Both comorbid substance use and comorbid mental disorders increase the risk of suicide in people with problem gambling. According to the Productivity Commission’s 2016 report into gambling, 0.5% to 1% (80,000 to 160,000) of the Australian adult population had significant problems resulting from gambling. This compared to an average of 2.8 times per month for people living one kilometer away, and 2.2 times per month for people living ten kilometers away. Specifically, people who lived 100 meters from their favorite venue visited an estimated average of 3.4 times per month.
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- The most common instrument used to screen for “probable pathological gambling” behavior is the South Oaks Gambling Screen (SOGS) developed by Lesieur and Blume (1987) at the South Oaks Hospital in New York City.
- Numerous pharmaceutical approaches to treating gambling addiction have been suggested including antidepressants, atypical antipsychotic agents, mood stabilizers, and opioid antagonists, however the best approach for treatment, treatment regime including dosage and timing is not clear.
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- Some medical authors suggest that the biomedical model of problem gambling may be unhelpful because it focuses only on individuals.
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Second, some individuals use problem gambling as an escape from the problems in their lives (an example of negative reinforcement). Several psychological mechanisms are thought to be implicated in the development and maintenance of problem gambling. These authors point out that social factors may be a far more important determinant of gambling behavior than brain chemicals, and they suggest that a social model may be more useful in understanding the issue.
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Across 270 studies, there is a significant causal relationship between increasing prevalence of certain gaming behaviors and further risk of gambling addiction. A majority of youths participate in lifetime gambling behaviors, and of those who gamble, over 70% reported consistent gambling within the last year. In Quebec, an estimated 0.8 percent of the adult population were pathological gamblers in 2002. In Ontario, a 2006 report showed 2.6 percent of residents experienced “moderate gambling problems” and 0.8 percent had “severe gambling problems”. According to a 1997 meta-analysis by Harvard Medical School’s division on addictions, 1.1 percent of the adult population of the United States and Canada could be called pathological gamblers. In the United States, the percentage of pathological gamblers was 0.6 percent, and the percentage of problem gamblers was 2.3 percent in 2008.
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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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