Pathological Gambling and Substance Use Disorders

Wareham, Justin D.; Potenza, Marc N.

doi:10.3109/00952991003721118

Cited by 123 publications

(58 citation statements)

References 57 publications

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“…Results reveal a number of substantial similarities between pathological gambling and substance-related addictions concerning phenomenology, epidemiology, personality factors, genetics, neurobiological processes, recovery, and treatment [1,2,3,4,5]. In DSM-V, pathological gambling is proposed to be classified as a non-substance-related addiction and, therefore, removed from the former category ‘Impulse-Control Disorders’ and included in the new ‘Substance Use and Addictive Disorders’ category.…”

Section: Introductionmentioning

confidence: 99%

Co-Occurrence of Addictive Behaviours: Personality Factors Related to Substance Use, Gambling and Computer Gaming

2012

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Aim: To investigate co-occurrence and shared personality characteristics of problematic computer gaming, problematic gambling and substance use. Methods: Cross-sectional survey data were collected from 2,553 German students aged 12–25 years. Self-report measures of substance use (alcohol, tobacco and cannabis), problematic gambling (South Oaks Gambling Screen – Revised for Adolescents, SOGS-RA), problematic computer gaming (Video Game Dependency Scale, KFN-CSAS-II), and of twelve different personality characteristics were obtained. Results: Analyses revealed positive correlations between tobacco, alcohol and cannabis use and a smaller positive correlation between problematic gambling and problematic computer gaming. Problematic computer gaming co-occurred only with cannabis use, whereas problematic gambling was associated with all three types of substance use. Multivariate multilevel analyses showed differential patterns of personality characteristics. High impulsivity was the only personality characteristic associated with all five addictive behaviours. Depression and extraversion were specific to substance users. Four personality characteristics were specifically associated with problematic computer gaming: irritability/aggression, social anxiety, ADHD, and low self-esteem. Conclusions: Problematic gamblers seem to be more similar to substance users than problematic computer gamers. From a personality perspective, results correspond to the inclusion of gambling in the same DSM-V category as substance use and question a one-to-one proceeding for computer gaming.

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Section: Introductionmentioning

confidence: 99%

Co-Occurrence of Addictive Behaviours: Personality Factors Related to Substance Use, Gambling and Computer Gaming

2012

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“…Indeed, PG is frequently associated with other Axis I and II psychiatric comorbid disorders. Substance use disorders (SUD) and personality disorders (PD) are often associated with pathological gambling (e.g., Petry, 2006;Wareham & Potenza, 2010). Of importance, earlier studies indicate that these disorders in themselves are associated with changes in impulsivity measures (and underlying neurobiological processes).…”

Section: Introductionmentioning

confidence: 99%

Relapse in pathological gamblers: A pilot study on the predictive value of different impulsivity measures

Wilde¹,

Goudriaan²,

Sabbe³

et al. 2013

Journal of Behavioral Addictions

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Backgrounds and aims: Pathological gambling, a common psychiatric disorder, has many similarities with substance use disorders. Relapse, an important element in addictive disorders, however, has seldom been studied in pathological gambling. Hence, in analogy with previous research studies examining the role of self-report and neurocognitive measures on relapse in substance dependent patients, the present pilot study was executed. Methods: Twenty-two pathological gamblers and 31 healthy controls took part in this research. They filled in self-report questionnaires measuring impulsive personality (Barratt Impulsiveness Scale, Sensitivity to Punishment and Sensitivity to Reward Questionnaires) and performed neurocognitive tasks measuring impulsivity, decision-making and attentional bias (Iowa Gambling Task, Delay Discounting Task, Stroop Gambling Task). Twelve months later gambling activity was re-examined. Results: Analyses showed that PGs who relapsed (n = 13) did not differ on self-report and neurocognitive measures of impulsivity with PGs who did not relapse (n = 9). However, both groups did differ in age at onset. Finally, healthy controls and PGs differed in some (Barratt Impulsiveness Scale, Stroop Gambling Task), but not all impulsivity measures (Delay Discounting Task, Iowa Gambling Task, Sensitivity to Punishment and Sensitivity to Reward Questionnaires). Conclusions: One-year relapse in pathological gamblers is not predicted by self-report and or neurocognitive measures of impulsivity and decision-making. The similarities in performances between pathological gamblers and healthy controls illustrate the relative health of the examined pathological gamblers. This last finding supports the idea that subtypes of pathological gamblers exist so that different treatment strategies might be necessary.

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“…1–3 Although, for a period of time, the term addiction was almost exclusively used to refer to excessive and interfering patterns of alcohol and drug use, the Latin word ( addicere ) from which it derived did not originally have this import. 4 Researchers and others have recently recognized that certain behaviors resemble alcohol and drug dependence, and they have developed data indicating that these behaviors warrant consideration as nonsubstance or “behavioral” addictions.…”

mentioning

confidence: 99%

Gambling Disorder and Other Behavioral Addictions

Yau

Potenza

2015

Harvard Review of Psychiatry

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187

124

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Addiction professionals and the public are recognizing that certain nonsubstance behaviors—such as gambling, Internet use, video-game playing, sex, eating, and shopping—bear resemblance to alcohol and drug dependence. Growing evidence suggests that these behaviors warrant consideration as nonsubstance or “behavioral” addictions and has led to the newly introduced diagnostic category “Substance-Related and Addictive Disorders” in DSM-5. At present, only gambling disorder has been placed in this category, with insufficient data for other proposed behavioral addictions to justify their inclusion. This review summarizes recent advances in our understanding of behavioral addictions, describes treatment considerations, and addresses future directions. Current evidence points to overlaps between behavioral and substance-related addictions in phenomenology, epidemiology, comorbidity, neurobiological mechanisms, genetic contributions, responses to treatments, and prevention efforts. Differences also exist. Recognizing behavioral addictions and developing appropriate diagnostic criteria are important in order to increase awareness of these disorders and to further prevention and treatment strategies.

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Pathological Gambling and Substance Use Disorders

Cited by 123 publications

References 57 publications

Co-Occurrence of Addictive Behaviours: Personality Factors Related to Substance Use, Gambling and Computer Gaming

Co-Occurrence of Addictive Behaviours: Personality Factors Related to Substance Use, Gambling and Computer Gaming

Relapse in pathological gamblers: A pilot study on the predictive value of different impulsivity measures

Gambling Disorder and Other Behavioral Addictions

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