Pathological Gambling: Clinical Gender Differences

 

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].


References



1.

Labrador FJ, Becoña E. Conductas adictivas. Teoría, evaluación y tratamiento. In: Graña JL, coordinador. Juego patológico: Aspectos epidemiológicos y teorías explicativas. Madrid: Debate; 1994. p. 495–520.


2.

Kessler RC, Hwang I, LaBrie R, Petukhova M, Sampson NA, Winters KC, Shaffer HJ. DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychol Med. 2008;38:1351–60.PubMedPubMedCentral


3.

Kim SW, Grant JE, Eckert ED, Faris PL, Hartman BK. Pathological gambling and mood disorders: Clinical associations and treatment implications. J Affect Disord. 2006;92:109–16.PubMedCrossRef


4.

Echeburúa E, Fernández-Montalvo J. Are there more personality disorders in treatment-seekers pathological gamblers than in other kind of patients? A comparative study between the IPDE and the MCMI. Int J Clin Health Psychol. 2008;8:53–64.


5.

Fernández-Montalvo J, Echeburúa E. Pathological gambling and personality disorders: An exploratory study with the IPDE. J Person Disord. 2004;18:500–5.CrossRef


6.

Muñoz-Molina Y. Meta-análisis sobre juego patológico. 1997–2007. Revista de Salud Pública. 2008;10:150–9.PubMedCrossRef


7.

Potenza M, Steinberg M, McLaughlin S, Wu R, Rounsaville B, O’Malley S. Gender-related differences in the characteristics of problem gamblers using a gambling helpline. Am J Psychiatry. 2001;158:1500–5.PubMedCrossRef


8.

Corral P. Ludopatía y mujer. Mente y cerebro. 2007;22:2–7.


9.

Becoña E, Míguez M, Vázquez F. El juego problema en los estudiantes de enseñanza secundaria de 14 y más años de Galicia. Psicothema. 2001;13:551–6.


10.

Echeburúa E, Báez C. Enfoques terepeúticos en el tratamiento psicológico del juego patológico. Revista Española de Terapia del Comportamiento. 1991;8:127–46.


11.

Desai RA, Potenza MN. Gender differences in the associations between past-year gambling problems and psychiatric disorders. Social Psychiatry Psychiatr Epidemiol. 2008;43:173–83.CrossRef


12.

Echeburúa E, González-Ortega I, de Corral P, Polo-López R. Clinical gender differences among adult pathological gamblers seeking treatment. J Gambl Stud. 2011;27:215–27.PubMedCrossRef


13.

Weiss L, Petry N. Psychometric properties of the Inventory of Gambling Situations with a focus on gender and age differences. J Nerv Ment Dis. 2008;196:321–8.PubMedCrossRef


14.

Granero R, Penelo E, Martínez-Giménez R, Alvarez-Moya EM, Aymamí N, Bueno B, et al. Sex differences among treatment-seeking adult pathologic gamblers. Compr Psychiatry. 2009;50:173–80.PubMedCrossRef


15.

Potenza MN, Steinberg MA, Wu R, Rounsaville BJ, O’Malley SS. Characteristics of older adult problem gamblers calling a gambling helpline. J Gambl Stud. 2006;22:241–54.PubMedCrossRef


16.

Grant J, Von Kim S. Gender differences in pathological gamblers seeking medication treatment. Compr Psychiatry. 2002;43:56–62.PubMedCrossRef

May 28, 2017 | Posted by in PSYCHOLOGY | Comments Off on Pathological Gambling: Clinical Gender Differences

Full access? Get Clinical Tree

Get Clinical Tree app for offline access