Gambling Disorder


Gambling is any game of chance in which someone stakes something valuable for a prize win. It often involves risking money but can also involve goods, services, or even time. It can take place in casinos, racetracks, gas stations, church halls, sporting events, or on the Internet. Despite the risks, most people gamble at some point in their lives. Some people become compulsive gamblers, defined in the Diagnostic and Statistical Manual of Mental Disorders as a persistent, recurrent pattern of gambling that causes distress or impairment.

Many factors can contribute to a person’s vulnerability to gambling problems, including genetic predisposition, family history, and community culture. People with an underactive brain reward system may be predisposed to thrill-seeking behaviour and impulsivity, which can lead to problem gambling. Other factors include age, sex, and whether or not a person has other mood disorders like depression, stress, substance abuse, or anxiety. People who experience these problems can find it hard to recognize when their gambling is out of control and seek help when they need it.

Some people start gambling as children or teenagers and develop a compulsive gambling disorder as adults. In general, compulsive gamblers are more likely to be male and in middle age or older. They are also more likely to be people who have low incomes who have more to gain from a big win.

Gambling affects the brain by triggering the release of dopamine, which makes us feel good when we win. But this reward system is a double-edged sword, because it also releases dopamine when we lose. This can cause us to keep betting, even when we know that we are losing a lot of money. Betting firms rely on this psychology to encourage punters to keep coming back, for example by advertising on social media and through wall-to-wall sponsorship of football clubs.

While there is no cure for gambling disorder, there are ways to stop or lessen your addiction. You can get help through cognitive-behaviour therapy, which teaches you to resist unwanted thoughts and habits, and through self-help support groups such as Gamblers Anonymous. It is also important to address any underlying mood disorders, because they can trigger or worsen gambling problems.

Research is essential to understanding the causes of gambling disorders, and longitudinal studies provide a rich source of data on individual, family, and societal impact. These types of studies are more cost-efficient than creating multiple smaller projects, and they can be used to determine causal relationships. In addition to advancing the science of gambling disorders, longitudinal studies can be used to inform public policy and improve treatment programs.