An overview of gambling disorder: from treatment approaches to risk factors

F1000Res. 2018 Apr 9:7:434. doi: 10.12688/f1000research.12784.1. eCollection 2018.

Abstract

Gambling disorder (GD) has been reclassified recently into the "Substance-Related and Addictive Disorders" category of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), a landmark occurrence for a behavioral addiction. GD is characterized by recurrent, maladaptive gambling behavior that results in clinically significant distress. Although the number of randomized controlled trials assessing the effectiveness of pharmacological treatments is limited, some pharmacological treatments, notably opiate antagonists, have been employed in the treatment of GD. Patients with GD often present cognitive distortions and specific personality traits, making treatment more difficult. Cognitive behavioral therapy has become the most common psychological intervention for treating gambling problems, and it is effective in reducing gambling behavior. In this brief overview, we provide a report on the state of pharmacological and psychological treatments for gambling disorder. Risk factors and potential future lines of research are addressed.

Keywords: Cognitive behaviour; Gambling; addiction.

Publication types

  • Review

Grants and funding

This article and research were supported by grants from the Ministerio de Economía y Competitividad (PSI2015-68701-R); Ministerio de Sanidad, Servicios Sociales e Igualdad (PR338/17); and Instituto de Salud Carlos III (ISCIII) (FIS PI14/00290 and PI17/01167) and were co-funded by FEDER funds/European Regional Development Fund (ERDF), a way to build Europe. CIBERobn and CIBERsam are both initiatives of ISCIII. GMB is supported by a predoctoral grant of AGAUR (2017FI_B1 00145), co-financed by the European Social Fund with the support of the Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement de la Generalitat de Catalunya. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript