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Psychopathology in Women pp 713–726Cite as

Pathological Gambling: Clinical Gender Differences

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Abstract

Little is known about gender-related differences among pathological gamblers in clinical samples because available data on the etiology and treatment of pathological gambling have involved predominantly male patients. However, significant gender differences in the clinical presentation of pathological gambling exist. Female gamblers are older than men and more likely to be divorced or widowed and to have a lower annual income. Women became more dependent on bingo and men on slot machines. Gambling motivation and the course of illness for the two sexes are also different. Female gamblers are more anxious and have poorer self-esteem than male gamblers and are more affected by depressive symptoms; in turn, men are more impulsive and greater sensation seekers than women and are more affected by drug/alcohol abuse. Among female gamblers, 70 % reported being victims of intimate partner violence. There are no gender differences with regard to the motivation for treatment. Future research should examine gambling behaviors and psychological functioning and suggest treatment approaches to address specific goals according to these gender-related differences.

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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.

    Google Scholar 

  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.

    PubMed  CAS  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Google Scholar 

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

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

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

    Google Scholar 

  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.

    Google Scholar 

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

    Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  17. Crisp BR, Thomas SA, Jackson AC, Smith S, Borrell J, Ho W, et al. Not the same: A comparison of female and male clients seeking treatment from problem gambling counselling services. J Gambl Stud. 2004;22:81–99.

    Google Scholar 

  18. LaPlante DA, Nelson SE, LaBrie RA, Shaffer HJ. Men & women playing games: Gender and the gambling preferences of Iowa gambling treatment program participants. J Gambl Stud. 2006;22:65–80.

    Article  PubMed  Google Scholar 

  19. Scannell ED, Quirk MM, Smith K, Maddern R, Dickerson M. Females’ coping styles and control over poker machine gambling. J Gambl Stud. 2000;16:417–32.

    Article  PubMed  CAS  Google Scholar 

  20. Lesieur HR, Blume SB. When lady luck loses: Women and compulsive gambling. In: Van Den Bergh N, editor. Feminist perspectives on addictions. New York: Springer; 1991. p. 181–97.

    Google Scholar 

  21. Cunningham-Williams RM, Cottler LB, Comptom WM, Spitznagel EL. Taking chances: Problem gamblers and mental health disorders: Results from the St. Louis epidemiologic catchment area study. Am J Public Health. 1998;88:1093–6.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  22. Lynch WJ, Maciejewski PK, Potenza MN. Psychiatric correlates of gambling in adolescents and young adults grouped by age at gambling. Arch Gen Psychiatry. 2004;61:1116–22.

    Article  PubMed  Google Scholar 

  23. Potenza MN, Xian H, Shah K, Scherrer JF, Eisen SA. Shared genetic contributions to pathological gambling and major depression in men. Arch Gen Psychiatry. 2005;62:1015–21.

    Article  PubMed  Google Scholar 

  24. Ibáñez A, Blanco C, Donahue E, et al. Psychiatric comorbidity in pathological gamblers seeking treatment. Am J Psychiatry. 2001;158:1733–5.

    Article  PubMed  Google Scholar 

  25. Beck AT, Steer RA. Manual for the Beck depression inventory. San Antonio: Psychological Corporation; 1993.

    Google Scholar 

  26. González-Ortega I, Echeburúa E, de Corral P, Polo-López R, Alberich S. Predictors of pathological gambling severity taking gender differences into account. Eur Addict Res. 2013;19:146–54.

    Article  PubMed  Google Scholar 

  27. Roy A, Custer R, Lorenz V, Linnoila M. Depressed pathological gamblers. Acta Psychiatr Scand. 1988;77:163–5.

    Article  PubMed  CAS  Google Scholar 

  28. McCormick RA, Taber JI. Attributional style in pathological gamblers in treatment. J Abnorm Psychol. 1988;297:368–70.

    Article  Google Scholar 

  29. Lesieur HR. The chase. Career of the compulsive gambler. Cambridge: Schenkman Books; 1984.

    Google Scholar 

  30. Taber JT, McCormick RA, Ramirez LF. The prevalence and impact of major life stressors among pathological gamblers. lnt J Addict. 1987;22:71–9.

    CAS  Google Scholar 

  31. Burge AN, Alesia N. Age of gambling initiation and severity of psychiatric, family/social, and substance abuse problems among treatment-seeking pathological gamblers. UCHC Graduate School Masters Theses. Paper 2. 2005.

    Google Scholar 

  32. Echeburúa E, González-Ortega I, Corral P, Polo-López R. Pathological gamblers and a non-psychiatric control group taking gender differences into account. Span J Psychol. 2013;16(e2):1–9.

    Google Scholar 

  33. Grant JE, Kim SW, Odlaug BL, Buchanan SN, Potenza MN. Late-onset pathological gambling: Clinical correlates and gender differences. J Psychiatr Res. 2009;43:380–7.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Ibáñez A, Blanco C, Moreryra P, Saiz J. Gender differences in pathological gambling. J Clin Psychiatry. 2003;64:295–301.

    Article  PubMed  Google Scholar 

  35. Tavares H, Martins SS, Lobo DS, Silveira CM, Gentil V, Hodgins D. Factors at play in faster progression for female pathological gamblers: An exploratory analysis. J Clin Psychiatry. 2003;64:433–8.

    Article  PubMed  Google Scholar 

  36. Ladd GT, Petry NM. Gender differences among pathological gamblers seeking treatment. Exp Clin Psychopharmacol. 2002;10:302–9.

    Article  PubMed  Google Scholar 

  37. Keyes KM, Martins SS, Blanco C, Hasin DS. Telescoping and gender differences in alcohol dependence: New evidence from two national surveys. Am J Psychiatry. 2010;167:969–76.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Welte JW, Barnes GM, Wieczorek WF, Tidwell M, Parker J. Alcohol and gambling pathology among US adults: Prevalence, demographic patterns, and comorbidity. J Stud Alcohol. 2001;62:706–12.

    PubMed  CAS  Google Scholar 

  39. Blanco C, Hasin DS, Petry N, Stinson FS, Grant BF. Sex differences in subclinical and DSM-IV pathological gambling: Results from the National epidemiologic survey on alcohol and related conditions. Psychol Med. 2006;36:943–53.

    Article  PubMed  Google Scholar 

  40. Wenzel HG, Dahl AA. Female pathological gamblers – A critical review of the clinical findings. Int J Ment Health Addict. 2009;7:190–202.

    Article  Google Scholar 

  41. Slutske WS, Eisen S, True WR, Lyons MJ, Goldberg J, Tsuang M. Common genetic vulnerability for pathological gambling and alcohol dependence in men. Arch Gen Psychiatry. 2000;57:666–74.

    Article  PubMed  CAS  Google Scholar 

  42. Nelson SE, LaPlante DA, LaBrie RA, Shaffer HJ. The proxy effect: Gender and gambling problem trajectories of Iowa Gambling Treatment Program participants. J Gambl Stud. 2006;22:221–40.

    Article  PubMed  Google Scholar 

  43. Álvarez-Moya EM, Jiménez-Murcia S, Granero R, Vallejo J, Krug I, Bulik CM, et al. Comparison of personality risk factors in bulimia nervosa and pathological gambling. Compr Psychiatry. 2007;48:452–7.

    Article  PubMed  Google Scholar 

  44. Blaszczynski A, Steel Z, McConaghy N. Impulsivity in pathological gambling: The antisocial impulsivity. Addiction. 1997;92:75–87.

    Article  PubMed  CAS  Google Scholar 

  45. Becoña E. Características de la mujer jugadora patológica. Revista de Psicopatología y Psicología Clínica. 1997;2:21–34.

    Google Scholar 

  46. Corral P, Echeburúa E, Irureta M. Perfil psicopatológico diferencial de las mujeres ludópatas: implicaciones para el tratamiento. Análisis y Modificación de Conducta. 2005;31:539–56.

    Google Scholar 

  47. Dannon PN, Lowengrub K, Aizer A, Kotler M. Pathological gambling: Comorbid psychiatric diagnoses in patients and their families. Isr J Psychiatry Relat Sci. 2006;43:88–92.

    PubMed  Google Scholar 

  48. Desai RA, Maciejewski PK, Pantalon MV, Potenza MN. Gender differences among recreational gamblers: Association with the frequency of alcohol use. Psychol Addict Behav. 2006;20:145–53.

    Article  PubMed  Google Scholar 

  49. Grant JE, Potenza MN. Tobacco use and pathological gambling. Ann Clin Psychiatry. 2005;17:237–41.

    Article  PubMed  Google Scholar 

  50. Martins SS, Tavares H, da Silva Lobo DS, Galett AM, Gentil V. Pathological gambling, gender, and risk-taking behaviors. Addiction. 2004;29:1231–5.

    Google Scholar 

  51. Petry NM, Stinson FS, Grant BF. Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005;66:564–74.

    Article  PubMed  Google Scholar 

  52. Custer RL, Milt H. When luck runs out. New York: Facts on File Pub; 1985.

    Google Scholar 

  53. Picó-Alfonso MA, Echeburuúa E, Martínez M. Personality disorder symptoms in women as a result of chronic intimate male partner violence. J Fam Violence. 2008;23:577–88.

    Article  Google Scholar 

  54. Piquette-Tomei N, Dwyer SC, Norman E, McCaslin E, Burnet J. Women problem gamblers want more. Saskatchewan Notes (Canadian Centre for Policy Alternatives–SK). 2007;6:1–4.

  55. Hodgins DC, Currie SR, El-Guebaly N. Motivational enhancement and self-help treatments for problem gambling. J Consult Clin Psychol. 2001;69:50–7.

    Article  PubMed  CAS  Google Scholar 

  56. Ciarrocchi J. Counseling problem gamblers: A self regulated manual for individual and family therapists. San Diego, CA: Academic Press; 2002.

    Google Scholar 

  57. Urbanoski KA, Rush BR. Characteristics of people seeking treatment for problem gambling in Ontario: Trends from 1998 to 2002. J Gambl Stud. 2006;16:1–21.

    Google Scholar 

  58. Echeburúa E, Báez C, Fernández-Montalvo J, Páez D. El Cuestionario de Juego de Soath Oaks (SOGS): validación española. Análisis y Modificación de Conducta. 1994;20:769–91.

    Google Scholar 

  59. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey replication. Arch Gen Psychiatry. 2005;62:629–40.

    Article  PubMed  Google Scholar 

  60. Smith JA, Braunack-Mayer A, Wittert G. What do we know about men’s help-seeking and health service use? Med J Aust. 2006;184:81–3.

    PubMed  Google Scholar 

  61. Pulford J, Bellringer M, Abbott M, Clarke D, Hodgins D, Williams J. Barriers to helpseeking for a gambling problem: The experiences of gamblers who have sought specialist assistance and the perceptions of those who have not. J Gambl Stud. 2009;25:33–48.

    Article  PubMed  Google Scholar 

  62. Crisp B, Thomas S, Jackson A, Thomason N, Smith S, Borrel J, et al. Sex differences in the treatment needs and outcomes of problem gamblers. Res Soc Work Practice. 2000;10:229–42.

    Google Scholar 

  63. Kessler RC, Brown RL, Broman CL. Sex differences in psychiatric help-seeking: Evidence from four large-scale surveys. J Health Soc Behav. 1981;22:49–64.

    Article  PubMed  CAS  Google Scholar 

  64. Mojtabai R. Americans’ attitudes toward mental health treatment-seeking: 1990–2003. Psychiatr Serv. 2007;58:642–51.

    Article  PubMed  Google Scholar 

  65. Arbinaga F. La mujer con problemas en los juegos de apuesta: una aproximación desde los estudios epidemiológicos realizados en nuestro país y el análisis de nuevos datos sobre un grupo de mujeres en Punta Umbría (Huelva). Psicologemas. 2001;15:133–52.

    Google Scholar 

  66. Echeburúa E. Nuevas fronteras en el estudio del juego patológico. Madrid: Fundación Ramón Areces; 2006.

    Google Scholar 

  67. Evans L, Delfabbro P. Motivators for change and barriers to help-seeking in Australian problem gamblers. J Gambl Stud. 2005;21:133–55.

    Article  PubMed  Google Scholar 

  68. Rush B, Moxam RS, Urbanoski KA. Characteristics of people seeking help from specialized programs for the treatment of problem gambling in Ontario. J Gambl Issues. 2002;6:1–21.

    Google Scholar 

  69. Boughton R, Brewstern J. Voices of women who gamble in Ontario: A survey of women’s gambling, barriers to treatment and treatment service needs. Toronto: Ontario Ministry of Health and Long-Term Care; 2002.

    Google Scholar 

  70. Winters KC, Rich T. A twin study of adult gambling behavior. J Gambl Stud. 1998;14:213–25.

    Article  Google Scholar 

  71. Trevorrow K, Moore S. The association between loneliness, social isolation and women’s electronic gaming machine gambling. J Gambl Stud. 1998;14:263–84.

    Article  Google Scholar 

  72. Langewisch MW, Frisch G. Gambling behaviour and pathology in relation to impulsivity, sensation seeking, and risk behaviour in male of college students. J Gambl Stud. 1998;14:245–62.

    Article  Google Scholar 

  73. Hing N, Breen H. Profiling lady luck: An empirical study of gambling and problem gambling amongst female club members. J Gambl Stud. 2001;17:47–69.

    Article  PubMed  CAS  Google Scholar 

  74. American Psychological Association. Guidelines for psychological practice with girls and women. Am Psychol. 2007;62:949–79.

    Article  Google Scholar 

  75. Tavares H, Zilberman ML, Beites FJ, Gentil V. Gender differences in gambling progression. J Gambl Stud. 2001;17:151–9.

    Article  PubMed  CAS  Google Scholar 

  76. Llinares MC, Santos P, Albiach C, Camacho I, Palau C. Diferencias de sexo en adictos a las máquinas tragaperras. Adicciones. 2006;18:371–6.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, Alava University Hospital, Vitoria, Spain

    Itxaso González-Ortega

  2. CIBERSAM, Madrid, Spain

    Itxaso González-Ortega & Enrique Echeburúa

  3. University of the Basque Country, San Sebastián, Guipúzcoa, Spain

    Itxaso González-Ortega, Enrique Echeburúa, Paz de Corral & Rocío Polo-López

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  1. Itxaso González-Ortega
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  2. Enrique Echeburúa
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  3. Paz de Corral
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  4. Rocío Polo-López
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Correspondence to Itxaso González-Ortega .

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  1. Dept. of Psychiatry, Hospital Universitario de Alava, Victoria, Spain

    Margarita Sáenz-Herrero

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González-Ortega, I., Echeburúa, E., de Corral, P., Polo-López, R. (2015). Pathological Gambling: Clinical Gender Differences. In: Sáenz-Herrero, M. (eds) Psychopathology in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-05870-2_32

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