Gambling disorder comorbidity a narrative review.

IF 8.3 2区医学 Q1 Medicine

Dialogues in Clinical Neuroscience Pub Date : 2025-12-01 Epub Date: 2025-04-03 DOI:10.1080/19585969.2025.2484288

Rishi Sharma, Aviv Weinstein

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Abstract

Introduction: Problematic and pathological gambling (PG) lead to major adverse consequences for individuals, their families, and society and is highly comorbid with numerous other mental health disorders.

Methods: This narrative review summarized population-based, cross-sectional, treatment and prospective studies on gambling disorder and comorbidity over the past 14 years.

Results: These studies show a high rate of comorbidity of PG and substance and alcohol use disorders, mood and anxiety disorders. Prospective studies indicate that, in some cases, gambling precedes the onset of the comorbid disorder, while in other instances, the temporal relationship is reversed. Women face greater psychiatric comorbidity and are more likely to have mood disorders, suicidality, mania, anxiety and alcohol dependence. Treatment of PG can be effective by improving the gambling and depressive symptoms of PG.

Conclusions: Over the past 15 years, significant progress has been made in understanding and treating GD and its psychiatric comorbidities, with evidence highlighting the reciprocal relationships between GD and conditions like substance use, mood and anxiety disorders.

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赌博障碍共病的叙述回顾。

问题和病态赌博（PG）导致个人，他们的家庭和社会的主要不良后果，并与许多其他精神健康障碍高度共病。方法：这篇叙述性的综述总结了过去14年来关于赌博障碍和合并症的基于人群的、横断面的、治疗和前瞻性的研究。结果：这些研究显示PG与物质和酒精使用障碍、情绪和焦虑障碍的共病率很高。前瞻性研究表明，在某些情况下，赌博先于合并症的发病，而在其他情况下，时间关系是相反的。女性面临更多的精神疾病，更有可能出现情绪障碍、自杀、躁狂、焦虑和酒精依赖。结论：在过去的15年里，在理解和治疗焦虑及其精神合并症方面取得了重大进展，有证据表明焦虑与物质使用、情绪和焦虑障碍等疾病之间存在相互关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dialogues in Clinical Neuroscience Medicine-Psychiatry and Mental Health

CiteScore

19.30

自引率

1.20%

发文量

期刊介绍： Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.