Gambling Addiction in Asia: Need for a Medical Perspective?
Asian Journal of Gambling Issues and Public Health volume 2, pages 68–74 (2011)
With the rise of legalized gambling in Macau, Singapore, and other Asian countries, pathological gambling should be more thoroughly discussed by clinical and research professionals in the Asia-Pacific region. Holistic strategies for proper diagnosis, treatment referrals and prevention need to be planned in anticipation of further pro-gambling legislation. Evidence for gambling addiction as a medical condition has been gathered in the West, and studying this social issue via a medical perspective in the East may be useful in the future. Counselors and other professionals working at the frontlines may consider incorporating the medical perspective into their evaluations of pathological gamblers, and collaborating with physicians to provide medical management when appropriate. Such a biopsychosocial approach to pathological gambling may be fruitful in terms of better treatment availability, more holistic care, and decreased stigma for pathological gamblers. Training opportunities for counselors and other professionals should be increased in the Asia-Pacific region for better understanding of gambling addiction as a bio-psychosocial disease.
American Psychiatric Association. (1994). The diagnostic and statistical manual of mental disorders (4th Edition). Washington, DC: American Psychiatric Association.
Brody, A. L., Mandelkern, M. A., Olmstead, R. E., Allen-Martinez, Z., Scheibal D., Abrams, A. L., London, E. D. (2009). Ventral striatal dopamine release in response to smoking a regular vs a denicotinized cigarette. Neuropsychopharmacology, 34, 282–289.
Cartwright, C., DeCaria, C., Hollander, E. (1998). Pathological gambling: a clinical review. Practical Psychiatry and Behavioral Health, 4, 277–286.
London, E. D., Simon, S. L., Berman, S. M., Mandelkern, M. A., Lichtman, A. M., Bramen, J. Ling, W. (2004). Mood disturbances and regional cerebral metabolic abnormalities in recently abstinent methamphetamine abusers. Archives of General Psychiatry, 61, 73–84.
Lorenz, V. C., Yathe, R. A. (1986). Pathological gambling: Psychosomatic, emotional, and marital difficulties as reported by the gambler. Journal of Gambling Behavior, 2, 40–49.
National Research Council. (1999). Pathological gambling: A critical review. Washington, DC.
Shaffer, H.J., LaPlante, D.A., LaBrie, R.A., Kidman, R.C., Donato, A.N., Stanton, M.V. (2004). Toward a syndrome model of addiction: multiple expressions, common etiology. Harvard Review of Psychiatry, 12(6), 367–74.
Sood, E. D., Pallanti, S., Hollander, E. (2003). Diagnosis and treat ment of pathological gambling. Current Psychiatry Report, 5, 9–15.
Welte, J., Barnes, G., Wieczorek, W., Tidwell, M. C., Parker, J. (2001). Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns and comorbidity. Journal of Studies on Alcohol, 62, 706–712.
Wray, I., Dickerson, M. G. (1981). Cessation of high frequency gambling and “withdrawal” symptoms. British Journal of Addiction, 76, 401–405.
About this article
Cite this article
Chim, D. Gambling Addiction in Asia: Need for a Medical Perspective?. Asian J of Gambling Issues and Public Health 2, 68–74 (2011). https://doi.org/10.1186/BF03342127
- Legalized Gambling
- Medical Disease
- Pathological Gambling