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KMID : 0605720080140010077
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Journal of the Korean Society of Biological Therapies in Psychiatry
2008 Volume.14 No. 1 p.77 ~ p.84
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Factors Influencing on Gambling in Korean Male Elders
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Park Ji-Yong
Oh Byoung-Hoon
Cheon Jin-Sook
Kwon Myong-Hwon
Park Sin-Hyung
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Abstract
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Objectives : Although pathological gambling pertains to the impulse control disorder according to the DSM-Ⅳ, it can be comorbid with various psychiatric disorders including personality disorders(antisocial, narcissistic, borderline). Alcohol and other substance related disorders, suicide, obsessive compulsive disorder, anxiety disorder, attention deficit hyperactivity disorder, mood disorder were reported to be related. Therefore, the aim of this study was to identify influencing or risk factors on the gambling behavior among Korean elderly males.
Methods : Structured interviews and assessments using various rating instruments to measure cognitive dis-order (the SPMSQ-K), depression(the K-BDI and the HRSD), alcoholism(the Brief MAST-K), pathological gambling (the Korean Version of the South Oaks Gambling Screen, the SOGS-K) were performed for the elderly males with age over 60 who were living in Busan (N=105).
Results : 1) There were significant difference between normal and pathological gambling subgroups of elderly in alcoholism(p＜0.05), 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). 2) The gambling behavior in the elderly had statistically significant positive correlation with age, alcoholism, depression, cognitive function, education and physical illness (p＜0.01, respectively), while had statistically significant negative correlation with monthly income(p＜0.01). 3) Especially, the more aged group had about 4 times higher risk and more depressed group had about 19 times higher risk for the pathological gambling.
Conclusion : The gambling behavior of Korean elderly seems to be intimately related to the psychosocial factors as well as mental health problems. Most of all, early detection and active treatment of geriatric depression seems to be important.
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KEYWORD
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Korean elderly, Gambling behavior, Pathological gambling, Alcoholism, Depression
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