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Among those who live in poverty and experience homelessness, 43.7% of individuals reported as lifetime gamblers. According to Jennifer Trimpey, as the legality of online sport betting and online casino gambling increase across the United States, almost all governments of states with legal online gambling offer state-run self-exclusion programs, and most major online betting operators provide their own self-exclusion programs as well. According to a 1997 meta-analysis by Harvard Medical School’s division on addictions, 1.1 percent of the adult population of the United States and Canada could be called pathological gamblers. Nevada has the highest percentage of pathological gambling; a 2002 report estimated 2.2 to 3.6 percent of Nevada residents over the age of 18 could be called problem gamblers.
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Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling. As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems. through their reclassification of gambling as a disease, and therefore that it should be addressed adequately by the NHS.
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Younger adults may also be more prone to gambling due to the evolutionary advantage of status-seeking during peak reproductive years. For example, gambling can be understood as a form of “risky reward-seeking,” where individuals overestimate potential gains—an inclination that modern gambling industries exploit. Some researchers propose that human gambling behavior reflects evolved tendencies toward risk-taking that historically conferred adaptive benefits. The study links problem gambling to a myriad of issues affecting relationships, and social stability. Pathological gambling is similar to many other impulse-control disorders such as kleptomania. Spain’s gambling watchdog has updated its 2019–2020 Responsible Gaming Program, classifying problem gambling as a mental disorder.
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