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Treatment modalities for patients with gambling disorder

S. Choi,Y. Shin,D. Kim,Jung-Seok Choi,Seohee Kim,S. Kim,HyunChul Youn

Published 2017 in Annals of General Psychiatry

ABSTRACT

BackgroundGambling disorder (GD) is defined as persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress. The prevalence of GD has been shown to be 1.2–7.1% in the general population. GD can severely impact on personal and vocational wellbeing as well as lead to financial problems, and has been known to be difficult to treat. This review describes the available pharmacotherapy/psychosocial treatments for GD patients, and summarizes data on the effectiveness of these GD treatments.MethodsThis review refers to newly as well as previously published studies and guidelines.ResultsThe description of pharmacotherapy mainly focuses on opioid receptor antagonists, selective serotonin reuptake inhibitors, and mood stabilizers. Psychosocial treatments/strategies mainly include cognitive behavioral therapy, motivational interviewing, and Gamblers Anonymous. We also introduce relatively novel treatment modalities.ConclusionsThis review can help clinicians to decide treatment plans for their GD patients. In addition, it can be used as a reference for designing future research.

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