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Second, some individuals use problem gambling as an escape from the problems in their lives (an example of negative reinforcement). Several psychological mechanisms are thought to be implicated in the development and maintenance of problem gambling. 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. Some medical authors suggest that the biomedical model of problem gambling may be unhelpful because it focuses only on individuals. A limited study was presented at a conference in Berlin, suggesting opioid release differs in problem gamblers from the general population, but in a very different way from people with a substance use disorder.

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Regarding youths who gamble, almost 50% of them report some form of gambling severe enough to be classified as problematic by the DSM. Additionally, many youths begin gambling before the age of 18, which correlates with the psychological etiologies of risk-taking and low self-control. In East African countries like Kenya and Uganda, more than a majority of youths surveyed reported gambling behaviors in the last 12 months. Similar to other parts of the world, Africa’s gambling rates are increasing, especially among youths. According to a survey of 11th and 12th graders in Wood County, Ohio found that the percentage who reported being unable to control their gambling rose to 8.3 percent in 2022, up from just 4.2 percent in 2018. Although most who gamble do so without harm, approximately 6 million American adults are addicted to gambling.
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