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Spain’s gambling watchdog has updated its 2019–2020 Responsible Gaming Program, classifying problem gambling as a mental disorder. This belief is then reinforced through the unpredictable and repeated financial losses that are intrinsic to gambling. Some gamblers often develop learned helplessness—a psychological state in which a person believes they have no control over their situation. Fourth, problem gamblers have several cognitive biases, including the illusion of control, unrealistic optimism, overconfidence and the gambler’s fallacy (the incorrect belief that a series of random events tends to self-correct so that the absolute frequencies of each of various outcomes balance each other out). Third, personality factors such as narcissism, risk-seeking, sensation-seeking, and impulsivity play a role.

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Although most who gamble do so without harm, approximately 6 million American adults are addicted to gambling. “They should be aware of what their children are doing, and on the other hand, they should motivate pro-active gambling, healthy gambling”, commented Lizbeth García Quevedo. The 194-member meet added excessive gaming to a classified list of diseases as it revised its International Statistical Classification of Diseases and Related Health Problems (ICD-11).citation needed In its 72nd World Health Assembly held on Saturday, May 25, 2019, ‘gaming disorder’ was recognized as an official illness.

• These authors point out that social factors may be a far more important determinant of gambling behavior than brain chemicals, and they suggest that a social model may be more useful in understanding the issue.
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• Across all areas of Africa, sports betting and card-games serve to be the most prevalent forms of gambling; a supermajority of individuals gamble on weekends in particular.
• The opioid antagonist drug nalmefene has also been trialed quite successfully for the treatment of compulsive gambling.
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