As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems. However, no one treatment is considered to be most efficacious and, in the United States, no medications have been approved for the treatment of pathological gambling by the U.S. The most common instrument used to screen for “probable pathological gambling” behavior is the South Oaks Gambling Screen (SOGS) developed by Lesieur and Blume (1987) at the South Oaks Hospital in New York City. In this framework, personality traits favoring present-oriented decision-making increase susceptibility to gambling addiction, mirroring risk-taking behaviors seen in other species.
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Researchers suggest that unpredictability itself motivates animals (including humans) to persevere in reward-seeking despite repeated failures, which can foster persistent gambling behaviour. Younger adults may also be more prone to gambling due to the evolutionary advantage of status-seeking during peak reproductive years. For example, gambling can be understood as a form of “risky reward-seeking,” where individuals overestimate potential gains—an inclination that modern gambling industries exploit. Some researchers propose that human gambling behavior reflects evolved tendencies toward risk-taking that historically conferred adaptive benefits. The study links problem gambling to a myriad of issues affecting relationships, and social stability. Pathological gambling is similar to many other impulse-control disorders such as kleptomania.
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