A Preliminary, Qualitative Exploration of the Influences Associated with Drop-Out from Cognitive-Behavioural Therapy for Problem Gambling: An Australian Perspective

Dunn, Kirsten I.; Delfabbro, Paul; Harvey, Peter

doi:10.1007/s10899-011-9257-x

Cited by 33 publications

(36 citation statements)

References 51 publications

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“…Many of the findings confirm results from other individual studies and add support for certain characteristics being implicated in possible higher drop-out rates [13,47]. In this study, completers were typically middle aged, had recently developed their gambling problem, had spent less time on the activity compared with non-completers, and presented with lower severity levels of anxiety which is consistent with findings from other studies [24].…”

Section: Discussionsupporting

confidence: 90%

“…Similarly, Smith, Harvey, Battersby, Oakes & Baigent report elevated sensation seeking to be a predictor of dropouts. Dunn et al noted treatment specific factors including non-compliance with homework tasks and a lack of readiness for change indicated greater risk of dropout [23,24]. The importance of the therapeutic relationship has been suggested to be important in achieving positive treatment outcomes [25].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment Completion in a Cognitive Behaviour Therapy Service for Problem Gamblers: Clinical Outcome Study

Battersby¹

2013

J Addict Res Ther

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Treatment Completion in a Cognitive Behaviour Therapy Service for Problem Gamblers: Clinical Outcome Study

Battersby¹

2013

J Addict Res Ther

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“…In the Diagnostic and Statistical Manual of Mental Health Disorders (DSM)-5, it is classified as a non-substance-related addiction [1]. Cognitive behavioral therapy (CBT) has been described as an effective treatment for this condition, with abstinence rates above 75% after therapy and during follow-up [2,3,4]. However, other studies report high relapse rates: in a naturalistic study of 101 individuals with a history of gambling problems who were recruited via media advertisement and had received specific treatment or had attended Gamblers Anonymous, fewer than 10% were entirely free of gambling behavior at 12-month follow-up [5].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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Aims: The aim of this study was to evaluate posttreatment changes of individuals with a diagnosis of gambling disorder (GD) treated with group cognitive behavioral therapy (CBT), to assess the potential moderator effect of sex on CBT outcome, and to explore the best predictors of posttreatment changes, relapse, and dropout rates. Methods: A cohort design was applied with a prospective follow-up. The sample comprised 440 patients and the CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Results: Patients showed significant improvements in both the level of psychopathology and the severity of the gambling behavior. High self-transcendence and the involvement of the spouse or partner in the therapy predicted a higher risk of relapse. Younger age and low education predicted a higher risk of dropout. Conclusion: Many patients with GD can be treated with strategies to improve self-control and emotional regulation, but other techniques should be incorporated to address the individual characteristics of each patient. This is particularly important in group therapy, in which the same treatment is applied to several patients simultaneously. The involvement of a family member needs to be carefully considered since it may have a negative effect on the response to treatment if not adequately managed.

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“…There is a lack of empirical data available appraising the effects of homework engagement on CBT outcomes for problem gambling (PG). However,in a qualitative study Dunn, Delfabbro and Harvey (2012) reported homework noncompliance may be an indicator of treatment drop-out.…”

Section: Introductionmentioning

confidence: 91%

“…This is surprising given the emphasis on homework among PG treatment manuals, and CBT has produced favourable outcomes for PG both in the short and long term (Pallesen, Mitsem, Kvale, Johnsen & Molde, 2005). In an exploratory qualitative study investigating predictors of drop-out, Dunn, Delfabbro and Harvey (2012) interviewed 10 participants of a CBT program involving graded cue exposure for PG. Many participants reported difficult experiences during the performance of their graded exposure tasks describing them as difficult and time consuming.…”

Section: Introductionmentioning

confidence: 99%

The role of homework in exposure-based CBT outcome for problem gambling

Riley

2015

International Gambling Studies

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Assigning homework is a key component of cognitive behavioural therapy (CBT) and engagement of homework has been shown to predict CBT outcomes for a range of disorders. However, no previous study has empirically examined directly the effect of homework engagement on CBT outcome for problem gambling (PG). To address this gap in the literature this study examined the role of homework along with two non-specific variables (treatment credibility and expectancy), and their prediction of short-term outcome in the context of exposure-based CBT for a group of treatmentseeking problem gamblers. Seventy four treatment-seekers were invited to participate in a graded cue exposure with response prevention program developed for problem gambling. The primary outcome measure was the Victorian Gambling Screen Harm to Self Sub-scale. Homework engagement data were examined for participants who engaged in the program and provided outcome data (n = 45).Homework engagement but not treatment credibility or expectancy predicted outcome at posttreatment and at 1-month follow-up. The present findings suggest that engaging in homework has a strong association with immediate and short-term outcome, and that improvement of homework engagement has the potential to improve clinical outcomes in CBT targeting PG.

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A Preliminary, Qualitative Exploration of the Influences Associated with Drop-Out from Cognitive-Behavioural Therapy for Problem Gambling: An Australian Perspective

Cited by 33 publications

References 51 publications

Treatment Completion in a Cognitive Behaviour Therapy Service for Problem Gamblers: Clinical Outcome Study

Treatment Completion in a Cognitive Behaviour Therapy Service for Problem Gamblers: Clinical Outcome Study

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

The role of homework in exposure-based CBT outcome for problem gambling

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