Brief motivational feedback and cognitive behavioral interventions for prevention of disordered gambling: a randomized clinical trial

Larimer, Mary E.; Neighbors, Clayton; Lostutter, Ty W.; Whiteside, Ursula; Cronce, Jessica M.; Kaysen, Debra; Walker, Denise D.

doi:10.1111/j.1360-0443.2011.03776.x

Cited by 76 publications

(86 citation statements)

References 63 publications

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“…Cognitive-behavioral interventions can improve symptom and consequence rating scores in sufferers of gambling disorders (Larimer et al, 2012), while modafinil can improve poor risk learning in individuals with PG (Zack and Poulos, 2009). At the preclinical level amphetamine improved conservative response strategies of mice and rats in the IGT (Zeeb et al, 2009;van Enkhuizen et al, 2013) and it made rats less sensitive to changes in reward probabilities during a discounting task .…”

Section: Other Methods For Assessing Flexible Decision-making Across mentioning

confidence: 99%

Neural mechanisms regulating different forms of risk-related decision-making: Insights from animal models

Orsini

Moorman

Young

et al. 2015

Neuroscience & Biobehavioral Reviews

129

110

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Over the past 20 years there has been a growing interest in the neural underpinnings of cost/benefit decision-making. Recent studies with animal models have made considerable advances in our understanding of how different prefrontal, striatal, limbic and monoaminergic circuits interact to promote efficient risk/reward decision-making, and how dysfunction in these circuits underlies aberrant decision-making observed in numerous psychiatric disorders. This review will highlight recent findings from studies exploring these questions using a variety of behavioral assays, as well as molecular, pharmacological, neurophysiological, and translational approaches. We begin with a discussion of how neural systems related to decision subcomponents may interact to generate more complex decisions involving risk and uncertainty. This is followed by an overview of interactions between prefrontal-amygdala-dopamine and habenular circuits in regulating choice between certain and uncertain rewards and how different modes of dopamine transmission may contribute to these processes. These data will be compared with results from other studies investigating the contribution of some of these systems to guiding decision-making related to rewards vs. punishment. Lastly, we provide a brief summary of impairments in risk-related decision-making associated with psychiatric disorders, highlighting recent translational studies in laboratory animals.

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Section: Other Methods For Assessing Flexible Decision-making Across mentioning

confidence: 99%

Neural mechanisms regulating different forms of risk-related decision-making: Insights from animal models

Orsini

Moorman

Young

et al. 2015

Neuroscience & Biobehavioral Reviews

129

110

View full text Add to dashboard Cite

show abstract

“…Recent research (Larimer and Neighbors 2003) indicates the scale can be effectively used to evaluate misperceptions of gambling norms. These biases are related to increased gambling and mediate the efficacy of in-person personalized normative feedback intervention (Larimer et al in press). …”

Section: Methodsmentioning

confidence: 99%

Self-Identification as a Moderator of the Relationship Between Gambling-Related Perceived Norms and Gambling Behavior

et al. 2012

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This research was designed to evaluate social influences and perceived social norms on gambling behavior among undergraduate students. Furthermore, this research was designed to replicate and extend previous research demonstrating that young adults overestimate the prevalence of gambling among peers, and that the magnitude of overestimation is positively associated with own use (Larimer and Neighbors, Psychol Addict Behav 17:235–243, 2003). We expected that; (1) gambling college students would identify more strongly with other gambling students compared to other students in general; (2) identification with other gambling students would predict gambling behaviors over and above perceived prevalence of gambling; and (3) identification with other gambling students would moderate the association between perceived social norms and gambling behavior. Participants included 1,486 undergraduate students who completed measures assessing gambling quantity and frequency, gambling-related perceived descriptive norms, and identification with groups. Results revealed that perceived norms for gambling were associated with gambling and revealed that students identified more strongly with other students than either gamblers or student gamblers. However, gambling behavior was more strongly associated with identification with gambling students than students in general. There was consistent support for the perspective that social identity moderates the association between perceived norms for gambling and gambling behavior. This research builds on previous examinations of social influences related to gambling and suggests that it may be important to consider the overall prevalence of a given behavior before considering norms-based intervention approaches. Interventions utilizing social norms for gambling may be advised to consider references other than just the typical student.

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“…As shown in Table 1, Petry et al (2008, 2016) found some benefits of Brief Advice relative to assessment only or psychoeducational control. In US college students, Larimer et al (2012) found an MI session integrating personalized feedback had some benefits compared to assessment only control. Three additional studies (Table 2) evaluated effects of MI and feedback, without involving any direct contact with therapists.…”

Section: Self-directed Cognitive-behavioral Interventionsmentioning

confidence: 99%

A systematic review of treatments for problem gambling.

Petry¹,

Ginley²,

Rash³

2017

Psychology of Addictive Behaviors

137

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Gambling problems impact 0.2%-4.0% of the population, and research related to treating gambling has burgeoned in the last decades. This paper reviews trials for psychosocial treatments of gambling problems. Using Preferred Reporting Items for Systematic reviews and Meta-Analyses standards, we identified 21 randomized trials. Eleven studies evaluated interventions delivered via multi-session, in-person therapy: cognitive therapies, cognitive-behavioral (CB) therapies, and motivational interventions (MI) alone or with CB therapies. An additional ten studies used approaches that involved one or fewer in-person sessions; these included workbooks with CB exercises alone or in combination with MI and brief feedback or advice interventions. Although most studies found some benefits of CB therapy (alone or combined with MI) and brief feedback or advice relative to the control condition in the short term, only a handful of studies demonstrated any long-term benefits. Nearly half the studies used waitlist controls, precluding an understanding of long-term efficacy, and standardized outcomes measures are also lacking. Populations also differ markedly across studies, from non-treatment seeking persons who screened positive for gambling problems to those with severe gambling disorder, and these discrepant populations may require different interventions. Although problem gamblers with less pronounced symptoms may benefit from very minimal interventions, therapist contact generally improved outcomes relative to entirely self-directed interventions, and at least some therapist contact may be necessary for patients with more severe gambling pathology to benefit from CB interventions. As treatment services for gambling continue to grow, this review provides timely information on best practices for gambling treatment.

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Brief motivational feedback and cognitive behavioral interventions for prevention of disordered gambling: a randomized clinical trial

Cited by 76 publications

References 63 publications

Neural mechanisms regulating different forms of risk-related decision-making: Insights from animal models

Neural mechanisms regulating different forms of risk-related decision-making: Insights from animal models

Self-Identification as a Moderator of the Relationship Between Gambling-Related Perceived Norms and Gambling Behavior

A systematic review of treatments for problem gambling.

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