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Gambling and risk of problem gambling among patients with epilepsy

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Author(s): Heaney, Dominic ; Baxendale, Sallie

Journal: Epilepsy & Behavior

Year Published: 2021

Date Added: September 08, 2021

This study examined the gambling behaviours of patients with epilepsy and clinical factors that might be associated with problem gambling. The researchers reviewed the clinical records of 239 patients who were seen at a clinic in the UK. There were 174 patients with epilepsy and 65 patients with other brain disorders. Rates of gambling participation were lower in both groups of patients than the general population. However, 50% of patients with frontal lobe epilepsy reported gambling. Among the 12 patients who responded positively to the Lie/Bet questionnaire, all were diagnosed with epilepsy. Nine of these patients were taking the anti-seizure medication Levetiracetam (LEV) or Brivaracetam (BRIV). These results suggest that patients with frontal lobe epilepsy may be at higher risk of problem gambling, especially if they are taking LEV or BRIV.


Citation: Heaney, D., & Baxendale, S. (2021). Epilepsy & gambling: Risk factors for problem gambling behaviors in people with epilepsy. Epilepsy & Behavior, 122, 108082. https://doi.org/10.1016/j.yebeh.2021.108082

Article DOI: https://doi.org/10.1016/j.yebeh.2021.108082

Keywords: gambling ; gambling participation ; Lie/Bet Questionnaire ; neurobiology ; problem gambling

Topics: Biological Factors ; Gambling and the Brain

Conceptual Framework Factors:   Biological Factors ; Biological - Neurobiology

Study Design: Observational: Case Series

Geographic Coverage: United Kingdom, England

Study Population: 174 patients with epilepsy and 65 patients with other neurological conditions (N = 239)

Sampling Procedure: Data were drawn from a routine clinical review administered to consecutive patients attending a neurology service in February and March 2021 at the National Hospital for Neurology & Neurosurgery, London.

Study Funding:

This study did not receive any specific funding.

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    • Prevention and Education Review: Gambling-Related Harm
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    • Safer Gambling Evaluation Evidence Hub
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