Pathological gambling treated with lithium: The role of assessing temperament

Chaim, Carolina Hanna; Nazar, Bruno Palazzo; Hollander, Eric; Lessa, José Luiz Martins

doi:10.1016/j.addbeh.2014.05.016

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…In many cases we may become witnesses to the emergence of true impulse control disorders such as pathological gambling and compulsive sexuality in men, and compulsive buying and binge eating in women (Chaim et al, 2014;McElroy et al, 1996McElroy et al, , 2005Powers et al, 2013). Viewed from the same perspective, cyclothymia also seems to offer a fertile ground for drug abuse and addiction (Maremmani et al, 2006).…”

Section: Psychopathologymentioning

confidence: 94%

Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Perugi

Hantouche²,

Vannucchi

et al. 2015

Journal of Affective Disorders

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Section: Psychopathologymentioning

confidence: 94%

Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Perugi

Hantouche²,

Vannucchi

et al. 2015

Journal of Affective Disorders

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“…Sensation-seeking and self-stimulating behavior can be associated with anxious reactions [15]. In some cases full-blown impulse control disorders may emerge such as pathological gambling and compulsive sexuality in men, or compulsive buying and binge eating in women [15, 17-19]. In this perspective, cyclothymia could represent a predisposing background for drug abuse and addiction because of a mix of sensation-seeking, impulsivity and high sensitivity to substances (including any sort of illicit drug and alcohol, but also hypnotics and sedatives) [20, 21].…”

Section: Cyclothymia As a Neurodevelopmental Disordermentioning

confidence: 99%

Diagnosis and Treatment of Cyclothymia: The “Primacy” of Temperament

Perugi

Hantouche²,

Vannucchi

2017

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Background: Contrary to DSM-5 definition based on recurrence of low grade hypomanic and depressive symptoms, cyclothymia is better defined in a neurodevelopmental perspective as an exaggeration of cyclothymic temperament. Emotional dysregulation with extreme mood instability and reactivity is the core features of the complex symptomatology.Method: In the present article, we critically reviewed the literature on the diagnosis and treatment of cyclothymia, focusing on the temperamental and neurodevelopmental perspectives.Results: Current epidemiological and clinical research showed the high prevalence and the validity of cyclothymia as a distinct form of bipolarity, frequently associated with multiple comorbidities with anxiety, impulse control, substance use, and so called “personality” disorders. Many patients receive correct diagnosis and treatments after many years of illness, when the superposition of complications reduces the possibility of complete remission. A therapeutic model combining the focus on symptomatic presentations with a temperamental perspective seems to represent an effective approach for cyclothymic patients with complex clinical presentations.Conclusion: Cyclothymic mood instability is an understudied issue despite the evidence of its clinical relevance. Unresolved issues concern its diagnostic delimitation and the possible relationships with emotional dysregulation observed in other neurodevelopmental disorders. We need to confirm the specificity of the disorder and to improve its recognition in early phase of the life, especially in youth. Early recognition means avoiding unnecessary complications and establishing specific treatments and clinical management since the beginning.

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“…W badaniach naukowych potwierdzono skuteczność leczenia zaburzeń hazardowych i zaburzeń afektywnych przy użyciu antagonistów opioidowych, memantyny (antagonisty receptorów NMDA), citalopramu i litu o przedłużonym uwal nianiu. Leczenie to przyczyniało się do ograniczenia zachowań hazardowych i poprawiało elastyczność poznawczą (Chaim et al, 2014;Grant et al, 2010Grant et al, , 2008Hollander et al, 2005;Zimmerman et al, 2002). Dowling i wsp.…”

Section: Leczenie Farmakologiczneunclassified

Therapeutic approaches for pathological gamblers with psychiatric comorbidities – a literature review

Wieczorek¹,

Dąbrowska²

2023

Psychiatr Psychol Klin

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Research has shown that gambling disorders often coexist with other mental disorders, with worse treatment outcomes in the affected patients than those with a single disorder. This population is also characterised by higher hospitalisation rates, non- compliance and poor response to pharmacotherapy. The aim of this review was to identify, describe and analyse therapeutic approaches used for pathological gamblers with other mental health issues. The EBSCOhost database was used for literature review. Combinations of key phrases referring to gambling disorders and the most frequently identified mental comorbidities were used for the search. The review showed that therapeutic guidelines for gamblers with mental comorbidities are missing. According to previous studies, the cognitive-behavioural approach in individual and group therapy seems to be an effective strategy for gambling disorders overlapping with other psychiatric comorbidities. Motivational interviewing and desensitisation with exposure to stimuli have also been shown to be effective. Pharmacotherapy is an indispensable component of treatment. Therapy via the Internet, which may be particularly attractive for those reluctant to opt for individual or group therapy, is an alternative to traditional sessions. It is necessary to develop treatment guidelines for patients with gambling disorders co-occurring with other mental conditions to provide support for practitioners working with these patients.

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Pathological gambling treated with lithium: The role of assessing temperament

Cited by 8 publications

References 18 publications

Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Diagnosis and Treatment of Cyclothymia: The “Primacy” of Temperament

Therapeutic approaches for pathological gamblers with psychiatric comorbidities – a literature review

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