Behavioral Addictions: Pathological Gambling

“Current estimates suggest that three percent of the adult population will experience a serious problem with gambling that will result in significant debt, family disruption, job losses, criminal activity or suicide. Pathological gambling affects the gamblers, their families, their employers and the community. As the gamblers go through the phases of their addiction, they spend less

Gambling addiction also know as compulsive gambling is a type of impulse control disorder. (Healthyplace.com, 2008) It is a progressive disease that can wreck havoc on relationships, work, and finances.

The idea behind the internet was to revolutionize society and with over 3 billion individuals using it, it clearly succeeded (ITU, n.d.). However, individuals started coming online to check their email, watch a video, visit Facebook, or play an online game as a habit, may easily become addicted to these behaviors over time. According to the DSM-V, internet addiction applies to individuals who use the internet excessively, often without realizing how much time has passed, how much more they are using the internet and neglecting their basic needs, as well as, ignoring any negative impacts said internet use has caused (dsm). When not using the internet, the individual may feel withdrawal, angry, tense, and/or depressed; in addition, they may feel the need to have a better computer and more software, which is an internet-addicted individual’s form of tolerance (dsm). Time of use per day in those addicted to the internet is nearly double the time those who are not addicted spend online (Lee,

There is no specific treatment option that is more beneficial. However, there are a variety of treatment options available for gambling addiction such as Gambler’s Anonymous, which is a support group and psychotherapy that involves cognitive behavioral therapy. Family therapy or group meetings with professional counselors can assist family members. In addition, there is the National Problem Gambling Helpline Network and Gamblers Anonymous that help love ones with their gambling problems (www.casino.org). The medication that is used to treat compulsive gambling is antidepressants and mood stabilizers (www.mayoclinic).

The current analysis included 4121 individuals whose data was collected via the Quinte Longitudinal Study (QLS) over a period of five years (2006-2011) (Williams et al., 2015). The QLS gained ethics approval from the Human Subject Research Committee at the University of Lethbridge and was conducted with the purpose of furthering research and understanding on problem gambling and other behavioural addictions. The authors of this paper were given permission to conduct the current analyses from all those involved in the QLS. Essential demographic information is presented in Table 1.

The excitement and risk taking associated with gambling is what gets the adrenaline pumping and stimulates the brain into wanting more. Hence, why gambling and betting on the lottery can lead to addiction in some cases. Other addictions associated with alcohol and drugs have similar effects to a gambling addict. Both addicts are vulnerable to lose themselves by the constant urge and desire to have the adrenaline rush from the substance. Regardless of what harm can come from alcohol, tobacco, or gambling it depends on the individual and how they respond to the

It is important to know if there is a link between gambling disorders and substance use because it can assist in finding treatment that works more effectively for comorbidity of these disorders. It is also important to note that it could also help figure out the neurological explanation to addiction because drugs can change the shape and processes of a brain, and gambling is a form of addiction that does not. Pathological gambling and substance abuse/ dependence have similar classifications. This paper will provide evidence to answer the question “what is relationship between gambling disorders and substance use in adults?”

According to national surveys, 73% of British adults wagered on gambling activities (including National Lottery) in 2010 [2]. In some instances, this behaviour can become problematic and is characterised by persistent gambling that precedes gambling-related harms [6]. Whilst personal accounts of disordered gambling behaviour and harms related to specific gambling products have garnered a large amount of media exposure and research interest in the UK, the provision and understanding of treatment-seeking behaviour has received less attention. Conservative estimates indicate that approximately 1% of the UK population report gambling behaviour that warrants a diagnosis of either pathological gambling (ICD-10, [7]) or gambling disorder (DSM-5, [5])

In today's society, addiction is not viewed as brain disease. Many believe the act of taking illicit drugs or indulging in addictive behaviors, such as gambling, is a voluntary act. However, studies of the past few decades support the idea of addiction as brain disease. Unfortunately, this concept is still questioned because the behaviors of addiction have not yet been fully linked to neurobiology.

Based on information from the National Opinion Research Center (NORC), the National Gambling Impact Study Commission (NGISC) states that there are two and a half million individuals who fall into a state defined as a pathological gambler, another three million are considered problem gamblers, and roughly fifteen million more could be considered “at-risk” (NORC, 1999). A pathological gambler is one who has a severe uncontrollable urge to gamble despite harmful negative consequences or a desire to stop. This project proposes to address the need to keep a casino patron from developing a pathological or compulsive gambling problem. The project will entail investigating the driving factors for a person gambling themselves into problems and

Relating to the issue of subgroups, pathological gambling was originally classified as an impulse control disorder by the DSM-IV-TR (APA, 2000), though, based on its criteria similar to substance dependence, some researchers preferred to consider it a behavioural addiction (Blanco et al., 2001; Potenza et al., 2002). Goudriaan et al. (2006) provide a similar argument, stating that pathological gambling and alcohol dependence share common EF deficits, and it has since been amended to be a behavioural addiction the in the DSM-V (APA, 2013). The divisive topic of screening and diagnosis could have serious consequences on the quality of care, or form of therapy, a pathological gambler may receive or decide to enter. Whether they legitimately

In 2013, the release of the updated Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) added gambling disorder to the category titled Substance-Related and Addictive Disorders. (The Diagnostic and Statistical Manual of Mental Disorders, 2013) In the previous edition of the DSM, gambling, along with other behavioral addictions were in the Impulse Control Disorders category of the DSM-III and DSM-IV (Clark, 2014). Behavioral Addictions are said to be around for hundreds of years. For example, gambling was part of daily life in ancient Greece. (Hekster, 2002). In the first edition of American Psychiatric Association in 1812, there was detailed mention of excessive sexual desire (Rush, 1812). Yet, behavioral

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a reference for health care professionals for the criteria of diagnosing mental disorders. The DSM includes charateristics, symptoms, and common language to help in this. It is periodically revised to keep up with new scientific advances and discoveries. From the DSM-IV to the DSM-V, a new chapter based on impulse control disruptive, and conduct disorders was added. The definitions of addiction and impulse control disorders were combined and rearranged to better categorize the disorders to their concepts and their possible methods of treatment. Gambling was categorized with addictive disorders, while trichotillomania and skin-picking were moved to obsessive-compulsive disorders.

Bachmann’s gambling addiction follows a simple cycle known as the habit loop. A habit loop, which explained earlier, is a cycle consisting of a cue, routine, and reward affect. Identifying the habit loop for addicts is a great way of finding ways in altering the addiction to completely get rid of it or to minimize the activity. The initial cue of the addiction was when she felt unappreciated by her kids or had a verbal disagreement with her husband. The routine was playing blackjack at the casinos, while generating conversations with random strangers. Finally the reward hopefully was winning the game or receiving money once cashing in the chips and having a sense of being good at something. Knowing Bachmann’s habit loop, we can infer that her problem can be adjusted in a way to minimize the amounts of money that are poured into the game and spending less time in a casino.

     Gambling addiction is an issue found in numerous areas where gambling is legal. People who are addicted to gambling, also know as problem gamblers, face many health risks including depression, suicidal thoughts, loss of sleep, loss of appetite, migraine and anxiety in addition to marriage breakdown, problems at work and bankruptcy (9). About 2 percent of adults are thought to be problem gamblers (1). In today’s society this costly addiction is not often considered to be a common problem among those who gamble. Only a small amount of states in the U.S. give enough attention toward this rising problem of people that are sometimes even willing to commit crimes just to aid their addiction. In the past our