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EmergingSystematic Review

Autism and gambling: A systematic review, focusing on neurocognition.

Neuroscience and biobehavioral reviews2023

Chamberlain Samuel R, Aslan Betul, Quinn Anthony, Anilkumar Amith, Robinson Janine, Grant Jon E, Sinclair Julia

What this study means for families

Researchers looked at studies about autism and gambling to understand if there are connections between them. They found very few studies on this topic - only 9 studies were good enough to include. The studies showed mixed results about how autistic people perform on gambling-type tasks, but autistic people were consistently slower when making decisions. One study suggested there might be a link between gambling problems and autism traits. Much more research is needed in this area.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This systematic review examined the relationship between autism and gambling, particularly focusing on cognitive aspects. Only 9 studies out of 343 publications met inclusion criteria, highlighting limited research in this area. Studies examining decision-making through cognitive tasks showed mixed results, with autistic people performing worse, equivalent, or better than non-autistic people depending on the study. The most consistent finding was that autistic people responded more slowly on gambling tasks compared to non-autistic people.

One study found a connection between problem gambling and autism characteristics in people who gamble occasionally. The review emphasizes the significant gap in understanding neurocognitive overlap between autism and gambling behaviors.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Autistic people consistently showed slower response times on gambling-related cognitive tasks compared to non-autistic people

    Confidence: moderateRelevance: May indicate different decision-making processing patterns in gambling contexts
  • 2

    Decision-making performance on cognitive tasks showed mixed results - autistic people performed worse, equivalent, or better than non-autistic people depending on the study

    Confidence: limitedRelevance: Inconsistent findings limit understanding of gambling-related cognitive abilities in autism
  • 3

    One study reported a link between problem gambling and autism scores in people who gamble occasionally

    Confidence: emergingRelevance: Suggests potential vulnerability to gambling problems in some autistic individuals

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

The profound lack of research highlights a significant knowledge gap regarding gambling risks in autistic people. Clinicians should be aware of potential vulnerability to gambling problems in some autistic individuals. Future research with larger samples and validated tools is urgently needed to understand neurocognitive overlap and inform appropriate screening and intervention strategies.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Only 9 studies out of 343 publications met inclusion criteria, indicating extremely limited research. Mixed and inconsistent results across studies. Lack of adequately powered samples and validated assessment tools. Insufficient evidence to draw definitive conclusions about autism-gambling relationships.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Autism spectrum disorders (hereafter autism) are prevalent and often associated with elevated rates of substance use disorders. A subset of people who gamble develop gambling disorder, which is functionally impairing. Characterization of relationships between autism and gambling, particularly as relates to cognition, may have important implications. We conducted a systematic review of the literature.

Nine out of 343 publications were found eligible for inclusion. Most studies examined decision-making using cognitive tasks, showing mixed results (less, equivalent or superior performance in autistic people compared to non-autistic people). The most consistent cognitive finding was relatively slower responses in autistic people on gambling tasks, compared to non-autistic people. One study reported a link between problem gambling and autism scores, in people who gamble at least occasionally.

This systematic review highlights a profound lack of research on the potential neurocognitive overlap between autism and gambling. Future work should address the link between autism and behavioral addictions in adequately powered samples, using validated tools.

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Evidence Grade

Emerging

emerging

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Systematic Review
Journal
Neuroscience and biobehavioral reviews
Year
2023
PMID
36738812
DOI
10.1016/j.neubiorev.2023.105071

MeSH Terms

HumansGamblingAutistic DisorderCognitionAutism Spectrum DisorderBehavior, Addictive