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Costs and Treatment of Pathological Gambling

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  • HENRY R. LESIEUR

Abstract

The nature and social costs of pathological gambling are reviewed. Costs of gambling in terms of indebtedness for the gambler, costs for family members, costs for the workplace, illegal activities, and physical and psychological costs are examined. The interaction of pathological gambling with other disorders, including substance abuse, anxiety, and depression, are noted. Methods of screening pathological gamblers are summarized. Different treatment approaches and their effectiveness are reviewed, including Gamblers Anonymous and Gam-Anon, psychodynamic treatment, behavioral and cognitive approaches, and treatment based on an addiction model. Treatment for spouses is discussed. Gambling expenditure data are then examined to determine what portion of total expenditures is accounted for by problem gamblers.

Suggested Citation

  • Henry R. Lesieur, 1998. "Costs and Treatment of Pathological Gambling," The ANNALS of the American Academy of Political and Social Science, , vol. 556(1), pages 153-171, March.
    • Handle: RePEc:sae:anname:v:556:y:1998:i:1:p:153-171
    DOI: 10.1177/0002716298556001012
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    References listed on IDEAS

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    1. Volberg, R.A., 1994. "The prevalence and demographics of pathological gamblers: Implications for public health," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 237-241.
    2. Charles T. Clotfelter & Philip J. Cook, 1989. "Selling Hope: State Lotteries in America," NBER Books, National Bureau of Economic Research, Inc, number clot89-1, May.
    3. Henry R. Lesieur & Robert L. Custer, 1984. "Pathological Gambling: Roots, Phases, and Treatment," The ANNALS of the American Academy of Political and Social Science, , vol. 474(1), pages 146-156, July.
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