Dissociative Experiences in Gambling Disorder
Purpose of Review
This review provides a summary of the literature (2012–2018) regarding dissociative experiences in Gambling Disorder (GD). We provide an overview of conceptualizations of dissociation, its relationship to GD, dissociation within specific types of gambling, and harm reduction strategies targeting gambling-related dissociative experiences.
The gambling literature lacks a unified conceptualization of dissociative experiences, and measures different aspects of dissociation across studies. The propensity of some individuals toward general and in-game dissociation appears to be involved in the development and/or maintenance of GD. Several features of gambling may facilitate in-game dissociation, particularly among individuals with GD. As such, tools that disrupt in-game dissociation may be crucial for harm reduction.
Future research should be aimed at developing a single, operational definition of dissociation in gambling, and this should be systematically examined across gambling modalities. Additionally, ongoing refinement of interventions that effectively interrupt in-game dissociation holds promise for reducing gambling-associated harms.
KeywordsGambling disorder Dissociative experiences Harm reduction Altered state of awareness Escape motivation
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no competing interests.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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