Women
Men
Socio-demographic factors
Age
46–55
31–45
Marital status
Married
Single
Educational level
Primary studies
Employment status
Prolonged low
Active
Socioeconomic level
Lower
Medium
Personality variables
Anxiety
Self-esteem
Sensation seeking
Psychopathological variables
Depression
Alcohol and other drugs abuse
Gambling variables
Types of gambling
Bingo
Gambling machines
Motivation for gambling
Loneliness/escape
Social pressure
Winnings
Course of illness
Late onset
Faster progression
Early onset
Slower progression
Predictors of pathological gambling severity
Duration of the disorder
Depression
These findings suggest that gender carries factors determining distinct pathogenetic mechanisms in pathological gambling. There are many explanations for gender playing patterns. Among the explanations put forth are: genetics [70], social norms [36], motivations [71], impulsivity [72], and finances [73]. It is important, however, not merely to explain gender differences about prejudices with regard to the way men and women “are.” Such gross generalizations are unlikely to maintain any predictive power over time as gender roles change [18].
Treatment of pathological gambling must address the gender differences that relate to gambling behavior. Currently, treatment programs for PG are primarily designed for men [74] and are not adjusted to the specific characteristics of women gamblers [75]. The need to establish an empathic relationship and adapt the therapy to their specific problems and requirements is critical to successful treatment [8].
32.6 Future Challenges
The main challenge for the future in the field of pathological gambling is to develop treatment programs specifically geared toward the different needs of men and women gamblers. The treatment oriented toward women gamblers should focus on the gambling, in addition to other related pathological deficits experienced by women gamblers, such as depression, loneliness, low self-esteem or couples therapy. It is very important to design interventions that promote a new lifestyle that gives them more social reinforcement, greater economic autonomy, incorporation into the workforce, and higher professional qualifications, which all help these women to overcome their social isolation [76].
Considering the most pronounced impact in the case of women in the family and couples, treatment should also include assessment and counseling on gender violence and guidelines for the education of children, as well as social skills and problem-solving training [56].
Moreover, support groups for women gamblers represent an important aspect of treatment because women addicted to gambling often do not have family/social support and experience social isolation [69].
A key aspect is also to design motivational strategies to attract women to treatment centers. Having early detection instruments (for application, e.g., in the field of primary care centers or social services), given the presence of somatic symptoms in women gamblers, is fundamental.
Finally, a suggested line of research is to develop intervention programs for accompanying women gamblers (couples, daughters or mothers), so that efforts to attract treatment to patients or to act as co-therapists are as effective as possible [46].
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