Pathological Gambling and Substance Misuse: A Review of the Literature

Spunt, Barry; Dupont, Ida; Lesieur, Henry R.; Liberty, Hilary James; Hunt, Dana E.

doi:10.3109/10826089809059340

Cited by 76 publications

(49 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, several studies have shown higher rates of pathological gambling among drug addicts (cf. Cunningham-Williams, Cottler, Compton, Spitznagel & Ben-Abdallah, 2000;Langenbucher, Bavly, Lavouvie, Sanjuan & Martin, 2001;Orford et al, 2003;Spunt, Dupont, Lesieur, Liberty & Hunt, 1998;Steinberg, Kosten & Rounsaville, 1992;Toneatto & Brennan, 2002;Toneatto, Ferguson & Brennan, 2003;Villas, Collakis, Magalhäes & da Silveira, 2005), and have demonstrated its influence on therapeutic results (Ledgerwood & Downey, 2002). Moreover, several studies with methadone patients have found rates of current pathological gambling ranging from 7% to 18% (Feigelman, Kleinman, Lesieur, Millman & Lesser, 1995;Ledgerwood & Downey, 2002;Spunt, Lesieur, Liberty & Hunt, 1996).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of pathological gambling in treatment-seeking addicted patients: an exploratory study with the South Oaks Gambling Screen

2012

View full text Add to dashboard Cite

Título: Prevalencia del juego patológico en pacientes adictos: Un estudio exploratorio con el South Oaks Gambling Screen. Resumen: En este estudio se lleva a cabo un análisis de la prevalencia del juego patológico en 112 pacientes adictos (81 alcohólicos y 31 dependientes de la cocaína) que acuden en busca de tratamiento. Para ello, se utilizaron los criterios diagnósticos del DSM-IV-TR para el juego patológico y la versión española del Cuestionario de Juego Patológico de South Oaks (SOGS). Los resultados obtenidos mostraron que el 22,3% de los pacientes drogodependientes estudiados presentaba un diagnóstico comórbido de ludopatía. Además, un 11,6% adicional obtenía una puntuación en el SOGS indicadora de juego problemático. En suma, el 33,9% de la muestra presentaba síntomas de juego clínicamente significativos. La comparación entre los pacientes adictos con y sin ludopatía asociada mostró diferencias significativas en las variables relacionadas con el consumo de alcohol (evaluado mediante el EuropASI), los síntomas psicopatológicos (evaluados mediante el SCL-90-R) y algunas variables de personalidad (evaluadas mediante el MCMI-II). En todos los casos, las puntuaciones eran significativamente más altas en los pacientes ludópatas que en los que no tenían un problema de ludopatía asociado. Se comentan las implicaciones de este estudio para la práctica clínica y la investigación futura. Palabras clave: juego patológico; adicción; alcoholismo; dependencia de la cocaína; comorbilidad.Abstract: In the current paper, the prevalence of pathological gambling in 112 treatment-seeking patients with substance addiction (81 alcoholics and 31 cocaine dependents) was estimated. The DSM-IV-TR diagnostic criteria for pathological gambling and the Spanish version of the South Oaks Gambling Screen (SOGS) were used. The results showed that 22.3% of substance-addicted patients had a comorbid diagnosis of pathological gambling. Furthermore, an additional 11.6% of the sample had relevant symptoms for problem gambling. In sum, 33.9% of the sample reported clinically significant gambling-related symptoms. From a socio-demographic point of view, all substance-addicted patients with gambling-related symptoms were men. A comparison between substance-addicted patients with and without pathological gambling showed significant differences in alcohol severity (assessed by the EuropASI), psychopathological symptoms (assessed by the SCL-90-R) and personality variables (assessed by the MCMI-II). In all cases, scores were significantly higher in gamblers than in non-gamblers. Finally, the implications of these results for further research and clinical practice are commented upon.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence of pathological gambling in treatment-seeking addicted patients: an exploratory study with the South Oaks Gambling Screen

2012

View full text Add to dashboard Cite

show abstract

“…the type of game (the quicker the bet-to-pay interval, the higher the frequency and the risk), the initial gain (a high win leads to problem gambling), and the tools and context (for example, the anonymity and lack of social contact in online gaming are considered risk factors), as well as the offer and availability of games. Comorbid disorders such as alcohol and drug abuse (Spunt et al 1998) also play a role in increasing extreme gambling behaviour. The second group includes environmental and context factors, ranging from cultural and religious (influence of obligations, religious restrictions) to economic and socio-educational ones (parents and family context, socio-economic status).…”

Section: Gambling and Masculinitymentioning

confidence: 99%

Extreme Losers: On Excess and Profitless Expenditure in Male Gambler Practices

Pedroni

2017

JEA

View full text Add to dashboard Cite

The essay looks at male gambling by investigating it as a form of resistance to the utilitarian values which lie at the base of the market logic. Excess is viewed as a central notion in opposition to that of utility. Far from minimising the negative impact of excessive gambling on society and individuals, this contribution attempts to go beyond an analysis based on the categories of pathology and expenditure. Through excess, the pathological gambler unveils the symbolic and arbitrary ideology of capitalism which sees economic success as a sign of election or a choice whereby money is used not as an investment or to access to goods and services, but 'wasted'. The article attempts to answer the following research question: How does excess manifest in male gambling practices? Risk factors for extreme gambling are analysed, with a particular focus on the relationship between gambling and masculinity. Gambling locations are studied and understood as facilitators of excess, while the life stories of pathological gamblers discussed. The paradoxical ambivalence of gambling practices is highlighted: on the one hand a form of domination of the subordinate classes, on the other an opportunity to resist through an anti-utilitarian act.

show abstract

“…A big rise in PG has been recorded among substance abusers. PG has been linked to a history of child hood experiences of gambling in the family, high rates of stress problems and serious psychiatric conditions [20,21].…”

Section: Epidemiology Of Pathological Gamblingmentioning

confidence: 99%

Amino Acids in Pathological Gambling and in its Alleviation: Pharmacological Approaches

Gupta¹

2010

TOADDJ

View full text Add to dashboard Cite

Labelling Pathological gambling (PG) with a tag of Socio-Psychological problem more than medical causes hampers its pharmacological treatment. Because of this, its neurobiology has been studied only a little, limited to abnormalities in the serotonergic, noradrenergic and dopaminergic systems. Besides this; studies on the role of precursors of these neurotransmitters are almost negligible. Higher concentrations of known precursors like tryptophan, tyrosine and phenyl alanine have been reported in the CSF of pathological gamblers. In addition to this, recently many other inhibitory and excitatory amino acids like GABA, taurine, aspartic and glutamic acids have been found to be in much higher concentration, providing a basis for the candidate amino acids in the therapy of PG. Many of these amino acids have beneficial actions in a number of CNS problems. On this basis, as most of these amino acids are non-toxic and natural, such amino acids can be used as supplements /compliments in PG therapy. One of these amino acids, taurine, a sulfur containing amino acid which is now part of various energy drinks, anti-ageing and anti-diabetes formulas, mood enhancers and many more alternative medicine applications, also could exert beneficial actions in alleviating PG. Therapy with amino acids also has its own limitations; hence development of pro-drug derivatives of these amino acids may constitute a new class of therapeutic agent for PG. This review is a blended form of synthesis and synopsis about various amino acids in the context of PG, considering their potential utility and providing a provocative stimulus for scientific thinkers.

show abstract

Pathological Gambling and Substance Misuse: A Review of the Literature

Cited by 76 publications

References 42 publications

Prevalence of pathological gambling in treatment-seeking addicted patients: an exploratory study with the South Oaks Gambling Screen

Prevalence of pathological gambling in treatment-seeking addicted patients: an exploratory study with the South Oaks Gambling Screen

Extreme Losers: On Excess and Profitless Expenditure in Male Gambler Practices

Amino Acids in Pathological Gambling and in its Alleviation: Pharmacological Approaches

Contact Info

Product

Resources

About