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Zeitschriftenartikel zum Thema "Gambling symptom"

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Cardullo, Stefano, Luis Javier Gomez Perez, Linda Marconi, Alberto Terraneo, Luigi Gallimberti, Antonello Bonci und Graziella Madeo. „Clinical Improvements in Comorbid Gambling/Cocaine Use Disorder (GD/CUD) Patients Undergoing Repetitive Transcranial Magnetic Stimulation (rTMS)“. Journal of Clinical Medicine 8, Nr. 6 (30.05.2019): 768. http://dx.doi.org/10.3390/jcm8060768.

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(1) Background: Pathological gambling behaviors may coexist with cocaine use disorder (CUD), underlying common pathogenic mechanisms. Repetitive transcranial magnetic stimulation (rTMS) has shown promise as a therapeutic intervention for CUD. In this case series, we evaluated the clinical effects of rTMS protocol stimulating the left dorsolateral prefrontal cortex (DLPFC) on the pattern of gambling and cocaine use. (2) Methods: Gambling severity, craving for cocaine, sleep, and other negative affect symptoms were recorded in seven patients with a diagnosis of gambling disorder (South Oaks Gambling Screen (SOGS) >5), in comorbidity with CUD, using the following scales: Gambling-Symptom Assessment Scale (G-SAS), Cocaine Craving Questionnaire (CCQ), Beck Depression Inventory-II (BDI-II), Self-rating Anxiety Scale (SAS), and Symptoms checklist-90 (SCL-90). The measures were assessed before the rTMS treatment and after 5, 30, and 60 days of treatment. Patterns of gambling and cocaine use were assessed by self-report and regular urine screens. (3) Results: Gambling severity at baseline ranged from mild to severe (mean ± Standard Error of the Mean (SEM), G-SAS score baseline: 24.42 ± 2.79). G-SAS scores significantly improved after treatment (G-SAS score Day 60: 2.66 ± 1.08). Compared to baseline, consistent improvements were significantly seen in craving for cocaine and in negative-affect symptoms. (4) Conclusions: The present findings provide unprecedent insights into the potential role of rTMS as a therapeutic intervention for reducing both gambling and cocaine use in patients with a dual diagnosis.
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Kim, Hyoun S., Briana D. Cassetta, David C. Hodgins, Lianne M. Tomfohr-Madsen, Daniel S. McGrath und Hermano Tavares. „Assessing the Relationship between Disordered Gamblers with Psychosis and Increased Gambling Severity: The Mediating Role of Impulsivity“. Canadian Journal of Psychiatry 63, Nr. 6 (08.09.2017): 370–77. http://dx.doi.org/10.1177/0706743717730825.

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Objective: Recent research suggests that disordered gambling and psychosis co-occur at higher rates than expected in the general population. Gamblers with psychosis also report greater psychological distress and increased gambling severity. However, the mechanism by which psychosis leads to greater gambling symptomology remains unknown. The objective of the present research was to test whether impulsivity mediated the relationship between comorbid psychosis and gambling severity. Method: The sample consisted of 394 disordered gamblers voluntarily seeking treatment at a large university hospital in São Paulo, Brazil. A semistructured clinical interview (Mini-International Neuropsychiatric Interview) was used to diagnosis the presence of psychosis by registered psychiatrists. Severity of gambling symptoms was assessed using the Gambling Symptom Assessment Scale, and the Barratt Impulsiveness Scale–11 provided a measure of impulsivity. Results: Of the sample, 7.2% met diagnostic criteria for psychosis. Individuals with a dual diagnosis of psychosis did not report greater gambling severity. Conversely, dual diagnoses of psychosis were associated with greater levels of impulsivity. Higher levels of impulsivity were also associated with greater gambling severity. Importantly, support for our hypothesised mediation model was found such that impulsivity mediated the association between disordered gambling and psychosis and gambling severity. Conclusion: Impulsivity appears to be a transdiagnostic process that may be targeted in treatment among disordered gamblers with a dual diagnosis of psychosis to reduce problematic gambling behaviours.
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George, Sanju, TS Jaisoorya, Sivasankaran Nair, Anjana Rani, Priya Menon, Revamma Madhavan, Jeevan Chakkandan Rajan et al. „A cross-sectional study of problem gambling and its correlates among college students in South India“. BJPsych Open 2, Nr. 3 (Mai 2016): 199–203. http://dx.doi.org/10.1192/bjpo.bp.115.002519.

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BackgroundIn the Western world, a significant portion of college students have gambled. College gamblers have one of the highest rates of problem gambling. To date, there have been no studies on gambling participation or the rates of problem gambling in India.AimsThis study evaluated the prevalence of gambling participation and problem gambling in college students in India. It also evaluated demographic and psychosocial correlates of gambling in that population.MethodWe surveyed 5784 college students from 58 colleges in the district of Ernakulam, Kerala, India, using cluster random sampling. Students completed questionnaires that addressed gambling, substance use, psychological distress, suicidality and attention-deficit hyperactivity disorder (ADHD).ResultsA total of 5580 completed questionnaires were returned, and while only 1090 (19.5%) college students reported having ever gambled, 415 (7.4%) reported problem gambling. Lotteries were the most popular form of gambling. Problem gamblers in comparison with non-gamblers were significantly more likely to be male, have a part-time job, greater academic failures, higher substance use, higher psychological distress scores, higher suicidality and higher ADHD symptom scores. In comparison with non-problem gamblers, problem gamblers were significantly more likely to have greater academic failures, higher psychological distress scores, higher suicidality and higher ADHD symptom scores.ConclusionsThis study, the first to look at the prevalence of gambling in India, found relatively low rates of gambling participation in college students but high rates of problem gambling among those who did gamble. Correlates of gambling were generally similar to those noted in other countries. Since 38% of college students who had gambled had a gambling problem, there is a need for immediate public health measures to raise awareness about gambling, and to prevent and treat problem gambling in this population.
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Grant, Jon E., Brian L. Odlaug und Samuel R. Chamberlain. „Gambling disorder, DSM-5 criteria and symptom severity“. Comprehensive Psychiatry 75 (Mai 2017): 1–5. http://dx.doi.org/10.1016/j.comppsych.2017.02.006.

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Dowling, Nicki A., Stephanie S. Merkouris, Simone N. Rodda, David Smith, Stephanie Aarsman, Tiffany Lavis, Dan I. Lubman et al. „GamblingLess: A Randomised Trial Comparing Guided and Unguided Internet-Based Gambling Interventions“. Journal of Clinical Medicine 10, Nr. 11 (21.05.2021): 2224. http://dx.doi.org/10.3390/jcm10112224.

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There is little evidence relating to the effects of adding guidance to internet-based gambling interventions. The primary aim was to compare the effectiveness of an online self-directed cognitive-behavioural gambling program (GamblingLess) with and without therapist-delivered guidance. It was hypothesised that, compared to the unguided intervention, the guided intervention would result in superior improvements in gambling symptom severity, urges, frequency, expenditure, psychological distress, quality of life and help-seeking. A two-arm, parallel-group, randomised trial with pragmatic features and three post-baseline evaluations (8 weeks, 12 weeks, 24 months) was conducted with 206 gamblers (106 unguided; 101 guided). Participants in both conditions reported significant improvements in gambling symptom severity, urges, frequency, expenditure, and psychological distress across the evaluation period, even after using intention-to-treat analyses and controlling for other low- and high-intensity help-seeking, as well as clinically significant changes in gambling symptom severity (69% recovered/improved). The guided intervention resulted in additional improvements to urges and frequency, within-group change in quality of life, and somewhat higher rates of clinically significant change (77% cf. 61%). These findings, which support the delivery of this intervention, suggest that guidance may offer some advantages but further research is required to establish when and for whom human support adds value.
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Saxton, Jenny, Simone N. Rodda, Natalia Booth, Stephanie S. Merkouris und Nicki A. Dowling. „The efficacy of Personalized Normative Feedback interventions across addictions: A systematic review and meta-analysis“. PLOS ONE 16, Nr. 4 (01.04.2021): e0248262. http://dx.doi.org/10.1371/journal.pone.0248262.

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Personalized Normative Feedback (PNF) may help address addictive disorders. PNF highlights discrepancies between perceived and actual peer norms, juxtaposed against self-reported behavior. PNF can be self-directed and cost-efficient. Our study estimates the efficacy of PNF alone, and in combination with other self-directed interventions, to address frequency and symptom severity of hazardous alcohol use, problem gambling, illicit drug and tobacco use. We searched electronic databases, grey literature, and reference lists of included articles, for randomized controlled trials published in English (January 2000-August 2019). We assessed study quality using the Cochrane Risk of Bias tool. Thirty-four studies met inclusion criteria (k = 28 alcohol, k = 3 gambling, k = 3 cannabis, k = 0 tobacco). Thirty studies provided suitable data for meta-analyses. PNF alone, and with additional interventions, reduced short-term alcohol frequency and symptom severity. PNF with additional interventions reduced short-term gambling symptom severity. Effect sizes were small. PNF did not alter illicit drug use. Findings highlight the efficacy of PNF to address alcohol frequency and symptom severity. The limited number of studies suggest further research is needed to ascertain the efficacy of PNF for gambling and illicit drug use. Cost-effectiveness analyses are required to determine the scale of PNF needed to justify its use in various settings.
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Kessler, R. C., I. Hwang, R. LaBrie, M. Petukhova, N. A. Sampson, K. C. Winters und H. J. Shaffer. „DSM-IV pathological gambling in the National Comorbidity Survey Replication“. Psychological Medicine 38, Nr. 9 (07.02.2008): 1351–60. http://dx.doi.org/10.1017/s0033291708002900.

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BackgroundLittle is known about the prevalence or correlates of DSM-IV pathological gambling (PG).MethodData from the US National Comorbidity Survey Replication (NCS-R), a nationally representative US household survey, were used to assess lifetime gambling symptoms and PG along with other DSM-IV disorders. Age of onset (AOO) of each lifetime disorder was assessed retrospectively. AOO reports were used to study associations between temporally primary disorders and the subsequent risk of secondary disorders.ResultsMost respondents (78.4%) reported lifetime gambling. Lifetime problem gambling (at least one Criterion A symptom of PG) (2.3%) and PG (0.6%) were much less common. PG was significantly associated with being young, male, and Non-Hispanic Black. People with PG reported first gambling significantly earlier than non-problem gamblers (mean age 16.7 v. 23.9 years, z=12.7, p<0.001), with gambling problems typically beginning during the mid-20s and persisting for an average of 9.4 years. During this time the largest annual gambling losses averaged US$4800. Onset and persistence of PG were predicted by a variety of prior DSM-IV anxiety, mood, impulse-control and substance use disorders. PG also predicted the subsequent onset of generalized anxiety disorder, post-traumatic stress disorder (PTSD) and substance dependence. Although none of the NCS-R respondents with PG ever received treatment for gambling problems, 49.0% were treated at some time for other mental disorders.ConclusionsDSM-IV PG is a comparatively rare, seriously impairing, and undertreated disorder whose symptoms typically start during early adulthood and is frequently secondary to other mental or substance disorders that are associated with both PG onset and persistence.
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Marcos, Marta. „Juego online: tratamiento de un caso de adicción a apuestas deportivas“. Liberabit: Revista Peruana de Psicología 26, Nr. 2 (01.10.2020): e339. http://dx.doi.org/10.24265/liberabit.2020.v26n2.04.

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Background: online gambling (bets, casino games, poker, etc.) is an activity that is spreading worldwide, even in countries where it is not yet legalized. Although the situation in Latin America is very heterogeneous, it is possible that, as online gambling is developed and promoted, addiction problems arise. This has already happened in Spain since the legalization of online gambling in 2011. Thus, psychology should be developing intervention programs to face this new scenario. Goal: this paper describes the treatment protocol for a young man with sports betting addiction. Method: the treatment proposal consisted in a cognitive behavioral therapy which focused on deconditioning of gambling situations; training of skills needed to prevent relapses and overcome risky situations; information on gambling risks; change of attitude towards gambling; and promotion of a healthy lifestyle incompatible with gambling addiction. Results: both the treatment phases and the theoretical basis of the intervention proposal are described. The patient, diagnosed with a severe gambling disorder, showed improvements in the gambling disorder criteria and the Symptom Severity Scale Score. Conclusions: a treatment protocol for online gambling addiction, which is based on the principles of motivation and learning, has been developed. This protocol has demonstrated to be effective in reducing gambling behavior and promoting a new healthy lifestyle.
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Alegría, Analucía A., Nancy M. Petry, Deborah S. Hasin, Shang-Min Liu, Bridget F. Grant und Carlos Blanco. „Disordered Gambling Among Racial and Ethnic Groups in the US: Results From the National Epidemiologic Survey on Alcohol and Related Conditions“. CNS Spectrums 14, Nr. 3 (März 2009): 132–43. http://dx.doi.org/10.1017/s1092852900020113.

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ABSTRACTIntroduction: Prior research suggests that racial minority groups in the United States are more vulnerable to develop a gambling disorder than whites. However, no national survey on gambling disorders exists that has focused on ethnic differences.Methods: Analyses of this study were based on the National Epidemiologic Survey on Alcohol and Related Conditions, a large (N=43,093) nationally representative survey of the adult (≥18 years of age) population residing in house-holds during 2001–2002 period. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision diagnoses of pathological gambling, mood, anxiety, drug use, and personality disorders were based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IVVersion.Results: Prevalence rates of disordered gambling among blacks (2.2%) and Native/Asian Americans (2.3%) were higher than that of whites (1.2%). Demographic characteristics and psychiatric comorbidity differed among Hispanic, black, and white disordered gamblers. However, all racial and ethnic groups evidenced similarities with respect to symptom patterns, time course, and treatment seeking for pathological gambling.Conclusion: The prevalence of disordered gambling, but not its onset or course of symptoms, varies by racial and ethnic group. These varying prevalence rates may reflect, at least in part, cultural differences in gambling and its acceptability and accessibility. These data may inform the need for targeted prevention strategies for high-risk racial and ethnic groups.
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Hollander, Eric, und Jennifer Rosen. „OC Spectrum Disorders: The Impulsive and Schizo-Obsessive Clusters“. CNS Spectrums 4, S3 (Mai 1999): 16–21. http://dx.doi.org/10.1017/s1092852900007379.

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AbstractTwo symptom clusters within the obsessive-compulsive (OC) spectrum—the impulsive cluster and the schizo-obsessive cluster—are discussed in this paper. Disorders characterized by impulsivity include disorders of impulse control (eg, intermittent explosive disorder, pyromania, kleptomania, pathologic gambling, trichotillomania); paraphilias, sexual impulsions, and sexual addictions; and impulsive aggression personality disorders (eg, borderline, antisocial, histrionic, and narcissistic personality disorders). The schizo-obsessive cluster includes comorbid symptoms of obsessive-compulsive disorder (OCD) and schizophrenia. Both clusters of disorders have a substantial impact on individuals and society. This article examines the overlap of symptoms between OCD and OC spectrum disorders, along with possible treatment options. Studies on the effectiveness of serotonin reuptake inhibitors in treating pathologic gambling, compulsive buying, and comorbid OCD and schizophrenia are presented. The need for additional large scale, adequately-controlled studies is discussed.
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Dissertationen zum Thema "Gambling symptom"

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Magrini, Klövmark Silvia. „En intervjustudie om yrkesprofessionella spelberoendebehandlare och deras perspektiv på sitt nuvarande och framtida arbete i förhållande till digitaliseringen“. Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19964.

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Introduktion: Idag har omkring 340 000 personer i Sverige någon grad av spelproblem, vilket är drygt 4 procent av befolkningen mellan 16–87 år. Cirka 165 000 personer delar hushåll med någon som har ett problemspelande och 68 000 utav dem är barn. Spelproblem ger stora samhällskostnader och den beräknade kostnaden är cirka 14 miljarder kronor per år. Syfte: Att undersöka uppfattningar bland yrkesprofessionella spelberoendebehandlare om sitt nuvarande och framtida arbete och arbetssätt, dess vinster och begränsningar i förhållande till digitaliseringen. Metod: Kvalitativ studie med semistrukturerade intervjuer. Studiepopulationen bestod av sju yrkesprofessionella spelberoendebehandlare. Intervjumaterialet analyserades med kvalitativ innehållsanalys. Resultat: Majoriteten av spelberoendebehandlarna anser att digitalt stöd är ett bra hälsofrämjande komplement till de fysiska behandlingsmetoderna som finns idag. Med digitalbehandling behövs ingen restid, resväg eller transportmedel. De negativa aspekterna som framkom är att vissa klienter inte har råd eller tillgång till fungerande internetuppkoppling eller att kunskap saknas. Det finns även flertal frågetecken kring KBT som behandlingsmetod. Slutsats: Digital kompetens kommer sannolikt bli en av framtidens stora konkurrensfördelar då de digitala behoven ökar. Spelberoendebehandlarna kommer att behöva utveckla sin digitala kompetens, arbetssätt, lära sig att använda nya redskap och tjänster inom digital behandling. Spelberoendebehandlarna önskar också en kunskapsutveckling gällande spelberoende och spelmissbruk i samhället, både för vuxna,barn och ungdomar.
Introduction: Today, around 340,000 people in Sweden have some degree of gambling problem, which is just over 4 percent of the population between ages 16 to 87. About 165,000 people share their household with someone who has a problem with gambling and 68,000 of them are children. Gambling problems results in large costs for the society. The estimated cost is approximately 14 billion SEK per year. Aim: To examine gambling therapists perceptions and attitudes regarding their current and future work and working methods. And also it´s benefits and limitations in relation to digitalisation. Methods: Qualitative study with semi-structured interviews. The study population consisted of seven gambling therapists. The interview material was analysed with qualitative content analysis. Results: The majority of therapists believe that digital support is a good health promotion complement to the psysical treatment methods that exist today. With digital processing, no travel time, travel or means of transport are needed. The negative aspects that emerged are that some clients cannot afford or doesn’t have access to a functioning internet connection or that knowledge is lacking. There are also several questions about cognitive behavioral therapy as a treatment method. Conclusion: Digital competence is likely to be one of the great competitive advantages of the future as digital need increase. Therapists in gambling addiction will need to develop their digital skills, working methods and learn to use new tools and services in digital treatment. The therapists also want knowledge development regarding gambling addiction in society, both for adults, children and teenagers.
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Hellström, Charlotta. „Adolescent Gaming and Gambling in Relation to Negative Social Consequences and Health“. Doctoral thesis, Uppsala universitet, Centrum för klinisk forskning, Västerås, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261156.

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The aims of the thesis were to study relationships between the effects of online gaming and gambling and negative social consequences and ill health among adolescents and to determine whether gaming and gambling activities occur together. The papers in this thesis used epidemiological methods to obtain self-report information from Swedish adolescents aged 13–18 years. Time spent in online gaming was associated with negative social consequences, and this relationship was explained by online gaming motives. Gaming for fun and social motives was associated with a reduced risk of negative social consequences, whereas gaming to escape problems, gain status, or meet demands from others was associated with an increased risk. Increased online gaming time on weekdays increased the probability of having depressive, musculoskeletal, or psychosomatic symptoms, and was related to online gaming motives. The probability of ill health was low in those who reported gaming for fun or social motives. Adolescents with symptoms of attention deficit hyperactivity disorder (ADHD) were more sensitive to gambling frequency and to developing a gambling problem. However, among those identified as susceptible, adolescents with ADHD were equally affected compared with other susceptible participants in terms of their gambling frequency. Boys had a higher probability than girls of participating in online gambling in association with online gaming. Having at least one parent born outside Scandinavia was associated with a higher probability of online gambling, especially among girls. The effect of alcohol use as a factor contributing to online gambling was greater among boys than among girls. The results of this thesis contribute new knowledge about sex differences in online gaming and gambling behaviours and add to the limited research on online gaming and online gambling behaviours among adolescent girls. Gaming motives may be helpful for identifying online gamers needing support to reduce their unhealthy gaming behaviour. Information about factors related to gaming and gambling problems may be of interest to clinicians in psychiatry, psychology and social work, as well as to policymakers, parents and teachers involved in adolescent health and development. Effect preventive strategies should consider the sex differences in gaming and gambling behaviour in adolescents.
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Hončová, Veronika. „Výskyt symptomů temporolimbické dysfunkce u gamblerů“. Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-350750.

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Charles University of Prague Faculty of Pharmacy in Hradec Králové Department of Biological and Medicinal Sciences Student: Bc. Veronika Hončová Supervisor: Doc. MUDr. Josef Herink, DrSc. Consultant: MUDr. Jela Hrnčiarová Title: Signs of the temporolimbic dysfunction in gamblers Background: The aim of this thesis was to determine whether pathological gamblers exhibit symptoms related to epileptic spectrum disorder. Methods: To investigate, symptoms of the temporolimbic dysfunction were examined by means of the structured questionnaires CPSI (Complex Partial Symptoms Inventory) and LSCL-33 (Limbic System Checklist-33). Mann-Whitney U test and Spearman's correlation coefficient were used for statistical evaluation. Results: The mean score in the questionnaire CPSI of gamblers was 38,9 points, which is an abnormal score. With the questionnaire LSCL-33, the mean score of 21,5 points, corresponds to suspected findings. From the mean results it can be concluded that pathological gamblers may have a higher incidence of the symptoms of the temporolimbic dysfunction. When comparing the groups of gamblers with smokers, it was evaluated that in the questionnaire CPSI was a statistically significant difference between the appearances of symptoms of epileptic spectrum disorder, while it was not in the...
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Bücher zum Thema "Gambling symptom"

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Prestel, Joseph Ben. Neighborhood of Passion. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198797562.003.0005.

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A central entertainment district also became the focus of debates about emotions in Cairo. Following the British occupation of Egypt in 1882, newspapers and magazines began to argue that activities in the neighborhood of Azbakiyya, such as alcohol consumption, prostitution, and gambling, destroyed the rationality of Cairo’s middle-class men. According to these accounts, men were at risk of wavering between extreme emotions of anger and love in the entertainment district. This loss of control over their emotions would ultimately lead to dire consequences for entire families and the Egyptian nation at large. The chapter shows that these portrayals were inseparable from the shifting power structures in Cairo. Since many customers, barmaids and pimps came from Western European countries, Azbakiyya was framed as a symptom of the “foreign” domination of Egypt.
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Tavares, Hermano. Assessment and Treatment of Pathological Gambling. Herausgegeben von Jon E. Grant und Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0091.

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As gambling becomes more popular, more people will be exposed to it; thus, the prevalence of and demand for gambling-related treatments are expected to increase. Pathological gambling (PG) is the most severe level of gambling compromise, characterized by unrestrained gambling to the point of financial and psychosocial harm. Classified among the impulse control disorders, PG resembles other addictive disorders. A host of scales for screening and diagnosing PG are available for both the specialist and the general practitioner. The diagnosis of PG, like that of other addictions, is based upon signs of loss of control over the target behavior (i.e., gambling), dose escalation (increasing amounts wagered to get the same excitement as in previous bets), withdrawal-like symptoms, psychosocial harm, persistent desire, and persistent betting despite the negative consequences. Its treatment requires thorough assessment of psychiatric related conditions, motivational intervention, gambling-focused psychotherapy, relapse prevention, and support for maintenance of treatment gains. Psychopharmacological tools to treat craving and gambling recurrence are an incipient but promising field.
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Grant, Jon E., Brian L. Odlaug und Marc N. Potenza. Treatments for Gambling Disorder and Impulse Control Disorders. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780199342211.003.0025.

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Specific behavioral (e.g., cognitive-behavioral therapy [CBT]) and pharmacological (e.g., naltrexone, nalmefene, lithium) treatments significantly reduce the symptoms of pathological gambling (now termed gambling disorder in DSM-5) in the short term compared with waitlist or placebo. The long-term benefits of pharmacological treatment for gambling disorder have not been adequately tested. Although several studies suggest that CBT is effective for trichotillomania, only two pharmacological treatment studies in adults (N-acetylcysteine, olanzapine) for this disorder have shown promise. Studies of group CBT have demonstrated benefit for compulsive buying. However, controlled pharmacological studies have shown mixed results.
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Sagan, Meredith, und Timothy Fong. Integrative Approach to Behavioral Addictions: Internet Gaming Disorder (IGD) and Compulsive Buying Disorder (CBD). Herausgegeben von Shahla J. Modir und George E. Muñoz. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190275334.003.0010.

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In recent years, awareness and concern has grown within the psychological and medical communities regarding “behavioral addictions”: these are defined as the compulsive performance of otherwise normal everyday activities such as sex, gambling, use of the Internet and online video games, and shopping. This chapter examines 3 such addictive disorders: gambling disorder, compulsive buying disorder (CBD), and Internet gaming disorder (IGD), exploring their definitions, prevalence, diagnoses, consequences, and treatment. All 3 disorders share similar neurobiological mechanisms, acting on the pleasure centers of the brain and having potentially severe social, mental, and psychological repercussions, including loss of interest in life and withdrawal symptoms as intense as those felt by substance abusers when quitting drugs. Certain pharmaceuticals, CBT, and treatment principles similar to those followed by substance abusers, as well as various non-traditional modalities such as acupuncture and yoga, all have shown promise in treating these disorders.
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Young, Kimberly. Assessment and Treatment of Problem Internet Use. Herausgegeben von Jon E. Grant und Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.029_update_001.

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Research over the last decade has identified Internet addiction as a new and often unrecognized clinical disorder that impacts a user’s ability to control online use to the extent that it can cause relational, occupational, and social problems. Symptoms of problem Internet use are compared to criteria used to diagnose other addictions. In particular, pathological gambling is compared to problematic Internet use because of overlapping criteria. This chapter describes the diagnostic and treatment implications of the disorder. As technology is used with great frequency, detection and diagnosis of Internet addiction is often difficult. Symptoms may be masked by legitimate use of the Internet, and clinicians may overlook asking questions about technology use because problem Internet use is still a new and often unrecognized condition. This chapter outlines diagnostic conceptualizations of problem Internet use along with assessment and treatment considerations and the newest inclusion in the DSM-5 for Internet Gaming Disorder.
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Young, Kimberly. Assessment and Treatment of Problem Internet Use. Herausgegeben von Jon E. Grant und Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0113.

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Research over the last decade has identified Internet addiction as a new and often unrecognized clinical disorder that impacts a user’s ability to control online use to the extent that it can cause relational, occupational, and social problems. Symptoms of problem Internet use are compared to the criteria used to diagnose other addictions. In particular, pathological gambling is compared to problematic Internet use because of overlapping criteria. As new cases of problem Internet use are being documented, this chapter describes the diagnostic and treatment implications of the disorder. As computers are used with great frequency, detection and diagnosis of Internet addiction are often difficult. Symptoms of a possible problem may be masked by legitimate use of the Internet, and clinicians may not ask questions about computer use because problem Internet use is still a new and often unrecognized condition. This chapter outlines diagnostic conceptualizations of problem Internet use including the DSM-V proposed criteria for Pathological Computer Use, assessment techniques, and treatment considerations.
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Sullivan, Sean G. Impulse Control Disorders in Medical Settings. Herausgegeben von Jon E. Grant und Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0123.

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Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.
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Buchteile zum Thema "Gambling symptom"

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Grant, Jon E., und Marc N. Potenza. „Treatments for Pathological Gambling and Other Impulse Control Disorders“. In A Guide to Treatments that Work, 561–78. Oxford University Press, 2007. http://dx.doi.org/10.1093/med:psych/9780195304145.003.0020.

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Several controlled outcome studies (Type 1 and Type 2) suggest that specific behavioral (e.g., cognitive-behavioral therapy [CBT]) and pharmacological (e.g., naltrexone, nalmefene, lithium) treatments significantly reduce the symptoms of pathological gambling in the short term compared with wait-list or placebo. Although long-term effects of manual-based CBT have been observed in several small studies, the long-term benefits of pharmacological treatment have not been adequately tested. No studies combining behavioral and pharmacological therapies have been published to date. Thus, the potential benefit of combining behavioral and drug treatments for pathological gambling remains to be investigated systematically. Although several studies (Type 1 and Type 2) suggest that CBT is effective for trichotillomania, pharmacological treatment studies for this disorder have shown mixed results. Similarly, controlled pharmacological studies (Type 1 and Type 2) of compulsive buying have demonstrated mixed results. Limited treatment studies exist for other impulse control disorders (kleptomania, intermittent explosive disorder), although various pharmacological and psychological treatments have shown promise in uncontrolled studies.
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Konferenzberichte zum Thema "Gambling symptom"

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Valero Solis, Susana, Roser Granero Perez, Susana Jimenez Murcia und Fernando Fernandez Aranda. „Association of the patients’ age with cognitive bias and impulsivity in gambling disorder“. In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020o004.

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Background and aims. Typical cognitive biases (irrational beliefs, cognitive distortions and erroneous perceptions) and high levels of impulsivity have been systematically reported among individuals with problem gambling. The objective of this study is to examine the role of the chronological age into the relationships between cognitive biases and impulsivity with the gambling disorder (GD) profile during adulthood. Methods. The sample analysed in this study included n=209 patients into the range age 18-77 yrs-old, recruited at the Pathological Gambling Outpatients Unit of the Bellvitge University Hospital (Barcelona). Results. Path-analysis showed a mediational link between chronological age, the presence of a comorbid depression or anxiety disorder, and the level of GD symptoms. Orthogonal polynomial contrasts showed a positive quadratic trend between the individuals’ age and cognitive distortions severity (higher impairing irrational beliefs obtained among younger and older patients, compared to middle-age patients). The sensation-seeking level showed a negative linear trend with the age: the older the patient’s age, the lower the score in this impulsivity domain. Among younger age patients gambling severity correlated only with cognitive bias levels, while during middle age patients gambling severity correlated with both cognitive bias and impulsivity levels. Within older age group fewer and poorer associations were found between cognitive bias and impulsivity with the accumulated debts due to the gambling activity, and the bets per gambling-episode. Conclusion. The results of this study could help in the development of reliable/valid assessment tools for GD, as well as for the design of precise/effective intervention plans and guidelines. These should include the patients’ age, the cognitive style, and the impulsivity levels, with the aim of providing precise and accurate tools to manage gambling problems.
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