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FrancoAngeli Journals

Saggi, Studi e Ricerche

No. 48 (2016)

Clinical approaches to gambling disorder

Submitted
luglio 10, 2017
Published
2017-07-28

Abstract

Gambling disorder, previously defined as an impulse control disorder has recently been reclassified as a substance-related and addictive disorder in the DSM-5. This reclassification calls for a change in the clinical approach. This study reports the latest data on epidemiology, diagnosis, psychiatric comorbidity and pharmacological strategies. In addition, methodology and clinical approaches over a 3 year of activity of the gambling treatment team in the city of Milan, are presented. The challenges of this "new" addiction implies an update of clinical directions in dealing with and treating the disorder. The treatment system should also deal with the need to improve efficiency and accuracy in managing work processes.

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edn (DSM-5). Arlington, VA: American Psychiatric Association; 2013.
  2. Blaszczynski A, Nower L. (2002) A pathways model of problem and pathological gambling. Addiction. May; 97(5):487-99. Review.
  3. Conversano C, Marazziti D, Carmassi C, Baldini S, Barnabei G, Dell'Osso L (2012). Pathological gambling: a systematic review of biochemical, neuroimaging, and neuropsychological findings. Harv Rev Psychiatry. May-Jun, 20(3):130-48.
  4. Cowlishaw, S. (2014) Comorbid problem gambling in substance users seeking treatment. Victorian Responsible Gambling Foundation.
  5. DeCaria CM, Hollander E, Grossman R, Wong CM, Mosovich SA, Cherkasky S. Diagnosis, neurobiology, and treatment of pathological gambling. J Clin Psychiatry 1996;57 Suppl 8:80-3; discussion 83-4. Review
  6. Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. (2015). The Prevalence of Comorbid Personality Disorders in Treatment-Seeking Problem Gamblers: A Systematic Review and Meta-Analysis. Pers Disord. Dec;29(6):735-54.
  7. El-Guebaly N, Patten SB, Currie S, Williams JV, Beck CA, Maxwell CJ, Wang JL. (2006) Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders. J Gambl Stud. 2006 Fall;22(3):275-87.
  8. Goldstein RZ, Craig AD, Bechara A, Garavan H, Childress AR, Paulus MP, Volkow ND. The neurocircuitry of impaired insight in drug addiction. (2009) Trends Cogn Sci. Sep;13(9):372-80.
  9. Goudriaan AE, Oosterlaan J, de Beurs E, van den Brink W. (2006) Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction. Apr;101(4):534-47.
  10. Hodgins DC, el-Guebaly N. The influence of substance dependence and mood disorders on outcome from pathological gambling: five-year follow-up. J Gambl Stud. 2010 Mar;26(1):117-27
  11. Kausch O. Patterns of substance abuse among treatment-seeking pathological gamblers. J Subst Abuse Treat. 2003 Dec;25(4):263-70.
  12. Ladouceur R, Sylvain C, Boutin C, Doucet C (2006). Il Gioco d’Azzardo Eccessivo, vincere il gambling. Centro Scientifico Editore
  13. Lorains FK1, Cowlishaw S, Thomas SA (2011). Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys. Addiction. Mar;106(3):490-8.
  14. Regione Lombardia. Interventi a sostegno della famiglia e dei suoi componenti fragili ai sensi della DGR 116/2013: primo provvedimento attuativo Deliberazione della Giunta Regionale n° X/856 del 25/10/2013
  15. Vocci FJ. Cognitive remediation in the treatment of stimulant abuse disorders: a research agenda. Exp Clin Psychopharmacol. 2008 Dec;16(6):484-97.
  16. Yip SW, Potenza MN. Treatment of Gambling Disorders. (2014) Curr Treat Options Psychiatry. Jun 1;1(2):189-203.
  17. Zita G. (2014). Trattamenti farmacologici nel Gioco d’Azzardo Patologico. In: Manuale sul gioco d’azzardo patologico. Diagnosi, Valutazione e Trattamenti. A cura di Graziano Bellio e Mauro Croce, 2014 - Franco Angeli ed.

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