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Gambling dual disorder: a dual disorder and clinical neuroscience perspective

dc.creatorSzerman, Nestores_ES
dc.creatorFerre, Franciscoes_ES
dc.creatorBasurte-Villamor, Ignacioes_ES
dc.creatorVega, Pabloes_ES
dc.creatorMesias, Beatrizes_ES
dc.creatorMarín-Navarrete, Rodrigoes_ES
dc.creatorArango, Celsoes_ES
dc.date2020
dc.date.accessioned2023-11-23T19:02:13Z
dc.date.available2023-11-23T19:02:13Z
dc.date.issued2020
dc.identifierJC07SIC20es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7834
dc.identifier.urihttps://doi.org/10.3389/fpsyt.2020.589155
dc.descriptionSeveral behaviors, including compulsive gambling, have been considered non-substance-related addictive disorders. Categorical mental disorders (e.g., DSM-5) are usually accompanied by very different symptomatic expressions (affective, behavioral, cognitive, substance abuse, personality traits). When these mental disorders occur with addictive disorders, either concomitantly or sequentially over the life span, this clinical condition is called a dual disorder. Gambling disorder (GD) has been associated with other categorical psychiatric diagnoses: attention deficit hyperactivity disorder, depression, bipolar disorder, social anxiety, schizophrenia, substance use disorder, antisocial personality disorder; and dimensional symptoms including higher impulsivity, poorer emotional wellbeing, cognitive distortion, psychosis, deficient self-regulation, suicide, poorer family environment, and greater mental distress. We are calling this clinical condition Gambling Dual Disorder. From a clinical perspective, it is clear that Gambling Dual Disorder is not the exception but rather the expectation, and this holds true not just for GD, but also for other mental disorders including other addictions. Mental disorders are viewed as biological disorders that involve brain circuits that implicate specific domains of cognition, emotion, and behavior. This narrative review presents the state of the art with respect to GD in order to address current matters from a dual disorder, precision psychiatry, and clinical neuroscience perspective, rather than the more subjective approach of symptomatology and clinical presentation. This review also presents Gambling Dual Disorder as a brain and neurodevelopmental disorder, including from the perspectives of evolutionary psychiatry, genetics, impulsivity as an endophenotype, the self-medication hypothesis, and sexual biological differences. The wide vision of the disease advances a paradigm shift, highlighting how GD and dual disorders should be conceptualized, diagnosed, and treated. Rethinking GD as part of a dual disorder is crucial for its appropriate conceptualization from the perspective of clinical neuroscience and precision psychiatry.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherFrontiers Research Foundationes_ES
dc.relation11:589155
dc.rightsAcceso Cerradoes_ES
dc.titleGambling dual disorder: a dual disorder and clinical neuroscience perspectivees_ES
dc.typeArtículoes_ES
dc.contributor.affiliationWADD WPA Section Dual Disorders, Institute of Psychiatry and Mental Health Hospital General Universitario Gregorio Marañón, Madrid, Spain.
dc.contributor.emailnszermanb@gmail.com (Nestor Szerman)
dc.relation.jnabreviadoFRONT PSYCHIATRY
dc.relation.journalFrontiers in Psychiatry
dc.identifier.placeSuiza
dc.date.published2020
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1664-0640
dc.identifier.doi10.3389/fpsyt.2020.589155
dc.subject.kwGambling disorder
dc.subject.kwReview
dc.subject.kwDual disorders
dc.subject.kwClinical neuroscience
dc.subject.kwGenetics
dc.subject.kwNeuroscience
dc.subject.kwPrecision psychiatry


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