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Gambling Disorder and Other Behavioral Addictions: Recognition and Treatment
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Addiction professionals and the public are recognizing that certain nonsubstance behaviors--such as gambling, Internet use, video-game playing, sex, eating, and shopping--bear resemblance to alcohol and drug dependence. Growing evidence suggests that these behaviors warrant consideration as nonsubstance or "behavioral" addictions and has led to the newly introduced diagnostic category "Substance-Related and Addictive Disorders" in DSM-5. At present, only gambling disorder has been placed in this category, with insufficient data for other proposed behavioral addictions to justify their inclusion. This review summarizes recent advances in our understanding of behavioral addictions, describes treatment considerations, and addresses future directions. Current evidence points to overlaps between behavioral and substance-related addictions in phenomenology, epidemiology, comorbidity, neurobiological mechanisms, genetic contributions, responses to treatments, and prevention efforts. Differences also exist. Recognizing behavioral addictions and developing appropriate diagnostic criteria are important in order to increase awareness of these disorders and to further prevention and treatment strategies.
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“Both pharmacological and psychological treatments have been suggested, similar to what is recommended for gambling disorder and other behavioral addictions (e.g., Grant et al., 2013;Yau and Potenza, 2015), and initial studies suggest varying degrees of efficacy (Cash et al., 2012;Santos et al., 2016;Winkler et al., 2013;Young, 2013).”
From Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model (2016) · cites this paper as Yau and Potenza, 2015
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BackgroundInfluential
Metadata
- Authors
- Yau, Y. H. C., & Potenza, M. N.
- Affiliations
- Yale University (US)
- Corresponding author
- Potenza, Marc N.
- Venue
- Harvard Review of Psychiatry
- Published
- 2015-03
- Volume
- 23
- Issue
- 2
- Pages
- 134-146
- ISSN
- 1067-3229 (ISSN-L)
- PMC
- PMC4458066
- OpenAlex
- W2096389535
- Cited by
- 267
- References
- 187
- Citations by year
- 2026: 26 · 2025: 33 · 2024: 31 · 2023: 34 · 2022: 31 · 2021: 26 · 2020: 22 · 2019: 21 · 2018: 18 · 2017: 7 · 2016: 15 · 2015: 3
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Harvard Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA018647, P50DA009241, R01DA035058, P20DA027844)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- gambling addiction, behavioral addiction, DSM-5, substance-related and addictive disorders, comorbidities, neurobiology of addiction, genetic contribution, treatment, prevention, internet addiction, sexual addiction, eating disorders, compulsive buying, gaming addiction
- MeSH terms
- Gambling, Humans, Cognitive Behavioral Therapy, Behavior, Addictive, Internet, Diagnostic and Statistical Manual of Mental Disorders
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