Gambling addiction: myth or reality? Analysing the scientific evidence on gambling disorder.


Interest in gambling disorder, formerly known as pathological gambling, has been growing in both the clinical and scientific community. The increase in empirical evidence concerning gambling disorder has allowed for a better understanding of the pathology, as well as the identification of common comorbidities and the design of potential therapeutic options. The present review addresses all these issues, including recent findings in this area of study.


gambling disorder; behavioral addiction; mental disorder; epidemiology; etiology; treatment


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.

Antons, S., Brand, M., & Potenza, M. N. (2020). Neurobiology of cue-reactivity, craving, and inhibitory control in non-substance addictive behaviors. Journal of the Neurological Sciences, 415, 116952.

Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.

Brand, M., Wegmann, E., Stark, R., Müller, A., Wölfling, K., Robbins, T. W., & Potenza, M. N. (2019). The Interaction of Person-Affect-Cognition-Execution (I- PACE) model for addictive behaviors: Update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors. Neuroscience and Biobehavioral Reviews, 104, 1–10.

Dirección General de Ordenación del Juego. (2015). Estudio sobre prevalencia, comportamiento y características de los usuarios de juegos de azar en España. Ministerio de Hacienda y Administraciones Públicas.

Dirección General de Ordenación del Juego. (2020). Informe anual. Mercado de juego online estatal. Ministerio de Hacienda y Administraciones Públicas.

Dowling, N. A., Merkouris, S. S., Greenwood, C. J., Oldenhof, E., Toumbourou, J. W., & Youssef, G. J. (2017). Early risk and protective factors for problem gambling: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 51, 109–124.

Ford, M., & Hakansson, A. (2020). Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment. PLoS ONE, 15(1), e0027644.

Granero, R., Fernández-Aranda, F., Valero-Solís, S., Del Pino-Gutiérrez, A., Mestre- Bach, G., Baenas, I., Contaldo, S. F., Gómez-Peña, M., Aymamí, N., Moragas, L., Vintró, C., Mena-Moreno, T., Valenciano-Mendoza, E., Mora-Maltas, B., Menchón, J. M., & Jiménez-Murcia, S. (2020). The influence of chronological age on cognitive biases and impulsivity levels in male patients with gambling disorder. Journal of Behavioral Addictions, 9(2), 383–400.

Granero, R., Jiménez-Murcia, S., Del Pino-Gutiérrez, A., Mena-Moreno, T., Mestre- Bach, G., Gómez-Peña, M., Moragas, L., Aymamí, N., Giroux, I., Grall-Bronnec, M., Sauvaget, A., Codina, E., Vintró-Alcaraz, C., Lozano-Madrid, M., Camozzi, M., Agüera, Z., Martín-Romera, V., Sánchez-González, J., Casalé, G., … Fernández-Aranda, F. (2020). Gambling phenotypes in older adults. Journal of Gambling Studies, 36(3), 809–828.

Grant, J. E., Odlaug, B. L., & Mooney, M. E. (2012). Telescoping phenomenon in pathological gambling: Association with gender and comorbidities. Journal of Nervous and Mental Disease, 200(11), 996–998.

Hing, N., Russell, A., Tolchard, B., & Nower, L. (2016). Risk factors for gambling problems: An analysis by gender. Journal of Gambling Studies, 32(2), 511–534.

Ioannidis, K., Hook, R., Wickham, K., Grant, J. E., & Chamberlain, S. R. (2019). Impulsivity in gambling disorder and problem gambling: a meta-analysis. Neuropsychopharmacology, 44(8), 1354–1361.

Jiménez-Murcia, S., Granero, R., Fernández-Aranda, F., Arcelus, J., Aymamí, M. N., Gómez-Peña, M., Tárrega, S., Moragas, L., Del Pino-Gutiérrez, A., Sauchelli, S., Fagundo, A. B., Brewin, N., & Menchón, J. M. (2015). Predictors of outcome among pathological gamblers receiving cognitive behavioral group therapy. European Addiction Research, 21(4), 169–178.

Jiménez-Murcia, S., Granero, R., Fernández-Aranda, F., Aymamí, N., Gómez-Peña, M., Mestre-Bach, G., Steward, T., Del Pino-Gutiérrez, A., Mena-Moreno, T., Vintró- Alcaraz, C., Agüera, Z., Sánchez-González, J., Moragas, L., Codina, E., & Menchón, J. M. (2019). Developmental trajectories of gambling severity after cognitive-behavioral therapy. European Psychiatry, 60, 28–40.

Jiménez-Murcia, S., Granero, R., Fernández-Aranda, F., Sauvaget, A., Fransson, A., Hakansson, A., Mestre-Bach, G., Steward, T., Stinchfield, R., Moragas, L., Aymamí, N., Gómez-Peña, M., Del Pino-Gutiérrez, A., Agüera, Z., Alcazar, M. B., Talón-Navarro, M. T., Fuentes, À. C., Codina, E., & Menchon, J. M. (2019). A comparison of DSM-IV-TR and DSM-5 diagnostic criteria for gambling disorder in a large clinical sample. Frontiers in Psychology, 10, 931.

Jiménez-Murcia, S., Granero, R., Fernández-Aranda, F., Stinchfield, R., Tremblay, J., Steward, T., Mestre-Bach, G., Lozano-Madrid, M., Mena-Moreno, T., Mallorquí- Bagué, N., Perales, J. C., Navas, J. F., Soriano-Mas, C., Aymamí, N., Gómez-Peña, M., Agüera, Z., Del Pino-Gutiérrez, A., Martín-Romera, V., & Menchón, J. M. (2019). Phenotypes in gambling disorder using sociodemographic and clinical clustering analysis: An unidentified new subtype? Frontiers in Psychiatry, 10, 173.

Jiménez-Murcia, S., Granero, R., Giménez, M., Del Pino-Gutiérrez, A., Mestre-Bach, G., Mena-Moreno, T., Moragas, L., Baño, M., Sánchez-González, J., De Gracia, M., Baenas-Soto, I., Contaldo, S. F., Valenciano-Mendoza, E., Mora-Maltas, B., López-González, H., Menchón, J. M., & Fernández-Aranda, F. (2020). Moderator effect of sex in the clustering of treatment-seeking patients with gambling problems. Neuropsychiatrie, 34(3), 116–129.

Kaufman, A., Jones Nielsen, J. D., & Bowden-Jones, H. (2017). Barriers to treatment for female problem gamblers: A UK perspective. Journal of Gambling Studies, 33(3), 975–991.

Ledgerwood, D. M., Dyshniku, F., McCarthy, J. E., Ostojic-Aitkens, D., Forfitt, J., & Rumble, S. C. (2020). Gambling-related cognitive distortions in residential treatment for gambling disorder. Journal of Gambling Studies, 36(2), 669–683.

Limbrick-Oldfield, E. H., Mick, I., Cocks, R. E., McGonigle, J., Sharman, S. P., Goldstone, A. P., Stokes, P. R. A., Waldman, A., Erritzoe, D., Bowden-Jones, H., Nutt, D., Lingford-Hughes, A., & Clark, L. (2017). Neural substrates of cue reactivity and craving in gambling disorder. Translational Psychiatry, 7(1), e992.

Menchon, J. M., Mestre-Bach, G., Steward, T., Fernández-Aranda, F., & Jiménez- Murcia, S. (2018). An overview of gambling disorder: From treatment approaches to risk factors [version 1; referees: 2 approved]. In Wellcome Open Research, 7.

Mestre-Bach, G., Steward, T., Granero, R., Fernández-Aranda, F., Talón-Navarro, M. T., Cuquerella, À., Del Pino-Gutiérrez, A., Aymamí, N., Gómez-Peña, M., Mallorquí-Bagué, N., Mena-Moreno, T., Vintró-Alcaraz, C., Baño, M., Moragas, L., Magaña, P., Menchón, J. M., & Jiménez-Murcia, S. (2018). Sociodemographic and psychopathological predictors of criminal behavior in women with gambling disorder. Addictive Behaviors, 80, 124–129.

Pickering, D., Keen, B., Entwistle, G., & Blaszczynski, A. (2018). Measuring treatment outcomes in gambling disorders: A systematic review. Addiction, 113(3), 411–426.

Rash, C., Weinstock, J., & Van Patten, R. (2016). A review of gambling disorder and substance use disorders. Substance Abuse and Rehabilitation, 7, 3–13.

Sancho, M., de Gracia, M., Rodríguez, R. C., Mallorquí-Bagué, N., Sánchez-González, J., Trujols, J., Sánchez, I., Jiménez-Murcia, S., & Menchón, J. M. (2018). Mindfulness-based interventions for the treatment of substance and behavioral addictions: A systematic review. Frontiers in Psychiatry, 9, 95.

Yücel, M., Whittle, S., Youssef, G. J., Kashyap, H., Simmons, J. G., Schwartz, O., Lubman, D. I., & Allen, N. B. (2015). The influence of sex, temperament, risk-taking and mental health on the emergence of gambling: A longitudinal study of young people. International Gambling Studies, 15(1), 108–123.

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