A Systematic Review of Personality Disorders in Patients with Gambling Disorder
Ioana Ioniță, Mădălina Iuliana Mușat, Bogdan Cătălin, Constantin Alexandru Ciobanu, Adela Magdalena Ciobanu

TL;DR
This review finds that gambling disorder is often linked to personality disorders like antisocial and borderline types, which affect treatment outcomes.
Contribution
The study systematically reviews recent evidence on the association between gambling disorder and personality disorders, focusing on diagnostic and symptom patterns.
Findings
Antisocial and borderline personality disorders are most commonly reported in gambling disorder patients.
Impulsivity and emotional dysregulation are linked to worse gambling outcomes and earlier onset.
Antisocial traits correlate with high-risk gambling, while obsessive–compulsive traits show mixed associations.
Abstract
Background/Objectives: Gambling disorder (GD) is characterized by a high prevalence of co-occurring psychiatric disorders, including personality disorders (PDs), which may negatively influence clinical presentation, treatment outcomes, and relapse rates. The aim of this systematic review was to synthesize recent evidence regarding the association between GD and formally diagnosed PD and/or diagnostically anchored PD symptomatology, and to describe the main personality dimension most frequently reported in affected individuals. Methods: A systematic search was conducted in the PubMed and Dialnet databases for articles published between 30 November 2015 and 30 November 2025, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. PubMed was selected as the primary database because it is the most comprehensive source for peer-reviewed…
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Taxonomy
TopicsGambling Behavior and Treatments · Personality Disorders and Psychopathology · Psychopathy, Forensic Psychiatry, Sexual Offending
