A growing body of research indicates differences between men and women with gambling disorder. However, although alexithymia, gambling motives or abandonment have been associated with GD, women’s clinical profile remains unexplored. This study aims, firstly, to explore mean differences in gambling motives (i.e. enhancement, coping and social [SOC]), the early maladaptive abandonment schema, alexithymia and depression in women and men with GD. Secondly, to analyse the correlation between the aforementioned variables as a function of sex. Thirdly, to examine the predictive role of gambling motives, early abandonment schema and alexithymia in depression as a function of sex. Lastly, to analyse the mediating role of COP between the early maladaptive abandonment schema and depression in women with GD, and the mediating role of ENH and the early maladaptive abandonment schema between alexithymia and depression in men with GD. The sample comprised 108 adults with GD diagnosis, of whom 60 were women and 48 were men. Regression and mediation analyses were carried out to explore possible sex differences in GD, through the SPSS programme. Results showed that depressive symptoms are predicted by alexithymia in men with GD and by the early maladaptive abandonment schema in women with GD. Regarding mediation analyses, the results suggest that COP mediated the relationship between early abandonment schema and depressive symptoms in females; and ENH and abandonment schema mediated the relationship between alexithymia and depressive symptoms in males. These results provide evidence of the relevance of considering sex differences when establishing therapeutic strategies in GD rehabilitation.

越来越多的研究表明，患有赌博障碍的男性和女性之间存在差异。然而，尽管述情障碍、赌博动机或遗弃与 GD 有关，但女性的临床特征仍未得到探索。本研究的目的首先是探讨患有 GD 的女性和男性在赌博动机（即增强、应对和社交 [SOC]）、早期适应不良放弃模式、述情障碍和抑郁方面的平均差异。其次，分析上述变量之间作为性别函数的相关性。第三，研究赌博动机、早期放弃模式和述情障碍作为性别函数对抑郁症的预测作用。最后，分析COP在GD女性早期适应不良遗弃图式与抑郁之间的中介作用，以及ENH与GD男性早期适应不良遗弃图式在述情障碍与抑郁之间的中介作用。样本包括 108 名 GD 诊断成年人，其中 60 名女性，48 名男性。通过 SPSS 程序进行回归和中介分析，探讨 GD 中可能存在的性别差异。结果显示，男性 GD 患者的抑郁症状是由述情障碍预测的，而 GD 女性患者的抑郁症状是由早期适应不良的抛弃模式预测的。关于中介分析，结果表明 COP 介导了女性早期遗弃模式与抑郁症状之间的关系；ENH 和遗弃图式介导了男性述情障碍和抑郁症状之间的关系。这些结果证明了在制定 GD 康复治疗策略时考虑性别差异的相关性。