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Asian Journal of Gambling Issues and Public Health
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Gambling Addiction in Asia: Need for a Medical Perspective?

Asian Journal of Gambling Issues and Public Health volume 2, pages 68–74 (2011)Cite this article

Abstract

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.

References

  • American Psychiatric Association. (1994). The diagnostic and statistical manual of mental disorders (4th Edition). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Cartwright, C., DeCaria, C., Hollander, E. (1998). Pathological gambling: a clinical review. Practical Psychiatry and Behavioral Health, 4, 277–286.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • National Research Council. (1999). Pathological gambling: A critical review. Washington, DC.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Sood, E. D., Pallanti, S., Hollander, E. (2003). Diagnosis and treat ment of pathological gambling. Current Psychiatry Report, 5, 9–15.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Wray, I., Dickerson, M. G. (1981). Cessation of high frequency gambling and “withdrawal” symptoms. British Journal of Addiction, 76, 401–405.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Community Medicine & School of Public Health, Department of Family Medicine & Primary Care, The University of Hong Kong, Hong Kong

    David Chim

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  1. David Chim
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Correspondence to David Chim.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 2.0 International License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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

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  • DOI: https://doi.org/10.1186/BF03342127

Key words

  • Asia-Pacific
  • Legalized Gambling
  • Medical Disease
  • Pathological Gambling