Craving in gambling disorder: A systematic review

Mallorquí‐Bagué, Núria; Mestre‐Bach, Gemma; Testa, Giulia

doi:10.1556/2006.2022.00080

Cited by 15 publications

(7 citation statements)

References 104 publications

(256 reference statements)

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“…Therefore, more research about withdrawal and tolerance in GD would help to precisely define these processes in GD and clarify their strong influence towards the severity of the disorder. Additionally, these results give rise to consider the relevance of other features that are not yet GD criteria, such as craving, which is associated with GD severity [77].…”

Section: Discussionmentioning

confidence: 91%

Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample

Lucas,

Mora-Maltas,

Granero

et al. 2024

Eur. Psychiatr.

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Background:The fifth version of the Diagnostic and Statistical Manual for Mental Disorders and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy presents some limitations. We aimed to assess the centrality of each criterion and their relationship by conducting a network analysis while considering sex differences. Methods: We performed a network analysis with the DSM-5 criteria for GD with data from 4,203 treatment-seeking patients (3,836 men and 367 women) diagnosed with GD who sought for treatment in a general tertiary hospital which has a unit specialized in behavioural addictions. Results:The withdrawal criterion ("Restless or irritable when attempting to cut down or stop gambling") showed the highest centrality values in both sexes. In men, the second most central criterion was the tolerance criterion ("Needs to gamble with increasing amounts of money in order to achieve the desired excitement"); while among women, the second was the chasing losses criterion ("After losing money gambling, often returns another day to get even"). Conclusions: The most central criteria identified are associated with compulsivity-driven behaviours of the addictive process. Taking into account the high relevance and transitive capacity of withdrawal in both men and women, as well as tolerance in men and chasing losses in women, the recognition and understanding of these symptoms are fundamental for the accurate diagnosis and severity assessment of GD.

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Section: Discussionmentioning

confidence: 91%

Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample

Lucas,

Mora-Maltas,

Granero

et al. 2024

Eur. Psychiatr.

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“…To quantify the efficacy of NiBS in craving reduction, we ran a meta-analysis including studies that used validated questionnaires or VAS scores to assess craving. When available, we preferred to use the former type of measure due to the well-known effect of desirability when completing the VAS [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review [ 15 ] investigated the role of craving in adults reporting different levels of gambling (from non-clinical gamblers to individuals satisfying the criteria for diagnosis). The authors included 62 papers highlighting the relevance of craving in GD.…”

Section: Introductionmentioning

confidence: 99%

Betting on Non-Invasive Brain Stimulation to Treat Gambling Disorder: A Systematic Review and Meta-Analysis

et al. 2023

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Gambling disorder (GD) is a behavioral addiction that severely impacts individuals’ functioning, leading to high socioeconomic costs. Non-invasive brain stimulation (NiBS) has received attention for treating psychiatric and neurological conditions in recent decades, but there is no recommendation for its use for GD. Therefore, this study aimed to systematically review and analyze the available literature to determine the effectiveness of NiBS in treating GD. Following the PRISMA guidelines, we screened four electronic databases up to July 2022 and selected relevant English-written original articles. We included ten papers in the systematic review and seven in the meta-analysis. As only two studies employed a sham-controlled design, the pre–post standardized mean change (SMCC) was computed as effect size only for real stimulation. The results showed a significant effect of NiBS in reducing craving scores (SMCC = −0.69; 95% CI = [−1.2, −0.2], p = 0.010). Moreover, considering the GD’s frequent comorbidity with mood disorders, we ran an exploratory analysis of the effects of NiBS on depressive symptoms, which showed significant decreases in post-treatment scores (SMCC = −0.71; 95% CI = [−1.1, −0.3], p < 0.001). These results provide initial evidence for developing NiBS as a feasible therapy for GD symptoms but further comprehensive research is needed to validate these findings. The limitations of the available literature are critically discussed.

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“…Each question was answered on a 7-point Likert scale from "strongly disagree" to "strongly agree." This scale was chosen over alternative measures of gambling urges and cravings (Mallorquí-Bagué et al, 2023;Young & Wohl, 2009), as it is relatively brief, probes a single dimension of urges, and is widely-used in the literature.…”

Section: Experimental Designmentioning

confidence: 99%

Not always as advertised: Different effects from viewing safer gambling adverts on gambling urges

Newall,

Weiss-Cohen,

Torrance

et al. 2024

Preprint

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Public concern around gambling advertising in the UK has been met not by government action but by industry self-regulations, such as a forthcoming voluntary ban on front-of-shirt gambling sponsorship in Premier League soccer. “Safer gambling” adverts are one recent example, and are TV commercials which inform viewers about gambling-related harm. The present work is the first independent evaluation of safer gambling adverts by both gambling operators and an independent charity called GambleAware. We observed the change in participants’ (N=2,741) Gambling Urge Scale (GUS) scores after viewing either: a conventional financial inducement gambling advert, a gambling operator’s safer gambling advert, an advert from the GambleAware “bet regret” campaign, an advert from the GambleAware “stigma reduction” campaign, or a control advert that was not about gambling. Viewing a neutral control advert led to a significant baseline reduction in GUS scores. GUS scores increased after viewing a financial inducement advert, and also increased significantly compared to the control after viewing an operator’s safer gambling advert. Bet regret adverts had no additional effect on GUS scores in comparison to the control, and GUS scores decreased significantly after viewing a stigma reduction advert. An interaction effect model suggested that higher GUS decreases were at times reported by participants who were at higher risk of harm. Overall, this study introduces a novel paradigm for evaluating safer gambling adverts, uncovers a potential downside from gambling operators’ safer gambling adverts, and reveals variation in the potential effectiveness of independently-delivered safer gambling adverts.

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Craving in gambling disorder: A systematic review

Cited by 15 publications

References 104 publications

Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample

Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample

Betting on Non-Invasive Brain Stimulation to Treat Gambling Disorder: A Systematic Review and Meta-Analysis

Not always as advertised: Different effects from viewing safer gambling adverts on gambling urges

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