OBJECTIVE Remission from problem gambling (PG) continues to be a priority of clinicians and researchers. Data from cross-sectional studies indicate that some correlates are more predictive of PG, and existing longitudinal studies have exclusively examined risk factors that predict emergence of PG. This study's objective is to fill in the remaining pieces of the puzzle by identifying factors that might facilitate remission from PG. METHOD A stratified sample of 10,199 Canadian adult gamblers were recruited from an online panel. Respondents who screened positively for PG at baseline and completed a follow-up assessment 1 year later (n = 468) were assessed on a series of modifiable gambling, psychosocial, mental health, and substance use variables. A forward stepwise logistic regression was conducted to identify the strongest predictors of remission from PG at follow-up. A Least Absolute Shrinkage and Selection Operator regression was also conducted to confirm the most relevant predictors. RESULTS Out of 75 candidate variables, 10 were retained by the regression model. Two were related to cessation of specific gambling activities, two were related to gambling motivations, two were psychosocial in nature, two were related to substance use while gambling, and one was related to remission from a mental health disorder. The final and strongest predictor was PG severity at baseline. CONCLUSIONS Although PG remission predictors were mostly gambling-related, psychosocial aspects may also be targeted by stakeholders aiming to reduce PG. Ceasing to use tobacco while gambling and diversifying leisure activities may be promising targets. Other mental health and substance use predictors may still possibly be relevant, but only for a subset of people with PG. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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成人赌博问题缓解的预测因素：加拿大纵向研究。

目标 缓解赌博问题 (PG) 仍然是临床医生和研究人员的首要任务。横断面研究的数据表明，一些相关因素更能预测 PG，现有的纵向研究专门研究了预测 PG 出现的风险因素。本研究的目的是通过确定可能促进 PG 缓解的因素来填补谜题的其余部分。方法 从在线小组中招募了 10,199 名加拿大成年赌徒的分层样本。在基线时对 PG 进行阳性筛查并在 1 年后完成后续评估的受访者 (n = 468) 接受了一系列可修改的赌博、心理社会、心理健康和药物使用变量的评估。进行前向逐步逻辑回归以确定随访时 PG 缓解的最强预测因素。还进行了最小绝对收缩和选择算子回归来确认最相关的预测因子。结果 在 75 个候选变量中，回归模型保留了 10 个。其中两项与停止特定赌博活动有关，两项与赌博动机有关，两项与社会心理有关，两项与赌博时使用药物有关，一项与精神健康障碍的缓解有关。最后也是最强的预测因素是基线时的 PG 严重程度。结论 虽然 PG 缓解预测因子大多与赌博相关，但旨在减少 PG 的利益相关者也可能将心理社会方面作为目标。在赌博时停止使用烟草以及使休闲活动多样化可能是有希望的目标。其他心理健康和物质使用预测因素可能仍然相关，但仅限于一部分 PG 患者。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。