Pathological Gambling

Erbas, Beate; Buchner, Ursula Gisela

doi:10.3238/arztebl.2012.0173

Cited by 22 publications

(12 citation statements)

References 36 publications

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“…In 2014, 5.3% of Poles scored at least one point on the PGSI, and among them almost 4% indicated a low level of risk (1–2 points), 0.7% a moderate risk level (3–7 points), and 0.7% indicated problem gambling (8 and more points) ( CBOS Report, 2012 , 2015 ). The prevalence rate of problem gambling in Poland is thus similar to that in other European countries: 0.6% in Germany and Finland, 0.7% in the United Kingdom and Norway, and 0.9% in Sweden ( Calado & Griffiths, 2016 ; Erbas & Buchner, 2012 ; Wardle et al, 2011 ). A comparison of the results from 2011 and 2014 shows that the number of at-risk gamblers decreased in big cities and increased in rural areas.…”

supporting

confidence: 57%

Screening of problem gambling among a homeless population in Warsaw

Wieczorek

Stokwiszewski

Klingemann

2019

Nordic Studies on Alcohol and Drugs

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Background: While homelessness and problem gambling are both recognised as social and public health concerns and the prevalence of addictive disorders among homeless populations tends to be high. These questions have been studied predominantly independently. Aim: The aim of the study was to explore the co-occurrence of the two phenomena among the homeless population using shelters and night shelters in Warsaw, and, more specifically, to provide information about the forms and frequency of gambling in this homeless population. Method: Homeless persons ( N = 690) were interviewed in rehabilitation-shelters ( n = 17) and night-shelters ( n = 2) in Warsaw from November 2015 until January 2016. The core component of the questionnaire was a screening test (Problem Gambling Severity Index). In addition, data regarding the intensity of gambling and various types of games or settings were collected. Results: The prevalence of problem gambling in this population of homeless people was 11.3%, whereas the prevalence of problem gambling in the general population in Poland is much lower (0.7%). Similarly to the general population, the most prevalent gambling games in the homeless population were lotteries; however, homeless people gambled in lotteries almost three times more often compared to the general population. Conclusions: This is the first study examining the prevalence of problem gambling in the homeless population in Poland. The findings of the study suggest that problem gambling among the homeless is a significant social and public health concern. High rates of problem gambling in the homeless population show the need to identify and monitor this problem in shelters and consequently to provide easier access to gambling treatment or prevention programmes.

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supporting

confidence: 57%

Screening of problem gambling among a homeless population in Warsaw

Wieczorek

Stokwiszewski

Klingemann

2019

Nordic Studies on Alcohol and Drugs

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“…However, when considering ED subtype, GD was highly associated with binge eating disorder (5.7%). On the other hand, GD was also found to be more frequent in men (16%) than in women (1.26%), as seen from studies conducted both in the general population (Bonnaire et al, 2016) and in clinical samples (Erbas and Buchner, 2012; Jiménez-Murcia et al, 2014). …”

Section: Introductionmentioning

confidence: 84%

Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes

et al. 2017

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Background: The food addiction (FA) model is receiving increasing interest from the scientific community. Available empirical evidence suggests that this condition may play an important role in the development and course of physical and mental health conditions such as obesity, eating disorders, and other addictive behaviors. However, no epidemiological data exist on the comorbidity of FA and gambling disorder (GD), or on the phenotype for the co-occurrence of GD+FA.Objectives: To determine the frequency of the comorbid condition GD+FA, to assess whether this comorbidity features a unique clinical profile compared to GD without FA, and to generate predictive models for the presence of FA in a GD sample.Method: Data correspond to N = 458 treatment-seeking patients who met criteria for GD in a hospital unit specialized in behavioral addictions.Results: Point prevalence for FA diagnosis was 9.2%. A higher ratio of FA was found in women (30.5%) compared to men (6.0%). Lower FA prevalence was associated with older age. Patients with high FA scores were characterized by worse psychological state, and the risk of a FA diagnosis was increased in patients with high scores in the personality traits harm avoidance and self-transcendence, and low scores in cooperativeness (R2 = 0.18).Conclusion: The co-occurrence of FA in treatment-seeking GD patients is related to poorer emotional and psychological states. GD treatment interventions and related behavioral addictions should consider potential associations with problematic eating behavior and aim to include techniques that aid patients in better managing this behavior.

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“…Gambling disorder (GD) is a common psychiatric disorder, with lifetime prevalence estimates of almost 1.0% for Germany ( Erbas et al, 2012 ) and between 0.2% and 3.5% worldwide ( Kessler et al, 2008 ; Stucki et al, 2007 ). GD is characterized by persistent and recurrent maladaptive gambling behaviors.…”

Section: Introductionmentioning

confidence: 99%

Insula and striatum activity in effort-related monetary reward processing in gambling disorder: The role of depressive symptomatology

Zois¹,

Vollstädt‐Klein²,

Leménager³

et al. 2014

NeuroImage: Clinical

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The neurobiological underpinnings of effort-related monetary reward processing of gambling disorder have not been previously studied. To date neuroimaging studies lack in large sample sizes and as a consequence less attention has been given to brain reward processing that could potentially be attributed to comorbid conditions such as depressive mood state. We assessed monetary reward processing using an effort-dependent task during 3 tesla functional magnetic resonance imaging. We investigated a large sample of male, right-handed, slot-machine-playing disordered gamblers (DGs; N = 80) as well as age- and smoking-matched male healthy controls (HCs; N = 89). Depressive symptoms were assessed using the Beck Depression Inventory (BDI). DGs and HCs were divided into subgroups (“high” and “low”) based on their BDI scores. Effort-related monetary reward processing did not differ between the complete groups of HCs and DGs. Brain activation during receipt of monetary reward though revealed a significant Group × BDI interaction: DGs with higher BDI scores compared to DGs with lower BDI scores showed greater brain activity in the right insula cortex and dorsal striatum while no differences were observed for HCs with higher versus lower BDI scores. Our results suggest that effort-related aspects of monetary motivation, i.e. when monetary output is tied to performance, are not altered in DG. Additionally, our findings strengthen the need for subgroup comparisons in future investigations of the disorder as part of a personalized medicine approach.

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Pathological Gambling

Abstract: As with alcoholics, only a small fraction of pathological gamblers receives the appropriate support and treatment. Educational seminars to raise awareness among physicians and targeted measures for early detection might result in more of the affected persons getting suitable help.

Cited by 22 publications

References 36 publications

Screening of problem gambling among a homeless population in Warsaw

Screening of problem gambling among a homeless population in Warsaw

Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes

Insula and striatum activity in effort-related monetary reward processing in gambling disorder: The role of depressive symptomatology

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