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Geriatric gambling disorder: challenges in clinical assessment

  • Mara Smith (a1), Ana Hategan (a2) and James A. Bourgeois (a3)

Extract

To the Editor: The gaming industry is growing rapidly, as is the proportion of older adults aged 65 years or older who participate in gambling (Tse et al., 2012). With casinos tailoring their venues and providing incentives to attract older adults, and with the increasing popularity of “pleasure trips” to casinos organized by retirement homes, plus active promotion of government-operated lotteries in many countries, this trend is likely to continue. Gambling disorder (GD) or “pathological” or “problem” gambling presents a public health concern in the geriatric population. However, ascertainment of its prevalence and diagnostic accuracy have proven challenging. This is largely due to the absence of diagnostic criteria specific to the geriatric age and rating scales validated for use in this population.

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References

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American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. 5th edn. Arlington, VA: American Psychiatric Publishing.
Lesieur, H. R. and Blume, S. B. (1987). The south oaks gambling screen (SOGS): a new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 11841188.
Moore, T. J., Glenmullen, J. and Mattison, D. R. (2014). Reports of pathological gambling, hypersexuality, and compulsive shopping associated with dopamine receptor agonist drugs. JAMA Internal Medicine, 174, 19301933.
Ozel-Kizil, E. T., Sakarya, A. L., Arica, B. and Haran, S. (2013). A case of frontotemporal dementia with amyotrophic lateral sclerosis presenting with pathological gambling. Journal of Clinical Neurology, 9, 133137.
Subramaniam, M. et al. (2015). Prevalence and determinants of gambling disorder among older adults: a systematic review. Addictive Behaviors, 41, 199209.
Tse, S., Hong, S. I., Wang, C. W. and Cunningham-Williams, R. M. (2012). Gambling behavior and problems among older adults: a systemic review of empirical studies. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67, 639652.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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