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Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.
| DSM-IV | DSM-5 |
|---|---|
| Name: Pathological Gambling | Name: Gambling Disorder |
| Disorder Class: Impulse-Control Disorders Not Classified Elsewhere | Disorder Class: Substance-Related and Addictive Disorders |
| A. Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following: | Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the following in a 12-month period: |
| 1. is preoccupied with gambling (e.g., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble) | 4. Is often preoccupied with gambling (e.g., having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble). |
| 2. needs to gamble with increasing amounts of money in order to achieve the desired excitement | 1. SAME |
| 3. has repeated unsuccessful efforts to control, cut back, or stop gambling | 3. SAME |
| 4. is restless or irritable when attempting to cut down or stop gambling | 2. SAME |
| 5. gambles as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression) | 5. Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed). |
| 6. after losing money gambling, often returns another day to get even (“chasing” one’s losses) | 6. SAME |
| 7. lies to family members, therapist, or others to conceal the extent of involvement with gambling | 7. SAME |
| 8. has committed illegal acts such as forgery, fraud, theft, or embezzlement to finance gambling | DROPPED |
| 9. has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling | 8. SAME |
| 10. relies on others to provide money to relieve a desperate financial situation caused by gambling | 9. SAME |
| B. The gambling behavior is not better accounted for by a Manic Episode. | B. The gambling behavior is not better explained by a manic episode. |
| N/A | Specify if: Episodic: Meeting diagnostic criteria at more than one time point, with symptoms subsiding between periods of gambling disorder for at least several months. Persistent: Experiencing continuous symptoms, to meet diagnostic criteria for multiple years. |
| Specify if: In early remission: After full criteria for gambling disorder were previously met, none of the criteria for gambling disorder have been met for at least 3 months but for less than 12 months. In sustained remission: After full criteria for gambling disorder were previously met, none of the criteria for gambling disorder have been met during a period of 12 months or longer. Specify current severity: Mild: 4–5 criteria met. Moderate: 6–7 criteria met. Severe: 8–9 criteria met. | |
From: 3, Mental Illness
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