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Published on: November 9, 2019
Gambling Disorder: Diagnosis and Treatment.
Donna M Kaminski1, Heli Naik1, Doreen Sperber Weiss1
1Rutgers Health Robert Wood Johnson University Hospital Somerset Family Practice Residency Program, Somerville, New Jersey.
Gambling disorder, a behavioral addiction, is increasingly prevalent and often underdiagnosed. Early screening and interventions like psychotherapy show promise, but long-term effectiveness requires further research.
Area of Science:
- Behavioral addiction
- Psychiatry
- Public Health
Background:
- Pathologic gambling, or gambling disorder, is a growing behavioral addiction with increasing accessibility.
- Often underdiagnosed, gambling disorder can have disabling effects, with rising rates observed in women.
- Risk factors include substance use disorder, mental health issues, lower socioeconomic status, and risky behaviors.
Purpose of the Study:
- To review the current understanding of gambling disorder, including its prevalence, risk factors, and diagnostic criteria.
- To explore current screening recommendations and diagnostic tools for gambling disorder.
- To summarize the evidence for pharmacologic and psychotherapeutic interventions for gambling disorder.
Main Methods:
- Literature review of studies on gambling disorder prevalence, risk factors, diagnosis, and treatment.
- Analysis of guidelines from health organizations regarding screening and case-finding for gambling disorder.
- Summary of evidence for pharmacologic and psychotherapeutic interventions.
Main Results:
- Gambling disorder prevalence is increasing, particularly among women.
- Screening guidelines are limited, with the UK suggesting direct questioning.
- Pharmacologic and psychotherapeutic interventions offer short-term benefits, but long-term efficacy is uncertain.
Conclusions:
- Gambling disorder is an underdiagnosed behavioral addiction with significant impacts.
- Further research is needed to establish effective long-term treatments and screening protocols.
- Support groups offer a safe space for individuals and families affected by gambling disorder.
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