Non-Substance-Related Addictive Disorders
Pp. 216-226 (11)
Subhash C. Bhatia and Shashi K. Bhatia
Historically, since ancient times mankind around the globe has resorted to
gambling behavior in one or other form, there is no specific cause for gambling
addiction. Like other addictions genetic, biological, psychological and environmental
causes play a part. Often competitive workaholics are drawn to gambling. Drugs like
levodopa for parkinsonism may increase gambling behavior. Gambling is more
common in younger individuals with no difference between sexes. Gambling has
similar reward pathways as for other addictions and has impulsive and compulsive
quality. These individuals show preoccupation with gambling, seek thrill from it, hide
or lie about losses and at times experience remorse or guilt and try unsuccessfully to
cut down and often chase their losses with a hope to “hit a big jackpot”. Diagnosis is
based on DSM-5 criteria. Certain scales can be used to assess its severity. There are no
known proven preventive strategies for gambling. Also there are no approved
pharmacological interventions, however research favors therapeutic value of SSRIs,
mood stabilizers and opiate antagonists . Like for other addictions gambling and related
disorders also benefit from motivational enhancement, individual, group, couple and
family therapies as well as self-help groups like Gambling Anonymous (GA).
Card game gambling, Casino gambling, Cockfight, Compulsive
gambling, Dogfight betting, Horse race betting, Internet gaming and gambling,
Lottery betting, Pathological gambling, Problem gambling, Slot machine
gambling, Sports betting, Wagering.
Department of Psychiatry, Mental Health and Behavioral Sciences, Creighton University; Department VA Nebraska- Western Iowa Health Care System 4101 Woolworth Ave Omaha, NE 68105, USA.