A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?

Gooding, Patricia; Tarrier, Nicholas

doi:10.1016/j.brat.2009.04.002

Cited by 224 publications

(196 citation statements)

References 76 publications

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“…Both individual and group CBT appear to be effective in the treatment of GD and its correlates (Gooding & Tarrier, 2009). Group therapy is not only just cost effective; it also enables gamblers to learn from and support each other.…”

Section: Discussionmentioning

confidence: 99%

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

Echeburúa

Amor

Gómez

2017

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Background. Although the presence of a gambling disorder (GD) together with another mental disorder poses special treatment challenges, such as relapses, severe outcomes for patients and families, and increased number of hospitalizations, there are only a few critical reviews in the literature. Objective. To review empirical evidence of psychological approaches to cope specifically with these dual disorders. Method. A narrative review of the relevant bibliography on this topic was carried out. A systematic search of original articles (2010-October 2017) was conducted in MEDLINE and PsycInfo. Key terms were: 1. gambling/gamblers, 2. treatment/intervention/therapy/therapeutics, and 3. dual diagnosis/comorbidity. Results. Current treatment for GD involves a number of different options, including inpatient treatments, intensive outpatient therapy, individual and group cognitive-behavioral options (CBT), self-help groups, and pharmacotherapy. Inpatient care is generally limited to patients with severe acute crises, treatment failures, and severe comorbid disorders, particularly depression and attempted suicide. Treatment for GD with other mental disorder needs more research. CBT, motivational enhancement therapy and self-help groups have some empirical support when GD is comorbid with other addiction, mood disorder, or schizophrenia. Programs that combine pharmacotherapy and psychosocial treatments for GD into a single comprehensive package are most likely to have good treatment outcomes, at least with regard to treatment retention. Discussion and conclusion. Interventions should be tailored to the needs of the patients. Future research should be concerned about the statistical power of the studies, implement motivational strategies for patients with poor medication adherence, and design measures to study treatment fidelity in the CBT groups.

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Section: Discussionmentioning

confidence: 99%

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

Echeburúa

Amor

Gómez

2017

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“…While CBT is cautiously advocated for the treatment of problem gambling, CBT does not appear to be an effective or accessible treatment for all problem gambling patients (de Lisle et al 2012). Furthermore, relapse rates for problem gambling can be as high as 75% (Hodgins et al 2007), and there is a paucity of high quality CBT trials reporting long-term follow-up data (Gooding and Tarrier 2009).…”

Section: Problem Gambling Treatmentmentioning

confidence: 99%

Mindfulness as a treatment for gambling disorder: Current directions and issues

Griffiths

Shonin

Gordon

2016

JGCGR

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Mindfulness is a form of meditation that derives from Buddhist practice and is one of the fastest growing areas of psychological research. Studies investigating the role of mindfulness in the treatment of behavioral addictions have, to date, primarily focused on gambling disorder. Recent pilot studies and clinical case studies have demonstrated that weekly mindfulness therapy sessions can lead to clinically significant change among individuals with gambling problems. This purpose of this paper is to appraise current directions in gambling disorder research as they relates to mindfulness approaches, and discuss issues that are likely to hinder the wider acceptance of mindfulness as a treatment for gambling disorder. It is concluded that although preliminary findings indicate that there are applications for mindfulness approaches in the treatment of gambling disorder, further empirical and clinical research utilizing larger-sample controlled study designs is clearly needed.

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“…Si bien no se cuenta aún con un tratamiento basado en la evidencia y es, por ello, prematuro obtener conclusiones definitivas, las terapias conductuales y cognitivo-conductuales en sus diferentes formatos (individual, grupal, autoayuda) constituyen la primera línea de tratamiento del juego patológico (Gooding y Tarrier, 2009). Por mucho que estén presentes alteraciones bioquímicas, no se pueden soslayar los importantes factores de aprendizaje, de control de estí-mulos, de distorsiones cognitivas, etcétera, que contribuyen a mantener las conductas de juego.…”

Section: Terapia Farmacológicaunclassified

Nuevos Retos en el Tratamiento del Juego Patológico

2014

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Universidad del país vasco (Upv/ehU), españa ResumenEn este artículo se señalan los avances y retos de futuro en el tratamiento del juego patológico. El objetivo terapéutico (abstinencia o juego moderado) es actualmente objeto de controversia. Los tratamientos para la ludopatía incluyen la terapia hospitalaria, los tratamientos cognitivo-conductuales individuales o grupales, jugadores anónimos y la farmacoterapia, así como la prevención de recaídas. la terapia cognitivo-conductual presenta unas tasas de éxito del 50% al 80% de los casos tratados en un seguimiento a largo plazo. La farmacoterapia es un complemento cuando los pacientes tienen un estado de ánimo deprimido o un elevado nivel de impulsividad. el juego controlado puede ser una alternativa terapéutica para los jugadores jóvenes o que no presentan aún una dependencia severa. Se requiere más información sobre el tratamiento del juego on-line y de poblaciones específicas (mujeres y jóvenes). Se comentan las implicaciones de esta revisión para la práctica clínica y para las investigaciones futuras. Palabras clave: Juego patológico, objetivos terapéuticos, tratamiento psicológico, terapia farmacológica, prevención de recaídas. AbstractThis paper deals with the new developments in the treatment of disordered gambling, as well as with the challenges for further research. Abstinence versus moderated gambling is an issue that raises many concerns and that needs to be addressed. Current treatment for disordered gambling involves a number of different options, including inpatient treatments, individual and group cognitive-behavioral options, Gamblers Anonymous and pharmacotherapy, as well as an intervention in relapse prevention. Cognitive-behavioral therapy may have asuccess rate ranging from 50% to 80% of treated patients in a long-term follow-up. Psychopharmacological therapy may have incremental benefit when patients have comorbid depression or high impulsivity. Responsible gambling may be a therapeutic option for young gamblers or people without a severe dependence. Further information is required about treatment for online gambling addictions and for dealing with specific populations (women and young people). Unanswered questions for future research in this field are commented upon.

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A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?

Cited by 224 publications

References 76 publications

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

Mindfulness as a treatment for gambling disorder: Current directions and issues

Nuevos Retos en el Tratamiento del Juego Patológico

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