Sharma Rishi, Weinstein Aviv
Department of Psychology, Ariel University, Ariel, Israel.
Dialogues Clin Neurosci. 2025 Dec;27(1):1-18. doi: 10.1080/19585969.2025.2484288. Epub 2025 Apr 3.
Problematic and pathological gambling (PG) lead to major adverse consequences for individuals, their families, and society and is highly comorbid with numerous other mental health disorders. This narrative review summarized population-based, cross-sectional, treatment and prospective studies on gambling disorder and comorbidity over the past 14 years. These studies show a high rate of comorbidity of PG and substance and alcohol use disorders, mood and anxiety disorders. Prospective studies indicate that, in some cases, gambling precedes the onset of the comorbid disorder, while in other instances, the temporal relationship is reversed. Women face greater psychiatric comorbidity and are more likely to have mood disorders, suicidality, mania, anxiety and alcohol dependence. Treatment of PG can be effective by improving the gambling and depressive symptoms of PG. : Over the past 15 years, significant progress has been made in understanding and treating GD and its psychiatric comorbidities, with evidence highlighting the reciprocal relationships between GD and conditions like substance use, mood and anxiety disorders.
问题性赌博和病理性赌博（PG）会给个人、其家庭和社会带来重大不良后果，且与许多其他精神健康障碍高度共病。这篇叙述性综述总结了过去14年中关于赌博障碍及其共病的基于人群的横断面研究、治疗研究和前瞻性研究。这些研究表明，PG与物质使用障碍、酒精使用障碍、情绪和焦虑障碍的共病率很高。前瞻性研究表明，在某些情况下，赌博先于共病障碍的发作，而在其他情况下，时间关系则相反。女性面临更大的精神共病问题，更有可能出现情绪障碍、自杀倾向、躁狂、焦虑和酒精依赖。PG的治疗可以通过改善PG的赌博症状和抑郁症状而有效。在过去15年中，在理解和治疗赌博障碍及其精神共病方面取得了重大进展，有证据突出了赌博障碍与物质使用、情绪和焦虑障碍等疾病之间的相互关系。
