Gambling and money games disorder

Area of Science:

• Psychiatry
• Addiction Medicine
• Behavioral Science

Background:

• Pathological gambling has been re-categorized in the DSM-5 as gambling disorder.
• This reclassification positions gambling disorder within substance-related and addictive disorders, highlighting its addictive nature.
• The condition has a prevalence of 1.2-7.1% in the general population.

Purpose of the Study:

• To provide an overview of gambling disorder, its classification, prevalence, comorbidities, and treatment approaches.
• To emphasize the conceptualization of gambling disorder as an addiction.
• To discuss the significant financial and psychiatric consequences associated with gambling disorder.

Main Methods:

• Review of diagnostic criteria and classification changes in the DSM-5.
• Analysis of epidemiological data on gambling disorder prevalence.
• Examination of associated psychiatric comorbidities and substance-related disorders.
• Summary of current treatment modalities, including psychotherapy, social support, and pharmacotherapy.

Main Results:

• Gambling disorder is recognized as an addiction, distinct from other impulse control disorders.
• High rates of psychiatric comorbidities, such as substance use disorders, are frequently observed.
• Significant financial and psychiatric damages can result from the disorder, particularly after periods of "win" phases.

Conclusions:

• Gambling disorder is a serious addiction with substantial public health implications.
• Effective management relies on psychotherapy and social support, with pharmacotherapy as an adjunct.
• Further research into approved pharmacological treatments may be warranted.