Decreased platelet monoamine oxidase (MAO) activity has been reported
in association with sensation-seeking personality type and in some men
tal disorders associated with a lack of impulse control. Pathological
gambling itself has been related with both sensation-seeking and reduc
ed impulse control. Platelet MAO activity was investigated in 15 DSM-I
II-R pathological gamblers from our outpatient clinic. Gamblers had a
significantly lower platelet MAO activity than a group of 25 healthy c
ontrols. The range of MAO levels in gamblers was also significantly sh
orter than in controls. In controls, platelet MAO levels showed the pr
eviously described negative correlations with sensation-seeking scores
but not in gamblers. The findings are consistent with previous studie
s showing an association of low platelet MAO activity with impulse con
trol disorders and raise some interesting therapeutic alternatives for
pathological gambling.