Understanding and managing Gambling Disorder: an overview of recent evidence and current practices
Review article, 36 - 47Tag this article
Gambling is a recreational activity observed across most cultures, yet for about 2% of the general population, and becomes significantly disordered and interferes with life functioning. This condition, long conceptualized as an impulse control disorder (DSM-IV, ICD-10) is increasingly recognized as a behavioral addiction akin to substance use disorders, a change reflected in DSM-5. Here we provide an overview of current ideas around GD from its phenomenology and aetiopathology to strategies towards its management. In particular this reviewsummarizes the current status of understanding of the underlying neurobiology and the causes of gambling disorder (GD) while drawing parallels with neurophysiological models of addiction. Furthermore, we describe briefly services and treatments available for GD, potential pharmacological interventions as well as potential strategies for diagnosing and treating GD within and outside specialist services.
KEY WORDS: Pathological gambling, gambling disorder; neurobiology, neuroimaging, psychotherapy, interventions, screening; addiction.