Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling
Introduction Pathological gambling consists of a persistent and maladaptive pattern of gambling behavior, that often leads to significant adverse psychosocial and financial outcomes. It is currently classified as an “Impulse Disorder” on ICD-10 but the DSM-5 moved this diagnosis from “Impulse-Contr...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822021551/type/journal_article |
| _version_ | 1797616450654961664 |
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| author | N. Cunha E Costa S. Cruz G. Sobreira |
| author_facet | N. Cunha E Costa S. Cruz G. Sobreira |
| author_sort | N. Cunha E Costa |
| collection | DOAJ |
| description |
Introduction
Pathological gambling consists of a persistent and maladaptive pattern of gambling behavior, that often leads to significant adverse psychosocial and financial outcomes. It is currently classified as an “Impulse Disorder” on ICD-10 but the DSM-5 moved this diagnosis from “Impulse-Control Disorders” to “Substance-Related and Addictive Disorders” section[1]. Behavioral addictions, especially pathological gambling, share many features with substance dependences, namely clinical findings and behavioural patterns, comorbidity with psychiatric disorders, genetic factors and family history, neurobiology, natural history and response to treatment[2].
Objectives
To study the impact of substance abuse in patients with pathological gambling.
Methods
Literary review, using PubMed database search, regarding substance abuse and pathological gambling.
Results
57,5% of individuals with pathological gambling also present with some form of substance use[3].There was also a large percentage of patients presenting with nicotine dependence (60,1%) and a fourfold increase in the risk of developing an alcohol use disorder[3]. Individuals with substance use disorders also show a threefold risk of developing pathological gambling and substance use appears to negatively influence gambling behaviours in this population. Gambling habits in adolescents have been linked to an increased risk of current and lifetime drug use of multiple substances[4]. Other psychiatric comorbidities were also frequent in this population: 37.9% of patients presented with mood disorders and 37.4% with anxiety disorders[3].
Conclusions
There is a significant clinical and neurobiological overlap between substance use disorders and pathological gambling. Individuals with pathological gambling have a high prevalence of substance use disorders and an increased lifetime risk of substance use, which negatively influences gambling behavior.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:41:22Z |
| format | Article |
| id | doaj.art-9a80ca4c997b45c9bf82c196776beb6c |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:41:22Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-9a80ca4c997b45c9bf82c196776beb6c2023-11-17T05:08:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S832S83210.1192/j.eurpsy.2022.2155Overlap between substance and behavioural addictions: substance abuse in patients with pathological gamblingN. Cunha E Costa0S. Cruz1G. Sobreira2Hospital Garcia de Orta, Almada, Psychiatry, Almada, PortugalHospital Garcia de Orta, Almada, Psychiatry, Almada, PortugalHospital Garcia de Orta, Almada, Psychiatry, Almada, Portugal Introduction Pathological gambling consists of a persistent and maladaptive pattern of gambling behavior, that often leads to significant adverse psychosocial and financial outcomes. It is currently classified as an “Impulse Disorder” on ICD-10 but the DSM-5 moved this diagnosis from “Impulse-Control Disorders” to “Substance-Related and Addictive Disorders” section[1]. Behavioral addictions, especially pathological gambling, share many features with substance dependences, namely clinical findings and behavioural patterns, comorbidity with psychiatric disorders, genetic factors and family history, neurobiology, natural history and response to treatment[2]. Objectives To study the impact of substance abuse in patients with pathological gambling. Methods Literary review, using PubMed database search, regarding substance abuse and pathological gambling. Results 57,5% of individuals with pathological gambling also present with some form of substance use[3].There was also a large percentage of patients presenting with nicotine dependence (60,1%) and a fourfold increase in the risk of developing an alcohol use disorder[3]. Individuals with substance use disorders also show a threefold risk of developing pathological gambling and substance use appears to negatively influence gambling behaviours in this population. Gambling habits in adolescents have been linked to an increased risk of current and lifetime drug use of multiple substances[4]. Other psychiatric comorbidities were also frequent in this population: 37.9% of patients presented with mood disorders and 37.4% with anxiety disorders[3]. Conclusions There is a significant clinical and neurobiological overlap between substance use disorders and pathological gambling. Individuals with pathological gambling have a high prevalence of substance use disorders and an increased lifetime risk of substance use, which negatively influences gambling behavior. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822021551/type/journal_articleAddictiongamblingsubstance abuseimpulse-control disorders |
| spellingShingle | N. Cunha E Costa S. Cruz G. Sobreira Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling European Psychiatry Addiction gambling substance abuse impulse-control disorders |
| title | Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling |
| title_full | Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling |
| title_fullStr | Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling |
| title_full_unstemmed | Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling |
| title_short | Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling |
| title_sort | overlap between substance and behavioural addictions substance abuse in patients with pathological gambling |
| topic | Addiction gambling substance abuse impulse-control disorders |
| url | https://www.cambridge.org/core/product/identifier/S0924933822021551/type/journal_article |
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