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Update of the Legislators' Guide To Video Lottery Terminal Gambling

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Chapter 7. Social Costs and Economic Development Effects <strong>of</strong> <strong>Gambling</strong> 34<br />

Exhibit 7.1<br />

DSM-IV Criteria for <strong>Gambling</strong> Classification<br />

Preoccupation Is preoccupied with gambling<br />

<strong>To</strong>lerance Needs to gamble in increasing amounts to achieve satisfaction<br />

Withdrawal Is irritable or restless when attempting to cut down or stop gambling<br />

Escape Gambles to escape from problems<br />

Chasing Returns <strong>of</strong>ten to get even after losing money gambling<br />

Lying Lies to family members and o<strong>the</strong>rs about extent <strong>of</strong> gambling<br />

Loss <strong>of</strong> Control Makes repeated unsuccessful attempts to control gambling<br />

Illegal Acts Commits illegal acts to finance gambling<br />

Risked Relationships Jeopardizes job, significant relationship, or educational or career opportunities as<br />

a result <strong>of</strong> gambling<br />

Bailout Relies on o<strong>the</strong>rs to provide money as a result <strong>of</strong> gambling<br />

Source: Diagnostic and Statistical Manual for Mental Disorders, fourth version (DSM-IV) <strong>of</strong> <strong>the</strong> American<br />

Psychiatric Association<br />

Low-risk gamblers report no criteria. At-risk gamblers have one or two criteria while<br />

problem gamblers have three or four criteria. The DSM-IV criteria characterize pathological<br />

gambling as a “persistent and recurrent maladaptive gambling behavior that disrupts personal,<br />

family, or vocational pursuits” as evidenced by reporting five or more criteria.<br />

Prevalence <strong>of</strong> Problem and Pathological <strong>Gambling</strong><br />

Pathological and problem gambling prevalence is frequently reported as ei<strong>the</strong>r “past<br />

year” or “lifetime.” The distinction is based on when, ei<strong>the</strong>r within <strong>the</strong> past year or at any time,<br />

<strong>the</strong> individual reported <strong>the</strong> DSM-IV symptoms. Researchers are usually referring to lifetime<br />

prevalence rates when discussing <strong>the</strong> number <strong>of</strong> problem and pathological gamblers.<br />

The National Research Council (NRC) <strong>of</strong> <strong>the</strong> National Academy <strong>of</strong> Sciences has<br />

estimated national prevalence rates for different classifications <strong>of</strong> gamblers. Exhibit 7.2 lists <strong>the</strong><br />

estimated past year and lifetime problem and pathological prevalence rates.

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