Pathological Gambling in Clinical Psychiatric Practice: A Case Series from a Tertiary Care Setting
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https://doi.org/10.54169/ijocp.v6i01.11Keywords:
Gambling disorder, Behavioral addiction, Online betting, Case series, Impulse control, Psychiatric comorbidityDimensions Badge
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Copyright (c) 2026 Shradha Khatri

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Gambling disorder is characterized by persistent and recurrent maladaptive patterns of gambling behavior leading to clinically significant impairment or distress.[1] Once classified as an impulse-control disorder, it is now recognized as a behavioral addiction due to shared neurobiological and phenomenological features with substance use disorders.[2]Abstract
Global epidemiological studies estimate the prevalence of gambling disorder to range between 0.1 and 5% in the general population, although rates vary depending on cultural context and accessibility of gambling opportunities.[3] In recent years, technological advancements and the proliferation of online gambling platforms have substantially altered the landscape of gambling behaviors, enabling continuous and easily accessible participation.[4]
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1. Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision. American Psychiatric Association; 2022. 2. Potenza MN. The neurobiology of pathological gambling and drug addiction. Philos Trans R Soc Lond B Biol Sci. 2008;363:3181-3189. 3. Calado F, Griffiths MD. Problem gambling worldwide: An update and systematic review of empirical research. J Behav Addict. 2016;5:592-613. 4. Gainsbury SM. Online gambling addiction: The relationship between internet gambling and disordered gambling. Curr Addict Rep. 2015;2:185-193. 5. George S, Murali V. Pathological gambling: An overview of assessment and treatment. Adv Psychiatr Treat. 2005;11:450-456. 6. Lorains FK, Cowlishaw S, Thomas SA. Prevalence of comorbid disorders in problem gambling. Addiction. 2011;106:490-498. 7. Hing N, Nuske E. Help-seeking behavior in problem gambling. Int Gambl Stud. 2012;12:421-439. 8. Ladouceur R, Walker M. Cognitive perspectives on gambling. Psychol Addict Behav. 1996;10:49-59. 9. Cowlishaw S, Merkouris S, Dowling N, et al. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev. 2012;11:CD008937. 10. Grant JE, Potenza MN, Hollander E, et al. Multicenter investigation of the opioid antagonist nalmefene in pathological gambling. Am J Psychiatry. 2006;163:303-312. 11. Hodgins DC, Stea JN, Grant JE. Gambling disorders. Lancet. 2011;378:1874-1884. 12. Dowling NA, Merkouris SS, Greenwood CJ. Early risk and protective factors for problem gambling. Clin Psychol Rev. 2017;55:109-121.
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