![]() Hence, general practitioners (GPs) as primary care providers have a crucial role to play in the early detection and intervention on problem gambling (PrG). Only 0.4% to 3% of them seek help for their difficulties and a five-year latent period is observed between the first symptomatic presentation and the first attempt to seek care. Problem gamblers are hard to attract to treatment programs, partly due to their feelings of shame and denial. The prevalence seems to be more important (6.2%) in primary care services. Prevalence rates in the general population range are ranging from 0.2% to 2.1% for pathological gamblers and from 0.6% to 5.5% for problem gamblers. Vulnerable subgroup populations such as adolescents are also affected by gambling disorders. PG harm related to its high psychiatric comorbidity, mostly substance use disorders and increased suicidal risk. Indeed, it has been shown that PG shares clinical expression, comorbidity, neurobiological mechanisms, and treatment options with SUD and reward-related behaviors. Pathological gambling (PG) has been recently added as a gambling disorder to the substance-related disorders chapter of DSM 5, as a result of the empiric findings provided by the research literature supporting its similarity with substance use disorders (SUD). GPs being central to health screening in general, targeted advice and training on short screening tools and better knowledge of referral pathways should be promoted and continued to empower the GP's management skills in a public health approach. However, PrG screening is not systematic and their knowledge of adequate treatments or referral methods is scarce. ![]() The results state that the vast majority of them are aware of the existence and the potential impact of PrG on their patients. Swiss French-speaking participants were asked about their screening practice and knowledge. The present work aimed to collect data on resources in the field from GPs themselves, using a 24-item online questionnaire. To address these obstacles, primary care (where the problem gambling (PrG) prevalence seems to be 6.2%) has a crucial role to play (i.e., identifying and referring patients to specialized treatment programs and treating at first line when needed and possible) in the era of online gambling offer expansion. Problem gamblers are hard to attract to treatment programs for several proper reasons and for obstacles (e.g., accessibility). Prevalence rates in general population range from 0.2% to 2.1%. ![]() Pathological gambling (PG) is an addictive disorder with harm related to the high psychiatric comorbidity and increased suicidal risk.
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