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Personality disorders and pathological gambling

Vaddiparti, Krishna; Cottler, Linda B.

Current Opinion in Psychiatry:
doi: 10.1097/YCO.0000000000000300
PERSONALITY DISORDERS: Charles Pull and Aleksandar Janca
Abstract

Purpose of review: To explore recent developments in the field of personality disorders and their association with pathological gambling or gambling disorder. The review covers literature published from 2015 to present time (August 2016) to understand the prevalence rates of common personality disorders among pathological gamblers.

Recent findings: Commonly seen personality disorders among pathological or problem gamblers represent Cluster B disorders. There are reports indicating prevalence of Clusters A and C personality disorders as well. The rates of personality disorders among pathological gamblers reported in these studies align with Hill's guidelines – Strength, Specificity, Temporality, Biological gradient, Plausibility and Replicability indicating a strong association between pathological gambling and personality disorders. Studies are predominantly cross-sectional and consistently show that the presence of a personality disorder is associated with gambling severity and early age of onset pathological gambling.

Summary: Research on pathological gambling should advance beyond estimating rates of personality disorders and focus on longitudinal research to understand the pathways between personality disorders and onset and severity of pathological gambling.

Author Information

Department of Epidemiology, College of Public Health & Health Professions & College of Medicine, University of Florida, Gainesville, Florida, USA

Correspondence to Krishna Vaddiparti, PhD, MPE, MSW, Research Assistant Professor, Department of Epidemiology, College of Public Health & Health Professions & College of Medicine, University of Florida, 2004 Mowry Road, PO Box 100231, Gainesville, FL 32611, USA. Tel: +1 352 273 5746; fax: +1 352 273 5365; e-mail: kvaddiparti@ufl.edu

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