Compulsive gambling is an urge or addiction to gamble despite harmful negative consequences or a desire to stop. A preferred term among many professionals is problem gambling, as few people described by the term experience true compulsions in the clinical sense of the word. Problem gambling often is defined by whether harm is experienced by the gambler or others rather than by the gambler's behavior. Severe problem gambling may be diagnosed as clinical pathological gambling if the gambler meets certain criteria.

Incidence

According to the National Council on Problem Gambling, incidence of problem gambling is 2-3% and pathological gambling is 1% in the United States, though this may vary by country. By contrast, 86% of Americans have gambled in their lives and 60% gamble in a given year.

Available research seems to indicate that problem gambling is an internal tendency, and that problem gamblers will tend to risk money on whatever game is available—as opposed to the availability of a particular game inducing problem gambling in otherwise "normal" individuals. However research also indicates that problem gamblers tend to risk money on fast-paced games. Thus a problem gambler is much more likely to lose a lot of money on poker or slot machines, where rounds end quickly and there is a constant temptation to play again or increase bets, as opposed to a state lottery where the gambler must wait until the next drawing to see results.

Dopamine agonists, in particular pramipexole (Mirapex), have been shown to cause compulsive gambling (PMID 16009751).

Links

• Gamblers Anonymous
• Gambler's Help Southern - Australia
• National Center for Responsible Gaming
• People Helping People to Overcome Gambling Addiction

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