Revisão Produção Nacional Revisado por pares

Gambling in Brazil: a call for an open debate

2014; Wiley; Volume: 109; Issue: 12 Linguagem: Inglês

10.1111/add.12560

ISSN

1360-0443

Autores

Hermano Tavares,

Tópico(s)

Personality Disorders and Psychopathology

Resumo

AddictionVolume 109, Issue 12 p. 1972-1976 NATIONAL GAMBLING EXPERIENCES Gambling in Brazil: a call for an open debate Hermano Tavares, Corresponding Author Hermano Tavares Gambling Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, São Paulo, BrazilCorrespondence to: Hermano Tavares, The Gambling Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, Rua Dr Ovídio Pires de Campos 785, Jardim Paulista, São Paulo—SP, CEP 05403-010, Brazil. E-mail: [email protected]Search for more papers by this author Hermano Tavares, Corresponding Author Hermano Tavares Gambling Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, São Paulo, BrazilCorrespondence to: Hermano Tavares, The Gambling Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, Rua Dr Ovídio Pires de Campos 785, Jardim Paulista, São Paulo—SP, CEP 05403-010, Brazil. E-mail: [email protected]Search for more papers by this author First published: 23 May 2014 https://doi.org/10.1111/add.12560Citations: 13Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Aims To provide an overview of gambling in Brazil, including historical background, past and current legislation, gamblers' profile, treatment and research initiatives. Methods Review of the published literature and research reports. Results Gambling is deeply rooted in Brazilian history and culture, but gambling regulation historically alternates between legalization and banning. Currently, only state lotteries, horse betting and poker-playing are allowed. There is pressure to widen the games repertoire, but efforts at full legalization and commercial exploration of gambling have receded. Despite the barriers to gambling access, Brazil has prevalence rates similar to other countries: 1.0 and 1.3% life-time prevalence for pathological and problem gambling. A faster progression from regular to problem gambling was found among middle-aged women in clinical samples and for adolescent male gamblers in a population-based sample. Youth gambling is associated with severe forms of gambling and other risk-taking behaviours. Treatment options are scarce, and the public health system is unprepared to support gambling patients. Ongoing incipient efforts are being made to establish a treatment model combining psychotherapy and psychiatric comorbidity treatment with promotion of quality of life. Conclusion Life-time incidence of pathological gambling in Brazil appears similar to many other countries, at approximately 1%. Arguably, there is a need to develop a more coherent regulatory and treatment response to this societal problem. References 1 Bueno E. Sorte grande: 50 anos das loterias da caixa econômica federal [Jackpot: 50 years of the lotteries of the Federal Bank of Brazil]. Porto Alegre: BuenasIdeias; 2012. 2 Gonçalves D. A. Diversões eletrônicas: doutrina e jurisprudência [Electronic entertainment: doctrine and jurisprudence]. Rev Jur Ministério Púb 2008; 3: 136– 155. 3 Damatta R., Soárez E. Águias, burros e borboletas: um estudo antropológico do jogo do bicho [Eagles, donkeys and butterflies: an anthropological study of the animal game]. Rio de Janeiro: Rocco; 1999. 4 Duarte D. Loterias e jogos de azar no Brasil: legalidade e ilegalidade [Lotteries and gambling games: legality and illegality]. Rev Dir ADVOCEF 2007; 1: 107– 129. 5 Tavares H., Zilberman M. L., Beites F. J., Gentil V. Gender differences in gambling progression. J Gambl Stud 2001; 17: 151– 159. 6 Oliveira M. P. M. T., Silveira D. X., Silva M. T. A. Pathological gambling and its consequence for the public health. Rev Saude Pub 2008; 42: 542– 549. 7 Brasilian Gaming Congress. Rio de Janeiro; 2013. Available at: http://www.brasiliangamingcongress.com/ (accessed 2 May 2014) (Archived at http://www.webcitation.org/6PHE9DSRq on 2 May 2014). 8 Tavares H., Martins S. S., Lobo D. S., Silveira C. M., Gentil V., Hodgins D. C. Factors at play in faster progression for female pathological gamblers: an exploratory analysis. J Clin Psychiatry 2003; 64: 433– 438. 9 Oliveira M. P., Silva M. T. A comparison of horse-race, bingo, and video poker gamblers in Brazilian gambling settings. 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Rev Bras Psiquiatr 2009; 31: 76. 18 Angelo D. L., Tavares H., Zilberman M. L. Evaluation of a physical activity program for pathological gamblers in treatment. J Gambl Stud 2013; 29: 589– 599. 19 Magalhães A. C., Jungerman F. S., Silva M. C., Moraes M. M., Tavares H. Post-therapy group for pathological gamblers: improvement beyond symptoms. Rev Bras Psiquiatr 2009; 31: 181– 182. 20 Martins S. S., Lobo D. S., Tavares H., Gentil V. Pathological gambling in women: a review. Rev Hosp Clin Fac Med Sao Paulo 2002; 57: 235– 242. 21 Galetti C., Alvarenga P. G., Andrade A. G., Tavares H. Jogos de azar e uso de substâncias em idosos: uma revisão da literatura [Gambling games and substance use in the elderly: a review of the literature]. Rev Psiquiatr Clin 2008; 35: 39– 43. 22 Tavares H., Zilberman M. L., Hodgins D. C., el-Guebaly N. Comparison of craving between pathological gamblers and alcoholics. Alcohol Clin Exp Res 2005; 29: 1427– 1431. 23 de Castro V., Fong T., Rosenthal R. J., Tavares H. A comparison of craving and emotional states between pathological gamblers and alcoholics. Addict Behav 2007; 32: 1555– 1564. 24 Tavares H., Gentil V. Pathological gambling and obsessive–compulsive disorder: towards a spectrum of disorders of volition. Rev Bras Psiquiatr 2007; 29: 107– 117. 25 Fuentes D., Tavares H., Artes R., Gorenstein C. Self-reported and neuropsychological measures of impulsivity in pathological gambling. J Int Neuropsychol Soc 2006; 12: 907– 912. 26 da Silva Lobo D. S., Vallada H. P., Knight J., Martins S. S., Tavares H., Gentil V. et al. Dopamine genes and pathological gambling in discordant sib-pairs. J Gambl Stud 2007; 23: 421– 433. 27 Wilson D., Lobo D. S., Tavares H., Gentil V., Vallada H. Family-based association analysis of serotonin genes in pathological gambling disorder: evidence of vulnerability risk in the 5HT-2A receptor gene. J Mol Neurosci 2013; 49: 550– 553. Citing Literature Volume109, Issue12December 2014Pages 1972-1976 ReferencesRelatedInformation

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