Abstract：
:Disordered gambling is a public health concern associated with detrimental consequences for affected individuals and social costs. Currently, opioid antagonists are considered the first-line treatments to reduce symptoms of uncontrolled gambling. Only recently, glutamatergic agents and combined pharmacological and psychological treatments have been examined appearing promising options for the management of gambling disorder. A multilevel literature search yielded 34 studies including open-label and placebo-controlled trials totaling 1340 participants to provide a comprehensive evaluation of the short- and long-term efficacies of pharmacological and combined treatments. Pharmacological treatments were associated with large and medium pre-post reductions in global severity, frequency, and financial loss (Hedges's g: 1.35, 1.22, 0.80, respectively). The controlled effect sizes for the outcome variables were significantly smaller (Hedges's g: 0.41, 0.11, 0.22), but robust for the reduction of global severity at short-term. In general, medication classes yielded comparable effect sizes independent of predictors of treatment outcome. Of the placebo controlled studies, results showed that opioid antagonists and mood stabilizers, particularly the glutamatergic agent topiramate combined with a cognitive intervention and lithium for gamblers with bipolar disorders demonstrated promising results. However, more rigorously designed, large-scale randomized controlled trials with extended placebo lead-in periods are necessary. Moreover, future studies need to monitor concurrent psychosocial treatments, the type of comorbidity, use equivalent measurement tools, include outcome variables according to the Banff, Alberta Consensus, and provide follow-up data in order to broaden the knowledge about the efficacy of pharmacological treatments for this disabling condition.
journal_name
J Gambl Studjournal_title
Journal of gambling studiesauthors
Goslar M,Leibetseder M,Muench HM,Hofmann SG,Laireiter ARdoi
10.1007/s10899-018-09815-ysubject
Has Abstractpub_date
2019-06-01 00:00:00pages
415-445issue
2eissn
1050-5350issn
1573-3602pii
10.1007/s10899-018-09815-yjournal_volume
35pub_type
杂志文章,meta分析,评审abstract：BACKGROUND:Most adults gamble recreationally yet few studies have systematically investigated for gender-related differences in recreational gamblers. METHODS:Logistic regression analyses were performed on data from a nationally representative sample of respondents from the 1998 Gambling Impact and Behavior Study. RE...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-005-9002-4
更新日期：2006-04-01 00:00:00
abstract：:The objectives of the study are: (a) to provide the first prevalence estimates of pathological gambling among Brazilian adolescents using an age-specific instrument in a nationally representative sample; (b) to investigate the extent to which adolescents participate in gambling activities in a developing country; and ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-010-9236-7
更新日期：2011-12-01 00:00:00
abstract：:Gambling opportunities have increased rapidly during recent years. Previous research shows that gambling is a popular activity among youth, which may contribute to problem gambling. This study examined how social identification with online and offline peer groups associates with youth problem gambling behavior and if ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-018-9813-8
更新日期：2019-03-01 00:00:00
abstract：:In two studies it is demonstrated that, in the short-term, slot machine gambling increases self-control strength in problem gamblers. In Study 1 (N = 180), participants were randomly assigned to either play slot machines or engage in a control task (word anagrams) for 15 min. Subsequent self-control strength was measu...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-012-9350-9
更新日期：2014-03-01 00:00:00
abstract：:Slot machine gambling enjoys great popularity in Germany. In 2016, electronic gambling machines in arcades and pubs had a market share of 51.7% in the regulated gambling market with a gross gambling revenue of EUR 5600 million. To decrease the risks of this type of gambling, pre-commitment tools are a frequently used ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-019-09853-0
更新日期：2019-12-01 00:00:00
abstract：:A total of 952 (841 men and 111 women) Chinese treatment-seeking problem gamblers completed self-report assessment forms. Female in contrast to male gamblers were more likely to be older, married, less educated, and without employment. Female gamblers also started gambling at an older age, had a shorter gambling histo...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-006-9054-0
更新日期：2007-06-01 00:00:00
abstract：:While there is a general consensus in the literature that it is common for youth to gamble, considerable variability in the reported prevalence rates of youth problem gambling has been found. More recently, issues concerning the possible overestimation of these rates have been raised. Arguments underlying the proposit...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1023/a:1026379910094
更新日期：2003-01-01 00:00:00
abstract：:Previous research has established direct messages (such as emails and text messages) are a widely seen form of advertising and are highly influential on sports betting and race betting behaviour. Nevertheless, few studies have examined the specific content of these messages, and whether their content is related to acc...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-019-09896-3
更新日期：2020-12-01 00:00:00
abstract：:Perception of the consequences of risk affects motivation and behaviour. In gambling, distorted expectations and preferences towards outcomes are associated with significant social and clinical harms. A systematic review was conducted to examine the relationship between gambling risk perception and behaviour. Sixteen ...
journal_title：Journal of gambling studies
pub_type： 杂志文章,评审
doi：10.1007/s10899-013-9371-z
更新日期：2014-06-01 00:00:00
abstract：:Studies from the West suggest that significant numbers of high school students gamble, despite it being illegal in this age group. To date, there have been no studies on the prevalence of gambling among senior high school and higher secondary school students in India. This study reports point prevalence of gambling an...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-016-9651-5
更新日期：2017-06-01 00:00:00
abstract：:Gambling markets have grown rapidly for the last few decades. As a result, gambling is also a very important and common source of tax income for many governments these days. This raises a question about the overall fairness of the gambling taxation systems. In this paper, we aim to study the tax incidence of gambling ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-019-09899-0
更新日期：2020-12-01 00:00:00
abstract：:Slot machine wins and losses have distinctive, measurable, physiological effects on players. The contributing factors to these effects remain under-explored. We believe that sound is one of these key contributing factors. Sound plays an important role in reinforcement, and thus on arousal level and stress response of ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-013-9391-8
更新日期：2014-12-01 00:00:00
abstract：:Macao's gaming industry has experienced dramatic growth for 8 years, yet with certain social costs due to compulsive gambling. The government has come under pressure for tax cuts even though its gaming receipts are falling relatively to the casino retained revenue. The request for tax relief is triggered by a recent d...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-010-9235-8
更新日期：2011-12-01 00:00:00
abstract：:An experiment was conducted to observe the influence of autonomic arousal on subsequent gambling behavior. Thirty-seven male and 32 female regular Electronic Gaming Machine (EGM) players were recruited through newspaper advertisements. Participants were randomly assigned to either: (1) a control condition, or (2) an e...
journal_title：Journal of gambling studies
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10899-007-9061-9
更新日期：2007-12-01 00:00:00
abstract：:In this study, using four wave longitudinal data, we examined problem gambling severity trajectories in a sample of young adults. Using latent growth curve modeling, we examined how initial level of problem gambling severity and the rate of change were affected by 11 time-invariant predictors: gender, age of onset of ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-014-9501-2
更新日期：2015-12-01 00:00:00
abstract：:This study examined the association between pre- or early-adolescent onset of gambling and severity of gambling and psychosocial problems in treatment-seeking adult pathological gamblers. A total of 236 pathological gamblers entering outpatient treatment completed the South Oaks Gambling Screen (SOGS) and the Addictio...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-006-9015-7
更新日期：2006-10-01 00:00:00
abstract：:Pathological gambling is a prevalent and disabling mental illness, which is frequently associated with mood, anxiety, and substance use disorders. However, there is relatively little data on comorbidity in individuals with pathological gambling from low and middle income countries such as South-Africa. The Mini-Intern...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-014-9516-8
更新日期：2015-12-01 00:00:00
abstract：:Problem gambling is a growing public health concern and treatment incompletion levels remain high. The study aims to support and extend previous studies in relation to the heterogeneity of the gambling population based on gender and gambling type, and the implications of subgroup differences on treatment outcomes. Add...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-016-9614-x
更新日期：2017-03-01 00:00:00
abstract：:The present study examined the factor structure of the Gambling Related Cognitions Scale (GRCS); (Raylu and Oei in Addiction 99:757-769, 2004) in a large sample of adolescents (N = 1,490) between the ages of 16 and 18 years (630 males, 860 females) attending several high schools in central Ontario. Problem gambling wa...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-013-9368-7
更新日期：2014-06-01 00:00:00
abstract：:The influence of gambling outcomes on the efficacy of a short gambling episode to prime motivation to continue gambling was determined in two experiments in which desire to gamble was evaluated while participants played a slot machine located in a virtual reality casino. In experiment 1, 38 high-risk [>3 Problem Gambl...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-008-9093-9
更新日期：2008-09-01 00:00:00
abstract：:Both binge eating disorder (BED) and pathological gambling (PG) are characterized by impairments in impulse control. Subsyndromal levels of PG have been associated with measures of adverse health. The nature and significance of PG features in individuals with BED is unknown. Ninety-four patients with BED (28 men and 6...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-010-9207-z
更新日期：2011-06-01 00:00:00
abstract：:While most pathological gamblers, like most alcohol abusers, recover on their own, it seems likely that they are at greater risk for relapse than those who have been through successful treatment. Accordingly, a substantial increase in treatment resources for pathological gamblers, along with greater efforts to establi...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1023/a:1024255420820
更新日期：2003-10-01 00:00:00
abstract：:This article is a critical literature review of pathological gambling focused in the family factors, particularly in the couple dynamics. Its main goal is to develop an explicative integrative systemic model of pathological gambling, based in these couple dynamics. To achieve that aim, a bibliography search was made, ...
journal_title：Journal of gambling studies
pub_type： 杂志文章,评审
doi：10.1007/s10899-013-9366-9
更新日期：2014-06-01 00:00:00
abstract：:This paper describes the lifestyle model of gambling behavior in which compulsive gambling behavior is conceptualized as a lifestyle characterized by pseudoresponsibility, self-ascension, hypercompetitiveness, and social rule breaking/bending/ twisting. The underlying premise of this theory is that gambling behavior t...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/BF02109938
更新日期：1994-06-01 00:00:00
abstract：:Recently, the skill involved in playing and mastering video games has led to the professionalization of the activity in the form of 'esports' (electronic sports). The aim of the present paper was to review the main topics of psychological interest about esports and then to examine the similarities of esports to profes...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-018-9763-1
更新日期：2019-06-01 00:00:00
abstract：:Gambling has had mixed reactions over the years as a positive economic activity and as a negative action that leads to addiction. The purpose of the study is to examine whether the level of income and nature of employment explain the actual instant gratification behavior among bettors in Uganda. This study adopted a c...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-020-09973-y
更新日期：2020-09-07 00:00:00
abstract：:A recent paper by Fielding et al. (J Gamb Stud, 2017) argued that the brain's reward response could occur without the presentation of actual reward. We suggest that since (a) the event-related potentials reported in this paper are atypical of the previous literature, and, (b) a simpler account of the data in terms of ...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-018-9746-2
更新日期：2018-09-01 00:00:00
abstract：AIMS:To examine changes in skin conductance level (SCL), for problem gamblers in response to personally relevant imaginal tasks, representing winning or losing. SETTING, DESIGN, PARTICIPANTS AND MEASUREMENTS: SCL and subjective arousal were compared for problem poker machine gamblers (n = 13) and a control group (n = 2...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1023/B:JOGS.0000016706.96540.43
更新日期：2004-04-01 00:00:00
abstract：:From 1980 to mid-1990 fifty-one gamblers were evaluated and treated at the psychiatric university hospital of Homburg/Saar in Germany. All were men with a mean age of 33.7 years. Gambling had lasted 5.2 years on average. Most patients were motivated to undergo therapy by members of their family. The majority of them h...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/BF01014632
更新日期：1992-06-01 00:00:00
abstract：:This article presents a trade based theory of casino taxation along with empirical evidence found from Macao as a typical tourism resort. We prove that there is a unique optimum gaming tax in a particular market for casino gambling, argue that any change in this tax is engendered by external demand shifts, and suggest...
journal_title：Journal of gambling studies
pub_type： 杂志文章
doi：10.1007/s10899-013-9407-4
更新日期：2015-06-01 00:00:00
