Treating Gambling Problems? Don't Bet on a “One Size Fits All” Model

PsycCRITIQUES ◽  
2008 ◽  
Vol 53 (8) ◽  
Author(s):  
Leslie M. Lothstein
Keyword(s):  
Author(s):  
Sarah W. Yip ◽  
Zu Wei Zhai ◽  
Iris M. Balodis ◽  
Marc N. Potenza

Gambling problems are experienced by about 1% of the adult population, with higher estimates reported in adolescents. Both positive and negative motivations for gambling exist and may contribute to gambling problems. Positive valence disturbances involving how people process rewards, including monetary rewards relevant to gambling, have been reported in gambling disorder and have been associated with the disorder and clinically relevant measures relating to impaired impulse control. Positive valence systems as they relate to gambling disorder and clinically relevant features thereof are considered in this chapter. Findings from neuroimaging data related to the positive valence system constructs of approach motivation, initial and sustained/longer term responsiveness to reward, habit and reward learning are reviewed. Possible interactions between positive valence systems and other Research Domain Criteria (RDoC) systems are also discussed within the context of gambling disorder, as is how the application of an RDoC framework can be used to further understanding of gambling disorder.


2015 ◽  
Vol 207 (4) ◽  
pp. 328-333 ◽  
Author(s):  
Lisa Jones ◽  
Alice Metcalf ◽  
Katherine Gordon-Smith ◽  
Liz Forty ◽  
Amy Perry ◽  
...  

BackgroundNorth American studies show bipolar disorder is associated with elevated rates of problem gambling; however, little is known about rates in the different presentations of bipolar illness.AimsTo determine the prevalence and distribution of problem gambling in people with bipolar disorder in the UK.MethodThe Problem Gambling Severity Index was used to measure gambling problems in 635 participants with bipolar disorder.ResultsModerate to severe gambling problems were four times higher in people with bipolar disorder than in the general population, and were associated with type 2 disorder (OR = 1.74, P = 0.036), history of suicidal ideation or attempt (OR = 3.44, P = 0.02) and rapid cycling (OR = 2.63, P = 0.008).ConclusionsApproximately 1 in 10 patients with bipolar disorder may be at moderate to severe risk of problem gambling, possibly associated with suicidal behaviour and a rapid cycling course. Elevated rates of gambling problems in type 2 disorder highlight the probable significance of modest but unstable mood disturbance in the development and maintenance of such problems.


2021 ◽  
pp. 1-15
Author(s):  
Amanda Roberts ◽  
Jim Rogers ◽  
Stephen Sharman ◽  
G. J. Melendez-Torres ◽  
Sean Cowlishaw

Author(s):  
Hannah Briony Thorne ◽  
Matthew Justus Rockloff ◽  
Sally Anne Ferguson ◽  
Grace Elizabeth Vincent ◽  
Matthew Browne

Gambling has significant costs to the community, with a health burden similar in scale to major depression. To reduce its impact, it is necessary to understand factors that may exacerbate harm from gambling. The gambling environment of late-night licensed venues and 24/7 online gambling has the potential to negatively impact sleep and increase alcohol consumption. This study explored gambling, alcohol, and sleep problems to understand whether there is a relationship between these three factors. Telephone interviews were conducted with a representative sample of Australian adults (n = 3760) combined across three waves of the National Social Survey. Participants completed screening measures for at-risk gambling, at-risk alcohol consumption, insomnia (2015 wave only), and sleep quality. There were small but significant positive correlations between problem gambling and alcohol misuse, problem gambling and insomnia, and problem gambling and poor sleep quality. A regression model showed that gambling problems and alcohol misuse were significant independent predictors of insomnia. A separate regression showed gambling problems (and not alcohol misuse) were a significant predictor of poor sleep quality, but only in one survey wave. Findings suggest that gambling, alcohol, and sleep problems are related within persons. Further research should examine the mechanisms through which this relationship exists.


Author(s):  
Andrea Wöhr ◽  
Marius Wuketich

AbstractIt is generally assumed that gamblers, and particularly people with gambling problems (PG), are affected by negative perception and stigmatisation. However, a systematic review of empirical studies investigating the perception of gamblers has not yet been carried out. This article therefore summarises empirical evidence on the perception of gamblers and provides directions for future research. A systematic literature review based on the relevant guidelines was carried out searching three databases. The databases Scopus, PubMed and BASE were used to cover social scientific knowledge, medical-psychological knowledge and grey literature. A total of 48 studies from 37 literature references was found. The perspective in these studies varies: Several studies focus on the perception of gamblers by the general population, by subpopulations (e. g. students or social workers), or by gamblers on themselves. The perspective on recreational gamblers is hardly an issue. A strong focus on persons with gambling problems is symptomatic of the gambling discourse. The analysis of the studies shows that gambling problems are thought to be rather concealable, whereas the negative effects on the concerned persons‘ lives are rated to be quite substantial. PG are described as “irresponsible” and “greedy” while they perceive themselves as “stupid” or “weak”. Only few examples of open discrimination are mentioned. Several studies however put emphasis on the stereotypical way in which PG are portrayed in the media, thus contributing to stigmatisation. Knowledge gaps include insights from longitudinal studies, the influence of respondents‘ age, culture and sex on their views, the relevance of the type of gambling a person is addicted to, and others. Further studies in these fields are needed.


2019 ◽  
Vol 35 (4) ◽  
pp. 1211-1228 ◽  
Author(s):  
Alex M. T. Russell ◽  
Nerilee Hing ◽  
Matthew Browne

2014 ◽  
Vol 28 (2) ◽  
pp. 404-413 ◽  
Author(s):  
Isabelle D. Lussier ◽  
Jeffrey Derevensky ◽  
Rina Gupta ◽  
Frank Vitaro

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