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© 2016 Rash et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (). Substance Abuse and Rehabilitation 2016:7 3–13 Substance Abuse and Rehabilitation Dove press submit your manuscript | Dove press 3 R E V I E W open access to scientific and medical research Open Access Full Text Article http: //dx.doi.org/10.2147/SAR.S83460 A review of gambling disorder and substance use disorders Carla J Rash 1 Jeremiah Weinstock 2 Ryan Van Patten 2 1 Calhoun Cardiology Center – Behavioral Health, UConn Health, Farmington, CT, USA; 2 Department of Psychology, Saint Louis University, St Louis, MO, USA Correspondence: Carla J Rash Calhoun Cardiology Center – Behavioral Health, UConn Health, 263 Farmington Avenue (MC 3944), Farmington, CT 06030, USA Email [email protected] Abstract: In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5 ), gambling disorder was recategorized from the “Impulse Control Disorder” section to the newly expanded “Substance-related and Addictive Disorders” section. With this move, gambling disorder has become the first recognized nonsubstance behavioral addiction, imply- ing many shared features between gambling disorder and substance use disorders. This review examines these similarities, as well as differences, between gambling and substance-related disorders. Diagnostic criteria, comorbidity, genetic and physiological underpinnings, and treat- ment approaches are discussed. Keywords: pathological gambling, problem gambling, behavioral addiction, transdiagnostic factors, addiction syndrome Introduction Gambling disorder (GD) is a persistent maladaptive pattern of gambling resulting in clinically significant impairment or distress. 1 In order to meet the criteria, individu- als must exhibit four or more of the nine symptoms within a 12-month period. GD can present as either episodic or persistent and is rated as mild, moderate, or severe according to the number of symptoms endorsed. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5 ), 1 pathological gambling was renamed GD and recategorized from an impulse control disorder to an addiction- related disorder, highlighting longstanding conceptualizations of GD as an addiction.
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