Abstract
OBJECTIVE: To present a meta-analysis of current research on the prevalence, identification, and treatment of problem and compulsive gamblers. QUALITY OF EVIDENCE: Problem and compulsive gambling was not a socio-scientific concern until the last two decades. Hence research on this topic is limited. The summary and analysis for this paper relied on computer searches of journal and news abstracts in addition to direct contact with organizations addressing the identification and treatment of compulsive gamblers. MAIN MESSAGE: An estimated 5% of those who gamble run into problems. About 1% of those who gamble are predicted to experience serious problems. Successful treatment of problem and compulsive gambling continues to be a challenge. Although cognitive therapy has been the favoured approach, a combination of several therapeutic approaches is advocated. CONCLUSIONS: Problem and compulsive gambling can present a real health threat. As with other addictions, treatment strategies continue to be a baffling social problem. Aware and informed physicians can have a pivotal role in the difficult process of identifying, acknowledging, and remediating problem and compulsive gambling.
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Selected References
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- Ladouceur R. Prevalence estimates of pathological gambling in Quebec. Can J Psychiatry. 1991 Dec;36(10):732–734. doi: 10.1177/070674379103601007. [DOI] [PubMed] [Google Scholar]
- Lesieur H. R., Blume S. B. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry. 1987 Sep;144(9):1184–1188. doi: 10.1176/ajp.144.9.1184. [DOI] [PubMed] [Google Scholar]
- Phillips D. P., Welty W. R., Smith M. M. Elevated suicide levels associated with legalized gambling. Suicide Life Threat Behav. 1997 Winter;27(4):373–378. [PubMed] [Google Scholar]
- Smart R. G., Mann R. E. Treatment, health promotion and alcohol controls and the decrease of alcohol consumption and problems in Ontario: 1975-1993. Alcohol Alcohol. 1995 May;30(3):337–343. [PubMed] [Google Scholar]
- Stewart R. M., Brown R. I. An outcome study of Gamblers Anonymous. Br J Psychiatry. 1988 Feb;152:284–288. doi: 10.1192/bjp.152.2.284. [DOI] [PubMed] [Google Scholar]