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A review of the prevalence of ADHD and autism among adults experiencing gambling-related harm

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Author(s): Timms-McLean, Lochie ; Nguyen, Huy ; Thomas, Shane A. ; Browning, Colette J. ; Young, Amanda ; Chamberlain, Daniel ; Rintoul, Angela

Journal: Addictive Behaviors

Year Published: 2026

Date Added: September 08, 2026

Gambling can cause a variety of harms. Studies have found that adults with ADHD are at higher risk of gambling-related harm, compared to neurotypical adults. However, there is little research on the overlap between autism and gambling-related harm. The current study is a systematic review of existing research into the prevalence of autism and ADHD among adults experiencing gambling-related harm. Fourteen studies were included in the review. Only two of these studies also examined the co-occurrence of autism with gambling-related harm.

The combined data from these studies suggested that 24% of adults experiencing gambling-related harm also had ADHD. However, estimates varied between studies, and this number might be inflated due to the higher estimates in some studies. Due to the low number of studies including autistic adults, it is difficult to estimate the prevalence of autism among people experiencing gambling-related harm.


Citation: Timms-McLean, L., Nguyen, H., Thomas, S., Browning, C., Young, A., Chamberlain, D., & Rintoul, A. (2026). A systematic review of the prevalence of ADHD and autism among those experiencing gambling harm. Addictive Behaviors, 182, 108776. https://doi.org/10.1016/j.addbeh.2026.108776

Article DOI: https://doi.org/10.1016/j.addbeh.2026.108776

Keywords: Attention Deficit Hyperactivity Disorder (ADHD) ; Autism Spectrum Disorder (ASD) ; gambling harm ; neurodiversity

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Psychological Factors

Study Design: Systematic Review

Geographic Coverage: Australia ; Canada ; France ; Germany ; Japan ; Singapore ; United States of America

Study Population: Adults experiencing gambling-related harm with co-occurring autism or ADHD

Study Funding:

This research was supported by an Australian Government Research Training Program scholarship.

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