Pathological Gambling: A Clinical Guide to Treatment

by Grant, Jon E.

• ISBN13: 9781585621293
• ISBN10: 1585621293
• Edition: 1st
• Format: Paperback
• Copyright: 2004-10-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

The past five years have witnessed dramatic advances in research on pathological gambling-a diagnosis often overlooked by clinicians who are unaware not only of the personal and social consequences of pathological gambling, but also of the possible treatment options. Today, clinicians can choose from an array of treatment options to substantially improve the lives of patients with this disabling illness. Eloquently attesting to this extraordinary progress, this remarkable clinician's guide comprises the most extensive coverage on public health, clinical characteristics and treatment, psychotherapy and psychopharmacology, and interventions for adolescents, adults, and older adults. Written by the world's leading researchers on psychiatric aspects of gambling, this truly comprehensive volume discusses how to diagnose pathological gambling and provides the tools to do so. Here, 32 experts detail the clinical phenomenology, etiology, and treatment of pathological gambling, highlighting the current clinical approaches most likely to lead to early identification, symptom remission, and improvement maintenance. Useful appendixes provide specific tests, scales, and diagnostic criteria following four major sections of the book: Public Health and Epidemiologydiscusses prevalence and definitions of recreational, problem, and pathological gambling; the relationship between the different levels of gambling severity; and gambling's effects on societal, familial, and individual health and well-being. Clinical Characteristicscovers the symptoms and sequelae of pathological gambling and the differences among adolescents, older adults, and men and women, and shows that pathological gambling-rather than being categorized as a single disorder-shares important features with many disorders, among them obsessive-compulsive spectrum disorders, affective spectrum disorders, addiction, and impulse-control disorder. Etiologydetails the realms of both psychology (behavioral, cognitive, and dispositional theories) and neurobiology (noradrenergic, serotonergic, dopaminergic, and opioidergic systems as well as familial and inherited factors) to explain the behavior of pathological gambling-knowledge that may prove useful in understanding a range of addictive and impulsive disorders. Prevention and Treatmentemphasizes the vital role of the clinician in prevention efforts, including a prevention strategy tailored specifically for adolescents and young adults; discusses a variety of behavioral and pharmacological interventions for patients including self-help and professional-based interventions for family members; and concludes with assessments useful in diagnosing pathological gambling and monitoring symptom change. Psychiatrists, psychiatric researchers, and other mental health care professionals will welcome this book as their most up-to-date source for invaluable knowledge about and research from the world's recognized experts on pathological gambling.

Author Biography

Jon E. Grant, J.D., M.D., M.P.H., is Assistant Professor of Psychiatry and Human Behavior at Brown Medical School and Butler Hospital in Providence, Rhode Island.

Marc N. Potenza, M.D., Ph.D., is Assistant Professor of Psychiatry at Yale University School of Medicine in New Haven, Connecticut.

Table of Contents

Contributors	ix
Introduction	xiii
Jon E. Grant, J.D., M.D., M.P.H.
Marc N. Potenza, M.D., Ph.D.
Part I Public Health and Epidemiology
Chapter 1 Gambling and the Public Health	3	(22)
Howard J. Shaffer, Ph.D., C.A.S.
Rachel Kidman
Chapter 2 Epidemiology	25	(14)
Renee M. Cunningham-Williams, Ph.D., M.P.E.
Linda B. Cottler, Ph.D.
Sharon B. Womack, Ph.D., M.P.E.
Part II Clinical Characteristics
Chapter 3 Clinical Characteristics	39	(16)
Tami R. Argo, Pharm.D.
Donald W. Black, M.D.
Chapter 4 Categorization	55	(14)
Paula Moreyra, M.A.
Angela Ibañez, M.D., Ph.D.
Jerónimo Saiz-Ruiz, M.D., Ph.D.
Carlos Blanco, M.D., Ph.D.
Chapter 5 Adolescents and Young Adults	69	(14)
Randy Stinchfield, Ph.D., L.P.
Ken C. Winters, Ph.D.
Chapter 6 Older Adults	83	(14)
Rani A. Desai, M.P.H., Ph.D.
Chapter 7 Gender Differences	97	(16)
Jon E. Grant, J.D., M.D., M.P.H.
Suck Won Kim, M.D.
Part III Etiology
Chapter 8 Behavioral Understanding	113	(14)
Kenneth Abrams, Ph.D.
Matt G. Kushner, Ph.D.
Chapter 9 Biological Basis for Pathological Gambling	127	(18)
Kamini R. Shah, M.H.S.
Marc N. Potenza, M.D., Ph.D.
Seth A. Eisen, M.D.
Part IV Prevention and Treatment
Chapter 10 Prevention Efforts and the Role of the Clinician	145	(14)
Marc N. Potenza, M.D., Ph.D.
Mark D. Griffiths, Ph.D., C.Psychol.
Chapter 11 Prevention and Treatment of Adolescent Problem and Pathological Gambling	159	(10)
Jeffrey L. Derevensky, Ph.D.
Rina Gupta, Ph.D.
Laurie Dickson, M.A.
Chapter 12 Cognitive and Behavioral Treatments	169	(20)
David C. Hodgins, Ph.D.
Nancy M. Petry, Ph.D.
Chapter 13 Pharmacological Treatments	189	(18)
Eric Hollander, M.D.
Alicia Kaplan, M.D.
Stefano Pallanti, M.D.
Chapter 14 Screening and Assessment Instruments	207	(26)
Randy Stinchfield, Ph.D., L.P.
Richard Govoni, Ph.D.
G. Ron Frisch, Ph.D., C.Psych.
Appendix A DSM-IV-TR Criteria for Pathological Gambling	233	(4)
Appendix B Early Intervention Gambling Health Test (EIGHT)	237	(4)
Appendix C Gambling Symptom Assessment Scale (G-SAS)	241	(6)
Appendix D South Oaks Gambling Screen (SOGS)	247	(6)
Appendix E Yale-Brown Obsessive-Compulsive Scale Modified for Pathological Gambling (PG-YBOCS)	253	(6)
Index	259