Gambling Disorder
Conditions
Keywords
gambling disorder, comorbidity, self-exclusion, mental health disorder, physical disease, pharmaceutical treatment, social services
Brief summary
Retrospective chart review and register study of all patients who sought treatment at Region Skåne gambling disorder treatment unit, from December, 2015, through November, 2025. Patients' problematic gambling patterns, gambling self-exclusion behaviour and existing comorbidities and medications, are studied in association with routes of referral, prior treatment contacts and diagnoses for mental and physical disorders in primary care and specialist care.
Detailed description
For all patients seeking treatment during the full 10-year history of the facility (December, 2015-November, 2025), the following variables are gathered and described and studied with respect to associations with one another: * Age * Legal gender * Tobacco use and alcohol problems requiring treatment * Problematic gambling type(s), such as sports betting, online casino, horse race betting, land-based electronic gambling machines, bingo, and gambling within videogames. * History of voluntary self-exclusion from gambling on the Swedish nationwide system for self-exclusion from licensed gambling operators (the so-called 'Spelpaus' system) * Living conditions (housing) and socio-economic conditions (over-indebtedness, history of enforcement agency contacts, granted debt settlement) * Current employment status (unemployed, degree of employment) * Co-morbid psychiatric and physical disorders * Prescribed medications * Emergency hospital visits for mental health disorders (at psychiatric emergency units) * In-patient psychiatric treatment episodes (including duration of hospitalisations) * Routes of referral to the gambling disorder treatment unit (self-referral, primary care, occupational health care, psychiatric units, social services, health care unit for physical disease, or other units)
Interventions
BEHAVIORALTreatment uptake
Initiation of assessment/treatment in treatment-seeking individuals.
Sponsors
Region Skane
Lund University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients seeking treatment at the Gambling disorder treatment unit of Region Skåne, Malmö, Sweden, Dec, 2015-Nov, 2025
Exclusion criteria
* Treatment occasions considered, after chart review, to not have detected any need for problem gambling assessment or intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Longitudinal change in clinical picture. | Full observational period (10 years). | Longitudinal change in clinical picture with respect to gambling pattern, self-exclusion behavior, physical and psychiatric comorbidity, routes of treatment seeking, and need for emergency/in-patient care. |
Countries
Sweden
Outcome results
None listed