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Pathological Gambling:  A Psychobiological Study

Alec Roy, MB; Bryon Adinoff, MD; Laurie Roehrich; Danuta Lamparski, PhD; Robert Custer, MD; Valerie Lorenz, PhD; Maria Barbaccia, MD; Alessandro Guidotti, MD; Erminio Costa, MD; Markku Linnoila, MD, PhD
Arch Gen Psychiatry. 1988;45(4):369-373. doi:10.1001/archpsyc.1988.01800280085011.
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• We investigated psychobiological substrates of pathological gambling by measuring levels of norepinephrine, monoamine metabolites, and peptides in cerebrospinal fluid, plasma, and urine. Pathological gamblers had a significantly higher centrally produced fraction of cerebrospinal fluid levels of 3-methoxy-4-hydroxyphenylglycol as well as significantly greater urinary outputs of norepinephrine than controls. These results suggest that pathological gamblers may have a functional disturbance of the noradrenergic system. This system has been postulated to underlie sensation-seeking behaviors, aspects of which are thought to be abnormal among pathological gamblers.

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