Pathological gambling is a major psychiatric disorder that causes significa
nt distress to sufferers, their families, and society. Pathological gamblin
g shares characteristics with addiction and obsessive-compulsive spectrum d
isorders and is comorbid with conditions such as affective disorders, subst
ance-abuse disorder, and attention-deficit hyperactivity disorder. Research
on pathological gambling has begun to demonstrate that pathophysiologic ro
le of several neurotransmitter systems in the disorder. The information pre
sented is important to understanding the background and significance of pat
hological gambling and the direction in which future research should procee
d.