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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Substance abuse,Iran,Questionnaire,Gambling,Screening
- چکیده:
- چکیده انگلیسی: Background: Gambling disorder (GD) and substance use disorder (SUD) have mutual impact and each could
aggravate the effects of the other. This is the first study on GD among Iranian substance users to develop and
validate a GD Screening Questionnaire-Persian (GDSQ-P).
Methods: Iranian male adults (n = 503) with SUDs were recruited via clustered sampling. Problem gambling
screening instruments and Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5)
criteria for GD were used to develop the tool which was sequentially assessed for face validity, content
validity index (CVI), content validity ratio (CVR), and reliability (Kuder-Richardson coefficient). To establish
construct validity, interviews based on DSM-5 as a gold standard method were used. A receiver operating
characteristic (ROC) curve was conducted to determine sensitivity and specificity.
Findings: After removing items with low CVI values, 27 final items remained in GDSQ-P with impact score
greater than 1.5. Card games (33.8%), dice gambling methods (26.6%), betting on sports teams and players
(24.1%), and betting on horseback, rooster, pigeon, dog, or other animals (16.7%) were common gambling
methods among participants. Overall Kuder-Richardson coefficient was 0.95. Cut-off threshold for GDSQ-P
was calculated as 4.5 with 98.9% sensitivity and 98.3% specificity. The interviewers confirmed GD for
participants based on DSM-5 as the gold standard. The prevalence of GD among participants was 17.9%
based on GDSQ-P and 19.1% based on DSM-5 criteria.
Conclusion: GDSQ-P is a valid and reliable tool to screen for GD in SUD treatment centers and probably in
the general population.
- انتشار مقاله: 15-04-1398
- نویسندگان: Masoomeh Maarefvand,Maral Mardaneh-Jobehdar,Maziyar Ghiabi,Hossein Rafimanesh,Ayoub Mohammadi,Zohreh Morshedi,Milad Ajami,Jagdish Khubchandani,Samaneh Hosseinzadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Harm reduction,Substance use disorders
- چکیده:
- چکیده انگلیسی: Background: There are different street substance users' communities (SSUCs). Typology of SSUCs in Tehran, Iran was approached in this qualitative study.Methods: Using content analysis and saturation principles, 22 street-outreach workers were recruited and interviewed. Data were analyzed using open, axial, and selective coding.Findings: Three types of SSUCs were identified. SSUCs were different in geographic location, the community hierarchy, roles of residents and its function during a 24-hour period. Type 1: surrounded naturally by trees, mountains etc. or located in places like canals that make them not simply reachable, a nonresident smuggler (or a small group of smugglers) has the most power in its hierarchy, works 24 hours with at least two shifts, structured with special roles (nonresident smuggler, the Balancer, sex-worker, seller, armed guard, resident substance users and nonresident costumers). Type 2: mostly located in the city gardens, several nonresident smugglers with limited power, works 16 hours or less in a day, semi-structured with roles of nonresident drug dealer, sex-worker, resident substance users and nonresident costumers. Type 3: houses that their landlords are the resident drug dealers and let the costumers to use drug in the house. The substance users have to leave the house after using drug. The house is open less than 24 hours a day.Conclusion: Strategies for delivering harm reduction services in different types of SSUCs should be modified according to characteristics of these communities.
- انتشار مقاله: 13-04-1396
- نویسندگان: Masoomeh Maarefvand,Mohammad Sadegh Shirazi,Raha Peyravi,Ali Farhoudian
- مشاهده