gambling subgroups of adults in education(p＜0.001), religion(p＜0.05), physical illness (p＜0.005), initiation age of gambling (p＜0.05), frequency of gambling(p＜0.005), stakes(p＜0.05) and total money spending in gambling per month(p＜0.005). 4) In five items including item number 7(p＜0.005), 9(p＜0.005), 10(p＜0.05), 11(p＜0.001) and 14(p＜0.05) among the countable items of the SOGS-K(item number 4-11, 13-15, and 16a-16i), there were significant difference between adults and elderly, which might be used to make the brief form of the SOGS-K.
Conclusions：The gambling behavior of Korean elderly seems to be intimately related to the lack of recreational resources and mental health problems. Therefore, we expect our results can be reflected to the welfare policy for the Korean elderly to provide social and medical services, developing brief pathological gambling screening test to detect gambling problems earlier among Korean elderly.
목차
서론
대상 및 방법
결과
고찰
결론
참고문헌
부록
참고문헌 (32)
참고문헌 신청
1. [학술지(정기간행물)] - Christensen MH / 2004 / Gambling behaviors in black older adults: perceived effects on health 30 : 34 ~ 39
2. [학술지(정기간행물)] - Desai RA / 2004 / Health correlates of recreational gambling in older adults 161 : 1672 ~ 1679
3. [학술지(정기간행물)] - Lesieur HR / / : a new instrument for the identification of pathological gamblers. Am J Psychiat 1987
4. [학술지(정기간행물)] - Vanderbilt J / 2004 / Gambling participation and social support among older adults: a longitudinal comunity study 20 : 373 ~ 390
5. [학술지(정기간행물)] - Erickson L / 2005 / Problem and pathological gambling are associated with poorer mental and physical health in older adults 20 : 754 ~ 759
2. [학술지(정기간행물)] - Desai RA / 2004 / Health correlates of recreational gambling in older adults 161 : 1672 ~ 1679
3. [학술지(정기간행물)] - Lesieur HR / / : a new instrument for the identification of pathological gamblers. Am J Psychiat 1987
4. [학술지(정기간행물)] - Vanderbilt J / 2004 / Gambling participation and social support among older adults: a longitudinal comunity study 20 : 373 ~ 390
5. [학술지(정기간행물)] - Erickson L / 2005 / Problem and pathological gambling are associated with poorer mental and physical health in older adults 20 : 754 ~ 759
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UCI(KEPA) : I410-ECN-0101-2009-513-014792322