STOP gambling

BIOLOGICAL AND ENVIRONMENTAL RISK FACTORS

Just as genetic makeup (biology) and environment vary from person to person, the way they interact creates a unique combination of risk factors for individuals.  Although the genes people inherit are out of their control, it is possible for people to take control of the environment and how they deal with that environment.  Addressing risk factors can reduce chances of developing or worsening substance use, problem gambling and mental health issues.

Biological Risk Factors

People can inherit from their parents’ genes that make them more or less likely to develop substance use, problem gambling or mental health problems.  Although the likelihood of developing one of these problems if one or both parents have the problem is not 100%, people whose parents have substance use, problem gambling or mental health problems may be at greater risk for developing them themselves.  The American Psychiatric Association’s Diagnostic and statistical manual of mental disorders, fourth edition (1994) provides information regarding the increased risk for developing the mental health, gambling and substance use problems that will be discussed in this manual.  As can be seen in the table below, there is an increased occurrence of these disorders for individuals who have a firstdegree biological relative (i.e., close relatives like parents and siblings) with the disorder as compared with people in the general population (i.e., who do not have first-degree biological relatives with the disorder). 

was attributable to genes that influence both disorders.  These genetic studies strongly suggest an overlap in the genetically transmitted vulnerability of both substance use and problem gambling disorders.  One example of a biological factor that might contribute to risk for developing a substance use or gambling problem is differences in brain chemistry that make certain people more vulnerable to the effects of gambling, drugs or alcohol.  

Other biologically influenced characteristics such as personality traits, gender, and ethnicity also may affect how susceptible people are to substances of abuse and gambling and how likely they are to become addicted to them.  For example, some personality traits such as antisocial personality and impulsivity are associated with increased risk for gambling, alcohol and drug problems.  Females tend to be affected more by alcohol and/or drugs because of their body size and composition.  In terms of ethnicity, many people of Asian descent tend to have negative reactions to alcohol and, therefore, tend not to drink it as much.  As a result, they have reduced risk for alcohol problems when compared to other ethnic groups.  

Although it is not possible to choose one’s parents and the genes inherited from them, it is important to remember that genes are not everything a person is.  People may inherit a predisposition to thinking, acting, and feeling certain ways, but it is possible that people can change the ways they behave and feel and think.  Additionally, people can exert a great deal  of control over the environments in which they live and work, and, as the next section discusses, the environment can play a large role in how likely people are to develop mental health, problem gambling and substance use issues.

Environmental Risk Factors

Most often environmental risks involve some kind of stressor for the individual.  Stress may include life stressors, the relationships people maintain, and their health.  Stress can influence how likely it is that people will develop problem gambling,  substance use and mental health issues.  Likewise, gambling, substance use and mental health problems can become risk factors for each other.  In other words, using substances can influence gambling and both substance use and gambling can influence mental health.  Likewise, mental health can influence how likely people are to gamble or use substances. 

Stress 

In a more general sense, stress can be the result of trying to deal with negative things in the environment.  When people cannot adapt to stress, they become more prone to developing, or making worse, substance use, gambling or mental health difficulties, particularly if they are also at risk biologically.  Types of stress include the following:

Life stressors:

• Work (loss of employment, problems at work, new job)

• Moving to a new place

• Money (being unable to pay bills or having more money than usual)

• Being a victim of abuse or other  crime

• Housing problems (losing one’s home)

• Legal problems Co-Occurring  Disorders

Relationships:

• Death of a loved one

• Divorce, separation, remarrying

• Parenting (difficulties raising/caring for one’s children or having  unresolved           parent/child issues)

• Frequent arguments among family members and spouse/significant other

• Having few or no friends (lack of social support)

• Having friends who use drugs or alcohol or gamble

• Grief

 Health and Mental Health:

• Illness, injuries, or accidents

• Not getting enough rest or eating well

• Caring for a sick relative or friend

• Not dealing with feelings

• Abusing substances

• Gambling excessively

• Experiencing mental health symptoms

An example of a risk factor leading to mental health difficulties is the death of a spouse causing someone to feel depressed.  It is completely normal to feel depressed from time to time, especially after the loss of a loved one.  However, as will be discussed in upcoming modules, mental health issues that become too severe or last longer than is normal can sometimes become mental health problems that may require treatment.  An example of a risk factor leading to substance abuse or gambling problems is drinking or gambling to avoid dealing with emotional problems such as feelings of depression or drinking or gambling to cope with work stress.   

SOURCE: http://www.ct.gov/dmhas/lib/dmhas/pgs/Cooccuringworkbook.pdf