Unexpected online gambling disorder in late-life

Background: The lifetime prevalence of problem or Gambling disorder (GD) in the elderly (i.e., those over 60 years old) is reported to range from 0.01 to 10.9%. Research has identified several specific risk factors and vulnerabilities in the elderly. Since the late 1990s, an increase in online GD ha...

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Autores: Sauvaget, Anne|||0000-0002-1822-8535, Jiménez Murcia, Susana|||0000-0002-3596-8033, Fernández Aranda, Fernando|||0000-0002-2968-9898, Fagundo, Ana Beatriz|||0000-0003-1703-9457, Moragas, Laura|||0000-0001-5235-7026, Wolz, Ines|||0000-0001-8338-3948, Veciana de las Heras, Misericordia|||0000-0002-1878-8663, Granero, Roser|||0000-0001-6308-3198, Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850, Baño, Marta|||0000-0002-9916-611X, Real, Eva|||0000-0003-4523-1649, Aymamí, Maria N., Grall-Bronnec, Marie|||0000-0003-0722-7243, Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:254384
Acceso en línea:https://ddd.uab.cat/record/254384
https://dx.doi.org/urn:doi:10.3389/fpsyg.2015.00655
Access Level:acceso abierto
Palabra clave:Gambling disorder
Online gambling
Elderly
Late-life
Medical condition
Behavioral addictions
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spelling Unexpected online gambling disorder in late-lifea case reportSauvaget, Anne|||0000-0002-1822-8535Jiménez Murcia, Susana|||0000-0002-3596-8033Fernández Aranda, Fernando|||0000-0002-2968-9898Fagundo, Ana Beatriz|||0000-0003-1703-9457Moragas, Laura|||0000-0001-5235-7026Wolz, Ines|||0000-0001-8338-3948Veciana de las Heras, Misericordia|||0000-0002-1878-8663Granero, Roser|||0000-0001-6308-3198Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850Baño, Marta|||0000-0002-9916-611XReal, Eva|||0000-0003-4523-1649Aymamí, Maria N.Grall-Bronnec, Marie|||0000-0003-0722-7243Menchón Magriñá, José Manuel|||0000-0002-6231-6524Gambling disorderOnline gamblingElderlyLate-lifeMedical conditionBehavioral addictionsBackground: The lifetime prevalence of problem or Gambling disorder (GD) in the elderly (i.e., those over 60 years old) is reported to range from 0.01 to 10.9%. Research has identified several specific risk factors and vulnerabilities in the elderly. Since the late 1990s, an increase in online GD has been observed in the youth population, whereas casinos, slot machines, and bingo seem to be the activities of choice among the elderly. Interestingly, online GD has not been described in the elderly to date. Case Description: We report an 83-year-old man who started online casino gambling from the age of 80 years, leading to debts that exceeded €30,000. He underwent a full clinical and neuropsychological assessment, without any evidence of cognitive impairment or any associated neurodegenerative disease. However, he had risk factors for GD, including adjustment disorder, stressful life events, previous offline casino GD when 50 years old, and dysfunctional personality traits. The change to online GD may have been due to his isolation, movement difficulties, and his high level of education, which facilitated his access to the Internet. Care management focused on individual cognitive-behavioral therapy. Conclusion: The prevalence of online GD may be underestimated among the elderly, and may increase among isolated old people with movement difficulties and ready access to the Internet. However, late-life GD should be considered a diagnosis of elimination, requiring a full medical, psychiatric (including suicide risk), and cognitive assessment. Specific therapeutic approaches need to be proposed and developed. 22015-01-0120152015-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/254384https://dx.doi.org/urn:doi:10.3389/fpsyg.2015.00655reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2543842026-06-06T12:50:31Z
dc.title.none.fl_str_mv Unexpected online gambling disorder in late-life
a case report
title Unexpected online gambling disorder in late-life
spellingShingle Unexpected online gambling disorder in late-life
Sauvaget, Anne|||0000-0002-1822-8535
Gambling disorder
Online gambling
Elderly
Late-life
Medical condition
Behavioral addictions
title_short Unexpected online gambling disorder in late-life
title_full Unexpected online gambling disorder in late-life
title_fullStr Unexpected online gambling disorder in late-life
title_full_unstemmed Unexpected online gambling disorder in late-life
title_sort Unexpected online gambling disorder in late-life
dc.creator.none.fl_str_mv Sauvaget, Anne|||0000-0002-1822-8535
Jiménez Murcia, Susana|||0000-0002-3596-8033
Fernández Aranda, Fernando|||0000-0002-2968-9898
Fagundo, Ana Beatriz|||0000-0003-1703-9457
Moragas, Laura|||0000-0001-5235-7026
Wolz, Ines|||0000-0001-8338-3948
Veciana de las Heras, Misericordia|||0000-0002-1878-8663
Granero, Roser|||0000-0001-6308-3198
Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850
Baño, Marta|||0000-0002-9916-611X
Real, Eva|||0000-0003-4523-1649
Aymamí, Maria N.
Grall-Bronnec, Marie|||0000-0003-0722-7243
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author Sauvaget, Anne|||0000-0002-1822-8535
author_facet Sauvaget, Anne|||0000-0002-1822-8535
Jiménez Murcia, Susana|||0000-0002-3596-8033
Fernández Aranda, Fernando|||0000-0002-2968-9898
Fagundo, Ana Beatriz|||0000-0003-1703-9457
Moragas, Laura|||0000-0001-5235-7026
Wolz, Ines|||0000-0001-8338-3948
Veciana de las Heras, Misericordia|||0000-0002-1878-8663
Granero, Roser|||0000-0001-6308-3198
Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850
Baño, Marta|||0000-0002-9916-611X
Real, Eva|||0000-0003-4523-1649
Aymamí, Maria N.
Grall-Bronnec, Marie|||0000-0003-0722-7243
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author_role author
author2 Jiménez Murcia, Susana|||0000-0002-3596-8033
Fernández Aranda, Fernando|||0000-0002-2968-9898
Fagundo, Ana Beatriz|||0000-0003-1703-9457
Moragas, Laura|||0000-0001-5235-7026
Wolz, Ines|||0000-0001-8338-3948
Veciana de las Heras, Misericordia|||0000-0002-1878-8663
Granero, Roser|||0000-0001-6308-3198
Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850
Baño, Marta|||0000-0002-9916-611X
Real, Eva|||0000-0003-4523-1649
Aymamí, Maria N.
Grall-Bronnec, Marie|||0000-0003-0722-7243
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Gambling disorder
Online gambling
Elderly
Late-life
Medical condition
Behavioral addictions
topic Gambling disorder
Online gambling
Elderly
Late-life
Medical condition
Behavioral addictions
description Background: The lifetime prevalence of problem or Gambling disorder (GD) in the elderly (i.e., those over 60 years old) is reported to range from 0.01 to 10.9%. Research has identified several specific risk factors and vulnerabilities in the elderly. Since the late 1990s, an increase in online GD has been observed in the youth population, whereas casinos, slot machines, and bingo seem to be the activities of choice among the elderly. Interestingly, online GD has not been described in the elderly to date. Case Description: We report an 83-year-old man who started online casino gambling from the age of 80 years, leading to debts that exceeded €30,000. He underwent a full clinical and neuropsychological assessment, without any evidence of cognitive impairment or any associated neurodegenerative disease. However, he had risk factors for GD, including adjustment disorder, stressful life events, previous offline casino GD when 50 years old, and dysfunctional personality traits. The change to online GD may have been due to his isolation, movement difficulties, and his high level of education, which facilitated his access to the Internet. Care management focused on individual cognitive-behavioral therapy. Conclusion: The prevalence of online GD may be underestimated among the elderly, and may increase among isolated old people with movement difficulties and ready access to the Internet. However, late-life GD should be considered a diagnosis of elimination, requiring a full medical, psychiatric (including suicide risk), and cognitive assessment. Specific therapeutic approaches need to be proposed and developed.
publishDate 2015
dc.date.none.fl_str_mv 2
2015-01-01
2015
2015-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/254384
https://dx.doi.org/urn:doi:10.3389/fpsyg.2015.00655
url https://ddd.uab.cat/record/254384
https://dx.doi.org/urn:doi:10.3389/fpsyg.2015.00655
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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