Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2025
Detection and prevention of gambling disorder among Ukrainian law enforcement personnel under high operational stress: Institutional experience and comparative analysis.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Kozeratska Olena A, Pogoretskyi Mykola A, Serhiieva Diana B, Starenkyi Oleksandr S, Denysenko Grygorii V
Аннотация
OBJECTIVE: Aim: To conduct a comparative institutional analysis of existing practices for detecting and preventing gambling disorder among Ukrainian law enforcement personnel under conditions of high operational stress.
PATIENTS AND METHODS: Materials and Methods: The study involved 342 employees (average age 34,1±5,2 years; 86,5% males and 13,5% females) from four Ukrainian law enforcement agencies, performing investigative, operational-search, counterintelligence, analytical, and administrative-control functions. The study was conducted during 2023-2025 and employed the Problem Gambling Severity Index (PGSI) and Gambling Disorder Identification Test (GDIT) screening tools, an anonymous survey, structured psychological interviews, behavioural observation, and digital monitoring.
RESULTS: Results: According to the PGSI, 7,1% of respondents demonstrated pathological gambling behaviour. The use of the GDIT revealed an elevated score (≥15) in 40 (11,7%) respondents, with 19 of them (5,6%) exhibiting clinically relevant symptoms. Respondents with a GDIT score ≥15 (vs. <15 score group) showed 1,3 times higher anxiety levels (by HADS-A score), 3,4 times greater frequency of disciplinary incidents, and systematic interaction with gambling platforms during off-duty hours. Significant correlations were found between elevated gambling risk levels (by PGSI and GDIT) and symptoms of anxiety (HADS-A), impulsive financial decisions, and increased disciplinary infractions.
CONCLUSION: Conclusions: The implementation of a comprehensive system for the prevention of gambling disorder, integrating psychometric, behavioural, and digital indicators, is advisable to enhance psychological resilience and prevent a decline in operational reliability among Ukrainian law enforcement personnel under high operational stress.
PATIENTS AND METHODS: Materials and Methods: The study involved 342 employees (average age 34,1±5,2 years; 86,5% males and 13,5% females) from four Ukrainian law enforcement agencies, performing investigative, operational-search, counterintelligence, analytical, and administrative-control functions. The study was conducted during 2023-2025 and employed the Problem Gambling Severity Index (PGSI) and Gambling Disorder Identification Test (GDIT) screening tools, an anonymous survey, structured psychological interviews, behavioural observation, and digital monitoring.
RESULTS: Results: According to the PGSI, 7,1% of respondents demonstrated pathological gambling behaviour. The use of the GDIT revealed an elevated score (≥15) in 40 (11,7%) respondents, with 19 of them (5,6%) exhibiting clinically relevant symptoms. Respondents with a GDIT score ≥15 (vs. <15 score group) showed 1,3 times higher anxiety levels (by HADS-A score), 3,4 times greater frequency of disciplinary incidents, and systematic interaction with gambling platforms during off-duty hours. Significant correlations were found between elevated gambling risk levels (by PGSI and GDIT) and symptoms of anxiety (HADS-A), impulsive financial decisions, and increased disciplinary infractions.
CONCLUSION: Conclusions: The implementation of a comprehensive system for the prevention of gambling disorder, integrating psychometric, behavioural, and digital indicators, is advisable to enhance psychological resilience and prevent a decline in operational reliability among Ukrainian law enforcement personnel under high operational stress.