한국사회복지학 (Korean Journal of Social Welfare)

한국사회복지학회 (Korean Academy of Social Welfare)
권호 표지

음주문제는 도박문제를 예측하는가? - 물질중독과 행위중독의 관계 분석 -

Do Drinking Problems Predict Gambling Problems? -The Association between Substance Abuse and Behavioral Addiction-

  • 투고 : 2015.12.04
  • 심사 : 2016.01.13
  • 발행 : 2016.05.31
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⟨ 이전 논문 다음 논문 ⟩

초록

알코올, 약물과 같은 물질중독(substance abuse)과 도박 등의 행위중독(behavioral addiction)은 공통의 속성을 가지며, 동일한 기전에 의해 발생하며, 실제로 동시발생(co-occurrence)률이 높은 것으로 보고된다. 최근 대학생 집단에서도 음주 및 도박행동이 동시에 나타나며 이로 인해 다중 중독의 문제 및 부정적 결과가 초래되고 있다. 이 연구는 선행연구에서 문제도박 발생의 예측요인으로 제시되는 음주행동에 주목하고, 이에 기반하여 연구모형을 구성하여, 전국에서 표집 한 455명의 대학생을 대상으로 그 관계를 실증적으로 검증해 보는 것을 목적으로 하였다. 로지스틱 회귀분석 결과, 문제도박에 영향을 미칠 수 있는 인구사회학적 및 가족 변인을 통제한 모델에서 음주문제는 도박문제 발생을 예측하는 유의미한 변인으로 나타났다. 결론에서는 주요 연구결과를 중심으로 사회복지 실천현장, 정책수립 과정, 향후 중독분야 연구에서 활용할 수 있는 이 논문의 함의를 논의하였다.

Despite previous literatures suggesting the co-occurrence of substance abuse and behavioral addiction, their relationship has not been systematically explored. Especially, college students are a high risk group for alcohol use and gambling activities and they have various psychosocial problems due to addictive behaviors. This study aimed to empirically examine that drinking problems predict gambling problems among college students. A total of 455 college students who experienced drinking and gambling completed a survey. Logistic regression analysis were performed. After adjusting for demographics and family related variables, drinking problems predicted the occurrence of problem gambling. Implications for social work practice, policy planning and research area on addiction are discussed.

키워드

참고문헌

  1. 권복순.김영호, 2011, "한국 대학생의 도박참여 실태와 도박중독 유병률 조사", 정신보건과 사회사업, 38: 5-28.
  2. 김정은, 2013, "대학생 문제도박의 주요 영향요인: 건강위험행동과 가족건강성을 중심으로", 고신대학교 석사학위논문.
  3. 대학신문, 2014, "한국 대학생 불법 스포츠도박 유혹에 무방비", 2014년 8월 13일.
  4. 사행산업감독위원회, 2010, 대학생 대상 도박중독 예방프로그램 개발 및 실행.
  5. 사행산업감독위원회, 2013, 사행산업 시행기관 건전화 평가편람 개선연구.
  6. 사행산업감독위원회, 2014, 2014년 사행산업이용실태조사.
  7. 성준모.김정진, 2014, "사행산업장외발매소 이용자의 도박중독에 영향을 미치는 위험요인과 보호요인", 보건사회연구, 34(3): 135-164.
  8. 신성만, 2014, "중독관리법의 이해와 고찰", 도박문제포럼, 한국도박문제관리센터. 서울, 2월 26일.
  9. 양정남.최은정.김화선, 2011, "일반성인의 문제성도박에 영향을 미치는 요인에 관한 연구", 정신보건과 사회사업, 39: 185-213.
  10. 연합뉴스, 2012, "등록금에 인생마저 탕진, 대학생 10% 도박중독".
  11. 연합뉴스, 2015, "도박자금 마련하려고 중고물품거래 사기 대학생 구속".
  12. 유채영, 2012, "대학생 문제도박의 영향요인에 대한 탐색 연구", 사회과학연구, 23(1): 47-68.
  13. 유채영.김은혜, 2014, "문제도박 경로에 대한 탐색연구: 사회적 역기능과 문제음주를 중심으로", 사회과학연구, 25(4): 317-341.
  14. 이해국.이보혜, 2013, "4대 중독 원인 및 중독 예방 정책", 보건복지포럼, 6: 30-42.
  15. 인하대학신문, 2014, "베팅 전공 삼은 대학생, 대학가에 번진 도박중독", 2014년 3월 16일.
  16. 임성범, 2013, "대학생의 도박중독 요인에 관한 연구: 도박동기, 자기효능감, 자기조절의 매개효과를 중심으로", 보건사회연구, 33(2): 489-524.
  17. 장동석.남장현, 2011, "대학생 성인도박 실태 및 도박의사와 도박심각도 영향 요인에 관한 연구", 동북아관광연구, 7(4): 187-208.
  18. 장수미, 2013, "대학생의 문제도박 발달경로 구조분석: Jacob의 중독의 일반이론 적용", 한국사회복지학, 65(2): 231-254.
  19. 조선일보, 2013, "프로게이머와 게임중독자의 차이는?", 2013년 9월 3일.
  20. 한국마사회, 2009, 전 국민 대상 대규모 도박이용실태조사.
  21. 한국음주문화연구센터, 2011, 대학생과 성인의 음주행태 비교 연구.
  22. Adler, N., and Goleman, D., 1969, "Gambling and alcoholism: Symtom substitution and functional equivalents, Quarterly Journal of Studies on Alcohol, 30: 733-736.
  23. American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders(5th ed.), Washington, DC: American Psychiatric Association.
  24. Barbor, T., Higgins-Biddle, J., Saunders, J., and Monterio, M., 2001, The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care, 2nd ed. World Health Organization.
  25. Barnes, G., Welte, J., Hoffman, J., and Dontcheff, B., 1999. "Gambling and alcohol use among youth: Influences of demographic, socialization, and individual factors", Addictive Behaviors, 24(6): 749-767. https://doi.org/10.1016/S0306-4603(99)00048-9
  26. Barnes, G., Welte, J., Hoffamn, J., and Dontcheff, B, 2005, "Shared predictors of youthful gambling, substance use, and delinquency", Psychology of Addictive Behaviors, 19: 165-174. https://doi.org/10.1037/0893-164X.19.2.165
  27. Barnes, G., Welte, J., Hoffman, J., and Tidwell, M., 2010, "Comparison of gambling and alcohol use among college students and noncollege young people in the United States", Journal of American College Health, 58(2): 443-452. https://doi.org/10.1080/07448480903540499
  28. Baron, E., and Dickerson, M., 1999, "Alcohol consumption and control of gambling behaviour", Journal of Gambling Studies, 15(1): 3-15. https://doi.org/10.1023/A:1023057027992
  29. Bechara, A., 2003, "Risky business: Emotion, decision-making, and addiction", Journal of Gambling Studies, 19: 23-51. https://doi.org/10.1023/A:1021223113233
  30. Bhullar, N., Simon, L., Khushbu, J., and Amoroso, K., 2012, "The relationship among drinking games, binge drinking and gambling activities in college students', Journal of Alcohol and Drug Education, 56(2): 58-84.
  31. Blankenship, J., Starling, R., Woodall, W., and May, P., 2007, "Gambling and alcohol use; Trends in the states of New Maxico from 1996-1998, Journal of Gambling Studies, 23: 157-174. https://doi.org/10.1007/s10899-006-9051-3
  32. Bondolfi, G., Osiek, C., and Ferrero, F., 2000, "Prevalence estimates of pathological gambling in Switzerland", Acta Psychiatrica Scandinavica, 101: 473-475. https://doi.org/10.1034/j.1600-0447.2000.101006473.x
  33. Breen, H., 2012, "Risk and Protective Factors Associated with Gambling Consequences for Indigenous Australians in North Queensland", International Journal of Mental Health and Addiction, 10: 258-272. https://doi.org/10.1007/s11469-011-9315-8
  34. Breslin, F., Sobell, M., Cappell, H., et al., 1999, "The effects of alcohol, gender, and sensation seeking on the gambling choices of social drinker", Psychology of Addictive Behaviors, 13: 243-252. https://doi.org/10.1037/0893-164X.13.3.243
  35. Briggs, J., Goodin, B., and Nelson, T., 1996, "Pathological gamblers and alcoholics: Do they share the same addictions?", Addictive Behaviors, 21(4): 515-519. https://doi.org/10.1016/0306-4603(95)00080-1
  36. Brooker, I., Clara, I., and Cox, B., 2009, "The Canadian problem gambling index: Factor structure and associations with pychopathology in a nationally representative sample", Canadian Journal of Behavioural Science, 41(2): 109-114. https://doi.org/10.1037/a0014841
  37. Chan, A., Zane, N., Wong, G., and Song, A., 2015, "Personal gambling expectancies among Asian American and White American college students", Journal of Gambling Studies, 31: 33-57. https://doi.org/10.1007/s10899-013-9397-2
  38. Delfabbro, P., King, D., and Griffiths, M., 2014, "From adolescent to adult gambling: An analysis of longitudinal gambling patterns in south Australia", Journal of Gambling Studies, 30: 547-563. https://doi.org/10.1007/s10899-013-9384-7
  39. Doweiko, H., 1990, Concepts of Chemical Dependency, Pacific Grove, CA: Brooks/Cole.
  40. Ducci, F., and Goldman, D., 2008, "Genetic approaches to addiction: Genes and alcohol", Addiction, 103: 1414-1428. https://doi.org/10.1111/j.1360-0443.2008.02203.x
  41. Ellery, M., Stewart, S., and Loba, P., 2005, "Alcohol effects on video lottery terminal play among probable pathological and non-pathological gamblers", Journal of Gambling Studies, 21(3): 299-324. https://doi.org/10.1007/s10899-005-3101-0
  42. Enrlich, P., Haque, A., Swisher-McClure, and Helmkamp, J., 2006, "Screening and brief intervention for alcohol problems in a university student health clinic", Journal of American College Health, 54(5): 279-287. https://doi.org/10.3200/JACH.54.5.279-288
  43. Feigelman, W., Kleinman, P., Lesieur, H., Millman, R., and Lesser, M., 1995,"Pathological gambling among methadone patients", Drug and Alcohol Dependence, 39: 75-81. https://doi.org/10.1016/0376-8716(95)01141-K
  44. Ferris, J., and Wynne, H., 2001, The Canadian Problem Gambling Index: Final Report.
  45. Fisher, S., and Smith, G., 2008, "Binge eating, problem drinking, and pathological gambling: Linking behavior to shared traits and social learning", Personality and Individual Differences, 44: 789-800. https://doi.org/10.1016/j.paid.2007.10.008
  46. Forrest, D., and McHale, I., 2012, "Gambling and problem gambling among young adolescents in Great Britain", Journal of Gambling Studies, 28: 607-622. https://doi.org/10.1007/s10899-011-9277-6
  47. Gainsbury, S., Russell, A., Hing, N., Wood, R., Lubman, D., and Blszeynski, A., 2015, "How the internet is changing gambling: Findings from an Australian prevalence survey", Journal of Gambling Studies, 31(1): 1-15. https://doi.org/10.1007/s10899-013-9404-7
  48. Giacopassi, D., Stitt, B., and Vandiver, M., 1998, "An analysis of the relationship of alcohol to casino gambling among college students", Journal of Gambling Studies, 14: 135-149. https://doi.org/10.1023/A:1023094725055
  49. Grant, J., Kushner, M., and Kim, S., 2002, "Pathological gambling and alcohol use disorder", Alcohol Health and Research World, 26: 143-150.
  50. Hingson, R., Heeren, T., Zakocs, R., and Kopstein, A., 2002, "Magnitude of alcohol-related mortality and borbidity among U.S. college students ages 18-24", Journal of Studies on Alcohol, 63: 136-144. https://doi.org/10.15288/jsa.2002.63.136
  51. Huang, J., Jacobs, D., and Derevensky, J., 2007, "DSM-based problem gambling: Increasing the odds of heavy drinking in a national sample of U.S. college athletes?", Journal of Psychiatric Research, 45: 302-308.
  52. Johansson, A., Grant, J., Kim, S., Odlaug, B., and Goldstwin, K., 2009, "Risk factors for problematic gambling: A critical literature review", Journal of Gambling Studies, 25: 67-92. https://doi.org/10.1007/s10899-008-9088-6
  53. Ladouceur, R., Dube, D., and Bujold, A., 1994, "Prevalence of pathological gamblers and related problems among college students in the Quebec metropolitan area", Canadian Journal of Psychiatry, 39, 289-293. https://doi.org/10.1177/070674379403900509
  54. Langhinrichsen-Rohling, J., Rohde, P., Seeley, J., and Rohling, M., 2004, "Individual, family and peer correlates of adolescent gambling", Journal of Gambling Studies, 20: 23-46. https://doi.org/10.1023/B:JOGS.0000016702.69068.53
  55. Lee, Y., Han, D., Kim, S., and Renshaw, P., 2013, "Substance abuse precedes internet addiction,"Addictive Behavior, 38: 2022-2024. https://doi.org/10.1016/j.addbeh.2012.12.024
  56. Lesieur, H., Cross, J., Frank, M., Welch, M., White, C., Rubenstein, G. et al., 1991, "Gambling and pathological gambling among university students", Addictive Behaviors, 16: 517-527. https://doi.org/10.1016/0306-4603(91)90059-Q
  57. Martin, R., Usdan, S., Cremeens, J., and Vail-Smith, K., 2014. "Disordered gambling and co-morbidity of psychiatric disorders among college students: An examination of problem drinking, anxiety and depression", Journal of Gambling Studies, 30: 321-333. https://doi.org/10.1007/s10899-013-9367-8
  58. McComb, J., and Hanson, W., 2009, "Problem gambling on college campuses", NASPA Journal, 46: 1-29.
  59. Nowak, D., and Aloe, A., 2014, "The prevalence of pathological gambling among college students: A meta-analytic synthesis, 2005-2013", Journal of Gambling Studies, 30(4): 819-843. https://doi.org/10.1007/s10899-013-9399-0
  60. Nower, L., Derenvensky, J., and Gupta, R., 2004, "The relationship of impulsivity, sensation seeking, coping, and substance use in youth gamblers", Psychology of Addictive Behaviors, 18: 49-55. https://doi.org/10.1037/0893-164X.18.1.49
  61. Oei, T., and Goh, Z., 2015, "Interactions between risk and protective factors on problem gambling in Asia", Journal of Gambling Studies, 31: 557-572. https://doi.org/10.1007/s10899-013-9440-3
  62. Petry, N., Stinson, F., and Grant, B., 2005. "Co-morbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the National epidemiologic survey on alcohol and related conditions", Journal of Clinical Psychiatry, 66: 564-74. https://doi.org/10.4088/JCP.v66n0504
  63. Popkin, J., 1994, "Tricks of the Trade", U.S. News & Report, 161(10): 48-52.
  64. Potenza, M., 2001, "The neurobiology of gambling", Semin. Clin. Neuropsychiatry, 6: 217-226. https://doi.org/10.1053/scnp.2001.22929
  65. Ray, O., and Ksir, C., 1987, Drugs, Society and Human Behavior, St. Louis: Mosby.
  66. Rolison, M., and Scherman, A., 2003, "College student risk-taking from three perspectives", Adolescence, 38(152): 689-704.
  67. Ronzitti, S., Lutri, V., Meleck, S., Smith, N., and Bowden-Jones, H., 2015."Smoking and gambling disorder: Does tobacco use influence treatment outcome?", Journal of Gambling Studies, 31(3): 1107-1117. https://doi.org/10.1007/s10899-015-9533-2
  68. Shaffer, H., Donato, A., LaBrie, R., Kidman, R., and LaPlante, D., 2005, "The epidemiology of college alcohol and gambling policies", Harm Reduction Journal, 2: 1-20. https://doi.org/10.1186/1477-7517-2-1
  69. Shaffer, H., and Hall, M., 1999, "Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis", American Journal of Public Health, 89(9): 1369-1376. https://doi.org/10.2105/AJPH.89.9.1369
  70. Stuhldreher, W., Stuhldreher, T., and Forest, K., 2007, "Gambling as an emerging health problem on campus", Journal of American College Health, 56: 75-83. https://doi.org/10.3200/JACH.56.1.75-88
  71. Stwart, S., and Kushner, M., 2005, "Introduction to the special issue on relations between gambling and alcohol use", Journal of Gambling Studies, 21(3): 223-231. https://doi.org/10.1007/s10899-005-3097-5
  72. Teeters, J., Ginley, M., Whelan, J., Meyers, A., Pearlson, G., 2015, "The moderating effect of gender on the relation between expectancies and gambling frequency among college students", Journal of Gambling Studies, 31: 173-182. https://doi.org/10.1007/s10899-013-9409-2
  73. Wechsler, H., Lee, J., Kuo, M., Seibring, M., Nelson, T., and Lee, H., 2002, "Trends in college binge drinking during a period of increased prevention efforts. Finding from 4 Harvard school of public health college alcohol study surveys: 1993-2001", Journal of American College Health, 50: 203-217. https://doi.org/10.1080/07448480209595713
  74. Welte, J., Barnes, G., Tidwell, M., and Hoffman, J., 2008. "The prevalence of problem gambling among U.S. adolescents and young adults: Results from a national survey", Journal of Gambling Studies, 24(2): 119-133. https://doi.org/10.1007/s10899-007-9086-0
  75. Welte, J., Barens, G., Wieczorek, W., Tidwell, M., and Parker, J., 2004, "Risk factors for pathological gambling, Addictive Behavior, 29(2): 323-335. https://doi.org/10.1016/j.addbeh.2003.08.007
  76. Westermeyer, J., Canvine, J., Garrard, J., Thuras, P., and Thompson, J., 2005, "Lifetime prevalence of pathological gambling among American Indian and Hispanic veterans", American Journal of Public Health, 95: 860-866. https://doi.org/10.2105/AJPH.2003.023770
  77. Winters, K., Bengston, P., Door, D., and Stinchfield, R., 1998, "Prevalence and risk factors of problem gambling among college students", Psychology of Addictive Behaviors, 12(2): 127-135. https://doi.org/10.1037/0893-164X.12.2.127
  78. Winters, K., Stinchfield, R., and Fullerson, J., 1993, "Patterns and characteristics of adolescent gambling", Journal of Gambling Studies, 9: 371-386. https://doi.org/10.1007/BF01014628
  79. Wong, G., Zane, N., Saw, A., and Chan, A., 2013, "Examining gender differences for gambling engagement and gambling problems among emerging adults", Journal of Gambling Studies, 29: 171-189. https://doi.org/10.1007/s10899-012-9305-1
  80. Zack, M., Stwart, S., Klein, R., Loba, P., and Fragopoulos, F., 2005, "Contingent gambling-drinking patterns and problem drinking severity moderate implicit gambling-alcohol association in problem gamblers", Journal of Gambling Studies, 21(3): 325-54. https://doi.org/10.1007/s10899-005-3102-z