Compulsive features in behavioural addictions: the case of pathological gambling
- PMID: 21985690
- PMCID: PMC3257403
- DOI: 10.1111/j.1360-0443.2011.03546.x
Compulsive features in behavioural addictions: the case of pathological gambling
Abstract
Aims: To describe, in the context of DSM-V, how a focus on addiction and compulsion is emerging in the consideration of pathological gambling (PG).
Methods: A systematic literature review of evidence for the proposed re-classification of PG as an addiction.
Results: Findings include: (i) phenomenological models of addiction highlighting a motivational shift from impulsivity to compulsivity associated with a protracted withdrawal syndrome and blurring of the ego-syntonic/ego-dystonic dichotomy; (ii) common neurotransmitter (dopamine, serotonin) contributions to PG and substance use disorders (SUDs); (iii) neuroimaging support for shared neurocircuitries between 'behavioural' and substance addictions and differences between obsessive-compulsive disorder (OCD), impulse control disorders (ICDs) and SUDs; (iv) genetic findings more closely related to endophenotypic constructs such as compulsivity and impulsivity than to psychiatric disorders; (v) psychological measures such as harm avoidance identifying a closer association between SUDs and PG than with OCD; (vi) community and pharmacotherapeutic trials data supporting a closer association between SUDs and PG than with OCD. Adapted behavioural therapies, such as exposure therapy, appear applicable to OCD, PG or SUDs, suggesting some commonalities across disorders.
Conclusions: PG shares more similarities with SUDs than with OCD. Similar to the investigation of impulsivity, studies of compulsivity hold promising insights concerning the course, differential diagnosis and treatment of PG, SUDs, and OCD.
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.
Conflict of interest statement
Dr. Nady el-Guebaly has no financial conflict of interest to report with respect to the content of this manuscript.
Tanya Mudry has no financial conflict of interest to report with respect to the content of this manuscript.
Dr. Zohar has received research funding and speaking fees from Lundbeck as well as research funding and consultancy fees from Servier.
Dr. Tavares has received research support from Cristalia, Roche, and Sandoz in his role as President of Brazil’s National Association on Pathological Gambling and Other Impulse Control Disorders.
Dr. Potenza has received research support from the Mohegan Sun Casino, the National Center for Responsible Gaming and its affiliated Institute for Research on Gambling Disorders (both gambling industry funded organisations); has consulted for and advised Boehringer Ingelheim; has consulted for and has financial interests in Somaxon; and Forest Laboratories, Ortho-McNeil, Oy-Control/Biotie, Glaxo-SmithKline and Psyadon pharmaceuticals.
Comment in
-
Compulsivity as an endophenotype: the search for a hazy moving target.Addiction. 2012 Oct;107(10):1735-6. doi: 10.1111/j.1360-0443.2012.03663.x. Addiction. 2012. PMID: 22962951 No abstract available.
Similar articles
-
Similarities and differences between pathological gambling and substance use disorders: a focus on impulsivity and compulsivity.Psychopharmacology (Berl). 2012 Jan;219(2):469-90. doi: 10.1007/s00213-011-2550-7. Epub 2011 Nov 5. Psychopharmacology (Berl). 2012. PMID: 22057662 Free PMC article. Review.
-
Compulsivity and Impulsivity in Pathological Gambling: Does a Dimensional-Transdiagnostic Approach Add Clinical Utility to DSM-5 Classification?J Gambl Stud. 2015 Sep;31(3):825-47. doi: 10.1007/s10899-014-9470-5. J Gambl Stud. 2015. PMID: 24863627
-
Compulsivity in obsessive-compulsive disorder and addictions.Eur Neuropsychopharmacol. 2016 May;26(5):856-68. doi: 10.1016/j.euroneuro.2015.12.003. Epub 2015 Dec 11. Eur Neuropsychopharmacol. 2016. PMID: 26774279 Review.
-
Compulsive aspects of impulse-control disorders.Psychiatr Clin North Am. 2006 Jun;29(2):539-51, x. doi: 10.1016/j.psc.2006.02.002. Psychiatr Clin North Am. 2006. PMID: 16650722 Free PMC article. Review.
-
A pilot study of impulsivity and compulsivity in pathological gambling.Psychiatry Res. 2009 May 15;167(1-2):161-8. doi: 10.1016/j.psychres.2008.04.023. Epub 2009 Apr 1. Psychiatry Res. 2009. PMID: 19339053 Free PMC article. Clinical Trial.
Cited by
-
Associations between Adverse Childhood Experiences and Gambling Severity in Youth Online Gamblers: The Mediating Roles of Internalizing, Attention and Externalizing Problems.J Gambl Stud. 2024 May 28. doi: 10.1007/s10899-024-10320-8. Online ahead of print. J Gambl Stud. 2024. PMID: 38802628
-
A Self-Applied Psychological Treatment for Gambling-Related Problems via The Internet: A Pilot, Feasibility Study.J Gambl Stud. 2024 May 25. doi: 10.1007/s10899-024-10318-2. Online ahead of print. J Gambl Stud. 2024. PMID: 38795233
-
Divergent risky decision-making and impulsivity behaviors in Lewis rat substrains with low genetic difference.Behav Neurosci. 2023 Aug;137(4):254-267. doi: 10.1037/bne0000557. Epub 2023 Apr 27. Behav Neurosci. 2023. PMID: 37104777 Free PMC article.
-
Eating Compulsivity in Inpatients with Severe Obesity and the General Population: The Italian Version of the Measure of Eating Compulsivity (MEC10-IT).Nutrients. 2023 Mar 12;15(6):1378. doi: 10.3390/nu15061378. Nutrients. 2023. PMID: 36986106 Free PMC article.
-
Extended access to fentanyl vapor self-administration leads to addiction-like behaviors in mice: Blood chemokine/cytokine levels as potential biomarkers.Addict Neurosci. 2023 Mar;5:100057. doi: 10.1016/j.addicn.2022.100057. Epub 2022 Dec 9. Addict Neurosci. 2023. PMID: 36683829 Free PMC article.
References
-
- Holden C. Behavioral Addictions Debut in Proposed DSM-V. Science. 2010 Feb 19;327(5968):935. - PubMed
-
- American Psychiatric Association. DSM-5: The future of psychiatric diagnosis. DSM-5 development website. 2010 Nov 26; Available from: URL: http://www.dsm5.org/Pages/Default.aspx.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical