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Transcranial Direct Current Stimulation for Online Gamers

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Pathological Gambling: Biological and Clinical Considerations.

Jocelyn L Topf¹, Sarah W Yip, Marc N Potenza

¹Departments of Psychiatry and Child Study Center, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, CT, United States.

Journal of Addiction Medicine

|February 18, 2010

Summary

Pathological gambling, an impulse control disorder, shares similarities with substance use disorders. Treatments effective for substance use disorders show promise for treating pathological gambling.

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Area of Science:

Neuroscience
Psychiatry
Behavioral Science

Background:

Pathological gambling (PG) is classified as an impulse control disorder (ICD).
Evidence suggests overlapping pathophysiological mechanisms between substance use disorders (SUDs) and PG.
Similarities are observed in phenomenological, neurobiological, and pharmacological data.

Purpose of the Study:

To review biological findings in PG.
To summarize evidence-based treatment approaches for PG.
To explore the relationship between PG and SUDs.

Main Methods:

Literature review of biological studies on PG.
Analysis of controlled studies on PG treatment.
Comparison of PG and SUDs pathophysiology.

Main Results:

Biological studies reveal commonalities between PG and SUDs.
Behavioral and pharmacological treatments validated for SUDs show efficacy in PG.
Empirical data supports treatment interventions for PG.

Conclusions:

PG and SUDs share significant pathophysiological characteristics.
Treatments successful in SUDs management are applicable to PG.
Further research into neurobiological underpinnings can inform PG treatment strategies.