A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 2: Factors that ‘Pull’ the Gambler Away from Relapse

Oakes, Jane; Pols, René; Battersby, Malcolm; Lawn, Sharon; Pulvirenti, Mariastella; Smith, David

doi:10.1007/s10899-011-9267-8

Cited by 22 publications

(15 citation statements)

References 32 publications

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“…Go tomorrow because tomorrow never comes." This is a part of the 'pull' away from relapse (Oakes et al 2011) and is fully described in that paper.…”

Section: Decision Making Resulting In Relapsementioning

confidence: 85%

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A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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“…Go tomorrow because tomorrow never comes." This is a part of the 'pull' away from relapse (Oakes et al 2011) and is fully described in that paper.…”

Section: Decision Making Resulting In Relapsementioning

confidence: 85%

“…The second paper (Oakes et al 2011) established that vigilance, motivation to commit to change, positive social support, cognitive strategies, management of the urge to gamble and urge extinction protected against relapse. Three complementary theories emerged and are reported in that paper:…”

Section: Introductionmentioning

confidence: 99%

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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“…Third, debts due to gambling were entered, because financial difficulties have been reported to be an important motivator (Suurvali, Hodgins, & Cunningham, 2010). The fourth variable was social support, as lower levels have been shown to correlate with therapy dropout (Dunn et al, 2012; Melville, Casey, & Kavanagh, 2007; Oakes et al, 2011). Fifth, personal yearly salary was used as a proxy for socioeconomic status which is a known risk factor for pathological gambling (Welte, Barnes, Wieczorek, Tidwell, & Parker, 2004).…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Treatment of Pathological Gambling with a Three-Year Follow-Up

Carlbring

Degerman

Jönsson

et al. 2012

Cognitive Behaviour Therapy

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Effective therapies for pathological gambling exist, but their use is limited to about 10% of the target population. In an attempt to lower the barriers for help, Internet-based cognitive behavioural therapy (ICBT) has been shown to be effective when delivered to anon-depressed sample with pathological gambling. This study sought to extend this finding to a larger, more representative population, and also test a model to predict responder status. Following advertisement, a total of 284 participants started an 8-week ICBT programme with minimal therapist contact via e-mail and weekly telephone calls of less than 15 min. The average time spent on each participant, including telephone conversations, e-mail, and administration, was 4 h. In addition to a mixed effects model to evaluate the effectiveness of the treatment, two logistic regression analyses were performed with the following eight pre-defined response predictor variables: work-life satisfaction, primary gambling activity, debts due to gambling, social support, personal yearly salary, alcohol consumption, stage of change, and dissociative gambling. ICBT resulted in statistically significant reductions in the scores of pathological gambling, anxiety, and depression as well as an increase in quality of life compared to pre-treatment levels. Follow-ups carried out in the treatment group at 6, l8, and 36 months indicated that treatment effects were sustained. Using the eight predictor variable model rendered an acceptable predictive ability to identify responders both at post-test (AUC = .72, p < .01) and at 36-month follow-up (AUC = .70, p < .01). We conclude that ICBT for pathological gamblers, even if depressed, can be effective and that outcome can partly be predicted by pre-treatment characteristics.

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“…While this may be immediately useful, the ability to remain distracted is difficult. Therefore, as with self-exclusion, distraction may best be used as a stimulus control rather than a main line treatment (Oakes et al 2012). …”

Section: Resultsmentioning

confidence: 99%

The New England 4G framework for the treatment of a common health concerns: a gambling case analysis

Tolchard

Stuhlmiller

2016

Asian J of Gambling Issues and Public Health

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Approaches using self-help have proved successful at treating a range of mental and physical conditions. Guidance by a trained worker enhances the effects of self-help materials, in particular those based on Cognitive-Behavior Therapy. In the United Kingdom, the Improving Access to Psychological Therapies (IAPT) program was introduced to provide better outcomes for people experiencing mild or moderate anxiety and depression. This stepped care approach included low intensity, guided self-help offered by a newly trained workforce of Psychological Wellbeing Workers. The IAPT program has been extensively evaluated and shown to be cost effective and leads to positive treatment outcomes. This paper describes how the IAPT model has been adapted for use in Australia with gamblers. Two case studies illustrate the application of this guided approach to systematically accessing existing self-help treatments for problem gamblers. Assessment information is gathered, before a plan of action, including a problem statement and achievable goals, is agreed upon by the worker and the person with the gambling problem. The worker then gives the person options based on self-help CBT interventions and, once an option has been chosen, the worker guides the person as they work through various activities. The benefits of this approach are discussed.

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A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 2: Factors that ‘Pull’ the Gambler Away from Relapse

Cited by 22 publications

References 32 publications

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

Internet-Based Treatment of Pathological Gambling with a Three-Year Follow-Up

The New England 4G framework for the treatment of a common health concerns: a gambling case analysis

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