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In this comprehensive book, Petry clarifies the current understanding of gambling as a disorder, including its levels of intensity; possible origins in biological, neurological, developmental, and environmental spheres; and special issues surrounding populations that seem to be more susceptible to problem gambling, including youth, ethnic minorities, and those with comorbid affective disorders such as depression. The author reviews treatments commonly used for pathological gambling as well as nonprofessionally guided interventions such as Gamblers Anonymous.
Pathological gambling: etiology, comorbidity, and treatment.
Notes Includes bibliographical references pages and indexes. Related Electronic Resources Table of contents. Introduction -- Terminology, prevalence rates, and types of gambling -- Assessment -- 2. Demographic correlates -- Comorbidity of disordered gambling and other psychiatric disorders -- Neurobiology and genetics -- 3. Pharmacotherapies -- Recovery without professional interventions -- Therapy for families and significant others -- Psychoanalytic and psychodynamic treatments -- Early behavioral treatments -- Cognitive biases and cognitive therapy -- 4.
A treatment model -- Cognitive-behavioral therapy -- Brief and motivational interventions -- 5. You are browsing titles by their Library of Congress call number classification. Library Staff Details Staff view. Preparation of this report was supported in part by NIH grants: National Center for Biotechnology Information , U. Journal List Subst Abuse Rehabil v. Published online Mar Author information Copyright and License information Disclaimer.
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https: By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. This article has been cited by other articles in PMC. Introduction Gambling disorder GD is a persistent maladaptive pattern of gambling resulting in clinically significant impairment or distress. Table 1 Comparison of DSM-5 gambling disorder and alcohol use disorder criteria.
Open in a separate window. Prevalence AUD exhibits high prevalence rates relative to many other psychiatric conditions. Neurobiology The pathway from genes to behavior is hierarchical, reciprocal, and is modulated at an intermediate level by neural circuitry, which is constructed largely by way of genetic activity and which functions to regulate phenotypic behavior. Neurocognition Addictive disorders are commonly associated with cognitive deficits, although there is significant variability in observed outcomes based upon the specific substance abused, as well as the intensity and chronicity of use.
Treatment Approximately, a third of individuals with GD and about one-quarter of those with alcohol dependence will recover naturally without need for treatment.
Self-help Self-help treatments offer many benefits not found in step meetings or professionally delivered approaches such as privacy, cost savings, convenience, and accessibility. Motivational interventions Motivational interventions may be ideal options for those with addictions who are ambivalent about changing behavior or seeking treatment.
Acknowledgments Preparation of this report was supported in part by NIH grants: Footnotes Disclosure The authors report no conflicts of interest in this work. Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association; DSM-5 — ready or not, here it comes.
Pathological gambling: etiology, comorbidity, and treatment. | Awards & Grants
J Stud Alcohol Drugs. Predictors of engaging in problem gambling treatment: Current suicide ideation in gamblers calling a helpline. Comorbid Axis I-disorders among subjects with pathological, problem, or at-risk gambling recruited from the general population in Germany: Suicidal ideation and suicide attempts in five groups with different severities of gambling: Examination of proposed DSM-5 changes to pathological gambling in a helpline sample. Psychological factors that promote and inhibit pathological gambling.
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The additive effect of neurotransmitter genes in pathological gambling. The TaqIA polymorphism linked to the DRD2 gene is related to lower attention and less inhibitory control in alcoholic patients. Common genetic vulnerability for pathological gambling and alcohol dependence in men. Ten good reasons to consider biological processes in prevention and intervention research. Roles for nigrostriatal—not just mesocorticolimbic—dopamine in reward and addiction.
Drug-induced and genetic alterations in stress-responsive systems: Naqvi NH, Bechara A. The hidden island of addiction: Proc Natl Acad Sci.
A review of gambling disorder and substance use disorders
Cocaine cues and dopamine in dorsal striatum: Damage to the insula disrupts addiction to cigarette smoking. Neuroendocrine response to casino gambling in problem gamblers. How does stress lead to risk of alcohol relapse? The neurobiology and genetics of impulse control disorders: Zack M, Poulos CX. A D2 antagonist enhances the rewarding and priming effects of a gambling episode in pathological gamblers. Reinforcing effects of psychostimulants in humans are associated with increases in brain dopamine and occupancy of D2 receptors. J Pharmacol Exp Ther. Gambling and increased sexual desire with dopaminergic medications in restless legs syndrome.
The effect of olanzapine on craving and alcohol consumption. A double-blind, placebo-controlled trial of olanzapine for the treatment of video poker pathological gamblers. Olanzapine in the treatment of pathological gambling: Cortisol and heart rate measures during casino gambling in relation to impulsivity.
Similarities and differences between pathological gambling and substance use disorders: Widespread and sustained cognitive deficits in alcoholism: Behavioral assessment of impulsivity in pathological gamblers with and without substance use disorder histories versus healthy controls. Decision-making impairments in patients with pathological gambling. Self-reported and neuropsychological measures of impulsivity in pathological gambling.
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Impulsivity predicts problem gambling in low SES adolescent males. Problem gamblers share deficits in impulsive decision-making with alcohol-dependent individuals. Personality and problem gambling: Natural recovery and treatment-seeking in pathological gambling: Psychological treatments for gambling disorder.
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Psychol Res Behav Manag. A meta-analytic review of psychosocial interventions for substance use disorders. A 3-year study of addiction mutual help group participation following intensive outpatient treatment. Participation in treatment and Alcoholics Anonymous: Paths of entry into alcoholics anonymous: Patterns and correlates of Gamblers Anonymous attendance in pathological gamblers seeking professional treatment. Imaginal desensitization plus motivational interviewing for pathological gambling: An outcome study of Gamblers Anonymous.
Cognitive—behavioral therapy for pathological gamblers. J Consult Clin Psychol. Etiology, Ccomorbidity, and Treatment. American Psychological Association; Gainsbury S, Blaszczynski A. Online self-guided interventions for the treatment of problem gambling. A meta-analysis of the effectiveness of bibliotherapy for alcohol problems. A brief self-help toolkit intervention for gambling problems: Motivational enhancement and self-help treatments for problem gambling. Brief motivational treatments for problem gambling: Motivational interviewing for substance abuse. Cochrane Database Syst Rev.
A randomized controlled trial of a single session motivational intervention for concerned gamblers. Pilot study of a personalized feedback intervention for problem gamblers.