Addiction aux jeux (d’argent et vidéo) et état de santé des joueurs : une revue critique de la littérature

Loriane Benchebra, Jean-Marc Alexandre, Jacques Dubernet, Mélina Fatséas, Marc Auriacombe
La Presse Médicale. 2019-11-01; :
DOI: 10.1016/j.lpm.2019.10.014

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1. Presse Med. 2019 Nov 22. pii: S0755-4982(19)30482-8. doi:10.1016/j.lpm.2019.10.014.

[Gambling and Gaming disorders and physical health of players: A critical review of the literature].

[Article in French]

Benchebra L(1), Alexandre JM(1), Dubernet J(1), Fatséas M(2), Auriacombe M(3).

Author information:
(1)Université de Bordeaux, 33000 Bordeaux, France; Université de Bordeaux, équipe
phénoménologie et déterminants des comportements appétitifs, Sanpsy CNRS USR
3413, 33000 Bordeaux, France; Centre hospitalier Charles-Perrens et CHU de
Bordeaux, pôle addictologie et filière régionale, 33000 Bordeaux, France.
(2)Université de Bordeaux, 33000 Bordeaux, France; Université de Bordeaux, équipe
phénoménologie et déterminants des comportements appétitifs, Sanpsy CNRS USR
3413, 33000 Bordeaux, France; CHU de Bordeaux, pôle addictologie, 33000 Bordeaux,
France.
(3)Université de Bordeaux, 33000 Bordeaux, France; Université de Bordeaux, équipe
phénoménologie et déterminants des comportements appétitifs, Sanpsy CNRS USR
3413, 33000 Bordeaux, France; Centre hospitalier Charles-Perrens et CHU de
Bordeaux, pôle addictologie et filière régionale, 33000 Bordeaux, France;
University of Pennsylvania, Perelman School of Medicine, center for studies of
addiction, department of psychiatry, Phildelphia, PA, États-Unis. Electronic
address: .

CONTEXT: Gambling and gaming disorders have been introduced as addictions in the
DSM-5 and have been announced for the next edition of the ICD. Links between
gambling and gaming and psychiatric comorbidities have been thoroughly
investigated, but so far the impact of gambling and gaming on physical health has
been overlooked.
OBJECTIVE: Our aim was to evaluate the impact of gaming and gambling disorders on
the physical health of gamers and gamblers.
SOURCES: We conducted a systematic review of the literature, using PubMed/Medline
to retrieve studies with the following: keywords: “gambling” ; “pathological
gambling” ; “gambling health” ; “gaming” ; “pathological gaming” and “gaming
health”.
PAPERS SELECTION: Selected studies all reported on the physical health of gamers
and gamblers with addiction. We obtained 133 articles from the Medline database.
After screening abstracts and introductions and full reading of papers we
retrieved 25 articles for this review. Seventeen articles reporting
56,179 subjects with gambling disorder and 8 articles reporting 63,887 subjects
with gaming disorder.
RESULTS: All papers described the physical health of individuals with gaming and
gambling disorders. For gambling, data showed the existence of digestive disorder
(20 to 40%), sleeping disorders (35 to 68%), headaches (20 to 30%) and
cardiovascular disorders: tachycardia (9%) and coronary artery disease (2 to
23%). Results were mostly significant when compared to the general population.
For gaming, available studies reported qualitative data. Most frequently reported
symptoms were sleeping complaints, joint pain, headaches and visual problems.
These symptoms were more frequently described for teenagers. Sleeping complaints
were the most frequently reported symptom.
LIMITS: Although we found that the physical health of gamers and gamblers with
addiction was impaired, no study investigated the causal role of addiction,
gaming, and gambling. Further studies are needed to better understand how
behavioral addictions impact physical heath.
CONCLUSION: Data reported in this review documented that individuals with gaming
or gambling disorders have an impaired physical health. Knowledge of the symptoms
reported could help primary care physicians to better screen for gambling and
gaming disorders among their patients.

Copyright © 2019 Elsevier Masson SAS. All rights reserved.

DOI: 10.1016/j.lpm.2019.10.014
PMID: 31767247

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