Unexpected online gambling disorder in late-life:A case report
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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doaj-df07b5494452485fb74edfec48752d9e2020-11-24T23:02:34ZengFrontiers Media S.A.Frontiers in Psychology1664-10782015-05-01610.3389/fpsyg.2015.00655141457Unexpected online gambling disorder in late-life:A case reportAnne eSauvaget0Anne eSauvaget1Susana eJiménez-Murcia2Susana eJiménez-Murcia3Susana eJiménez-Murcia4Fernando eFernandez-Aranda5Fernando eFernandez-Aranda6Fernando eFernandez-Aranda7Ana Béatriz eFagundo8Ana Béatriz eFagundo9Laura eMoragas10Ines eWolz11Ines eWolz12Misericordia eVeciana De Las Heras13Roser eGranero14Roser eGranero15Amparo edel Pino-Gutiérrez16Marta eBaños17Eva eReal18Maria Neus eAymamí19Marie eGRALL-BRONNEC20Jose M Menchon21Jose M Menchon22Jose M Menchon23University Hospital of NantesUniversity Hospital of Bellvitge-IDIBELLUniversity Hospital of Bellvitge-IDIBELLCIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIISchool of Medicine, University of BarcelonaUniversity Hospital of Bellvitge-IDIBELLCIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIISchool of Medicine, University of BarcelonaUniversity Hospital of Bellvitge-IDIBELLCIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIIUniversity Hospital of Bellvitge-IDIBELLUniversity Hospital of Bellvitge-IDIBELLCIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIIUniversity Hospital of Bellvitge-IDIBELLCIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIIUniversitat Autònoma de Barcelona,University School of Nursing, University of Barcelona.University Hospital of Bellvitge-IDIBELLUniversity Hospital of Bellvitge-IDIBELLUniversity Hospital of Bellvitge-IDIBELLUniversity Hospital of NantesUniversity Hospital of Bellvitge-IDIBELLSchool of Medicine, University of BarcelonaCIBER Salud Mental (CIBERSAM), Instituto de Salud Carlos III, SpainBackground.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.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00655/fullElderlybehavioral addictionsgambling disorderMedical conditionlate-lifeOnline gambling |
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language |
English |
format |
Article |
sources |
DOAJ |
author |
Anne eSauvaget Anne eSauvaget Susana eJiménez-Murcia Susana eJiménez-Murcia Susana eJiménez-Murcia Fernando eFernandez-Aranda Fernando eFernandez-Aranda Fernando eFernandez-Aranda Ana Béatriz eFagundo Ana Béatriz eFagundo Laura eMoragas Ines eWolz Ines eWolz Misericordia eVeciana De Las Heras Roser eGranero Roser eGranero Amparo edel Pino-Gutiérrez Marta eBaños Eva eReal Maria Neus eAymamí Marie eGRALL-BRONNEC Jose M Menchon Jose M Menchon Jose M Menchon |
spellingShingle |
Anne eSauvaget Anne eSauvaget Susana eJiménez-Murcia Susana eJiménez-Murcia Susana eJiménez-Murcia Fernando eFernandez-Aranda Fernando eFernandez-Aranda Fernando eFernandez-Aranda Ana Béatriz eFagundo Ana Béatriz eFagundo Laura eMoragas Ines eWolz Ines eWolz Misericordia eVeciana De Las Heras Roser eGranero Roser eGranero Amparo edel Pino-Gutiérrez Marta eBaños Eva eReal Maria Neus eAymamí Marie eGRALL-BRONNEC Jose M Menchon Jose M Menchon Jose M Menchon Unexpected online gambling disorder in late-life:A case report Frontiers in Psychology Elderly behavioral addictions gambling disorder Medical condition late-life Online gambling |
author_facet |
Anne eSauvaget Anne eSauvaget Susana eJiménez-Murcia Susana eJiménez-Murcia Susana eJiménez-Murcia Fernando eFernandez-Aranda Fernando eFernandez-Aranda Fernando eFernandez-Aranda Ana Béatriz eFagundo Ana Béatriz eFagundo Laura eMoragas Ines eWolz Ines eWolz Misericordia eVeciana De Las Heras Roser eGranero Roser eGranero Amparo edel Pino-Gutiérrez Marta eBaños Eva eReal Maria Neus eAymamí Marie eGRALL-BRONNEC Jose M Menchon Jose M Menchon Jose M Menchon |
author_sort |
Anne eSauvaget |
title |
Unexpected online gambling disorder in late-life:A case report |
title_short |
Unexpected online gambling disorder in late-life:A case report |
title_full |
Unexpected online gambling disorder in late-life:A case report |
title_fullStr |
Unexpected online gambling disorder in late-life:A case report |
title_full_unstemmed |
Unexpected online gambling disorder in late-life:A case report |
title_sort |
unexpected online gambling disorder in late-life:a case report |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2015-05-01 |
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. |
topic |
Elderly behavioral addictions gambling disorder Medical condition late-life Online gambling |
url |
http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00655/full |
work_keys_str_mv |
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