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Although most who gamble do so without harm, approximately 6 million American adults are addicted to gambling. “They should be aware of what their children are doing, and on the other hand, they should motivate pro-active gambling, healthy gambling”, commented Lizbeth García Quevedo. The 194-member meet added excessive gaming to a classified list of diseases as it revised its International Statistical Classification of Diseases and Related Health Problems (ICD-11).citation needed In its 72nd World Health Assembly held on Saturday, May 25, 2019, ‘gaming disorder’ was recognized as an official illness.
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Some medical authors suggest that the biomedical model of problem gambling may be unhelpful because it focuses only on individuals. A limited study was presented at a conference in Berlin, suggesting opioid release differs in problem gamblers from the general population, but in a very different way from people with a substance use disorder. Dopamine dysregulation syndrome has been observed in the aforementioned theory in people with regard to such activities as gambling. The findings in one review indicated that behavioral disorders such as problem gambling and substance use disorder are closely linked; sensitization theory indicates that these disorders are marked by a compulsive drive towards unhealthy behaviors and an inability to control against them. Deficiencies in serotonin might also contribute to compulsive behavior, including a gambling addiction.
Across all areas of Africa, sports betting and card-games serve to be the most prevalent forms of gambling; a supermajority of individuals gamble on weekends in particular. According to Jennifer Trimpey, as the legality of online sport betting and online casino gambling increase across the United States, almost all governments of states with legal online gambling offer state-run self-exclusion programs, and most major online betting operators provide their own self-exclusion programs as well. Nevada has the highest percentage of pathological gambling; a 2002 report estimated 2.2 to 3.6 percent of Nevada residents over the age of 18 could be called problem gamblers. Also, biological data support a relationship between pathological gambling and substance use disorder. There is a partial overlap in diagnostic criteria between problem gambling and substance use disorders; pathological gamblers are also likely to have a substance use disorder. Studies have compared pathological gamblers to substance addicts, concluding that addicted gamblers display more physical symptoms during withdrawal.
The opioid antagonist drug nalmefene has also been trialed quite successfully for the treatment of compulsive gambling. Additionally, CBT approaches frequently utilize skill-building techniques geared toward relapse prevention, assertiveness and gambling refusal, problem solving and reinforcement of gambling-inconsistent activities and interests. This type of therapy focuses on the identification of gambling-related thought processes, mood and cognitive distortions that increase one’s vulnerability to out-of-control gambling. One form of counseling, cognitive behavioral therapy (CBT) has been shown to reduce symptoms and gambling-related urges. Modeled after Alcoholics Anonymous, GA is a twelve-step program that emphasizes a mutual-support approach. The VGS has proven validity and reliability in population studies as well as Adolescents and clinic gamblers.citation needed
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Some experts maintain that casinos in general arrange for self-exclusion programs as a public relations measure without actually helping many of those with problem gambling issues. A study by Wendy Slutske of the University of Missouri concluded one-third of pathological gamblers overcome it by natural recovery. Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling. As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems.
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