Cognitive bias modification in problem and pathological gambling using a web-based approach-avoidance task: A pilot trial

Wittekind, Charlotte E.; Bierbrodt, Julia; Lüdecke, Daniel; Feist, Ansgar; Hand, Iver; Moritz, Steffen

doi:10.1016/j.psychres.2018.12.075

Cited by 19 publications

(10 citation statements)

References 55 publications

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“…More specifically, all studies were evaluated as having low risk on deviations from intended interventions, as well as missing outcome data, and some concerns on outcome measurement. Additionally, one study (Luquiens et al, 2016) had some concerns regarding the randomization process and six studies (Carlbring & Smit, 2008;Casey et al, 2017;Nilsson, Magnusson, Carlbring, Andersson, & Gumpert, 2018;Nilsson, Magnusson, Carlbring, Andersson, & Hellner, 2020;Rosen, Weinstock, & Peter, 2020;Wittekind et al, 2019) were evaluated as having some concerns pertaining to selective reporting of results. The final risk of bias assessment is presented in Fig.…”

Section: Risk Of Bias Of the Included Studiesmentioning

confidence: 99%

Internet-based treatment of gambling problems: A systematic review and meta-analysis of randomized controlled trials

Sagoe

Griffiths

Erevik

et al. 2021

JBA

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Background and aimsThe effect of internet-based psychological treatment for gambling problems has not been previously investigated by meta-analysis. The present study is therefore a quantitative synthesis of studies on the effects of internet-based treatment for gambling problems. Given that effects may vary according to the presence of therapist support and control conditions, it was presumed that subgroup analyses would elucidate such effects.MethodsA systematic search with no time constraints was conducted in PsycINFO, MEDLINE, Web of Science, and the Cochrane Library. Two authors independently extracted data using a predefined form, including study quality assessment based on the Cochrane risk of bias tool. Effect sizes were calculated using random-effects models. Heterogeneity was indexed by Cochran’s Q and the I2 statistics. Publication bias was investigated using trim and fill.ResultsThirteen studies were included in the analysis. Random effects models at post-treatment showed significant effects for general gambling symptoms (g = 0.73; 95% CI = 0.43–1.03), gambling frequency (g = 0.29; 95% CI = 0.14–0.45), and amount of money lost gambling (g = 0.19; 95% CI = 0.11–0.27). The corresponding findings at follow-up were g = 1.20 (95% CI = 0.79–1.61), g = 0.36 (95% CI = 0.12–0.60), and g = 0.20 (95% CI = 0.12–0.29) respectively. Subgroup analyses showed that for general gambling symptoms, studies with therapist support yield larger effects than studies without, both post-treatment and at follow-up. Additionally, on general gambling symptoms and gambling frequency, there were lower effect sizes for studies with a control group compared to studies without a control group at follow-up. Studies with higher baseline severity of gambling problems were associated with larger effect sizes at both posttreatment and follow-up than studies with more lenient inclusion criteria concerning gambling problems.Discussion and conclusionsInternet-based treatment has the potential to reach a large proportion of persons with gambling problems. Results of the meta-analysis suggest that such treatments hold promise as an effective approach. Future studies are encouraged to examine moderators of treatment outcomes, validate treatment effects cross-culturally, and investigate the effects of novel developments such as ecological momentary interventions.

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Section: Risk Of Bias Of the Included Studiesmentioning

confidence: 99%

Internet-based treatment of gambling problems: A systematic review and meta-analysis of randomized controlled trials

Sagoe

Griffiths

Erevik

et al. 2021

JBA

View full text Add to dashboard Cite

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“…On the other hand, given the lack of efficient and specific anti‐ICD drugs (Mestre et al., 2013), understanding the etiology and mechanisms of ICDs empowers the development of novel pharmacotherapies of these disorders. For example, psychostimulants (e.g., alpha‐2 agonists) and atomoxetine treat disruptive and aggressive behaviors (Pringsheim, Hirsch, Gardner, & Gorman, 2015), whereas compulsive gambling is treated with a glutamatergic agent topiramate combined with lithium (Goslar, Leibetseder, Muench, Hofmann, & Laireiter, 2019; Wittekind et al., 2019). At the same time, a correct ICD diagnosis becomes essential for selecting their optimal therapy.…”

Section: Discussionmentioning

confidence: 99%

Zebrafish models of impulsivity and impulse control disorders

Abreu

Giacomini

Genário

et al. 2020

Eur J of Neuroscience

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Impulse control disorders (ICDs) are characterized by generalized difficulty controlling emotions and behaviors. ICDs are a broad group of the central nervous system (CNS) disorders including conduct disorder, intermittent explosive, oppositional‐defiant disorder, antisocial personality disorder, kleptomania, pyromania and other illnesses. Although they all share a common feature (aberrant impulsivity), their pathobiology is complex and poorly understood. There are also currently no ICD‐specific therapies to treat these illnesses. Animal models are a valuable tool for studying ICD pathobiology and potential therapies. The zebrafish (Danio rerio) has become a useful model organism to study CNS disorders due to high genetic and physiological homology to mammals, and sensitivity to various pharmacological and genetic manipulations. Here, we summarize experimental models of impulsivity and ICD in zebrafish and highlight their growing translational significance. We also emphasize the need for further development of zebrafish ICD models to improve our understanding of their pathogenesis and to search for novel therapeutic treatments.

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“…This confirms the importance of attentional bias in the maintenance of gambling disorder and suggests the opportunity to implement attentional bias modification programs to prevent more severe gambling involvement among youth. In fact, for the treatment of disordered gambling among adult samples, great attention has recently been paid in testing the effectiveness of training programs that modify the attentional deployment of individuals with a bias towards gambling-related stimuli (Boffo et al, 2017;Wittekind et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Facilitated attention for gambling cues in adolescent problem gamblers: An experimental study

Ciccarelli

Cosenza

Griffiths

et al. 2019

Journal of Affective Disorders

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Studies investigating attentional biases in gambling have observed that problem gamblers' attention is biased toward gambling cues. Despite the increase of gambling among adolescents, to date, no study has ever examined the role of attentional bias in adolescent gambling, as well as the relationships between adolescent gambling severity, craving, and alcohol use. Methods The present study comprised 87 adolescent participants. Based on South Oaks Gambling Screen Revised for Adolescents (SOGS-RA) scores, participants were assigned to non-problem or problem gamblers groups. Participants performed a modified Posner Task (with cue presentation times at 100 and 500 ms) to assess attentional biases. Following the experiment, participants completed the Gambling Craving Scale (GACS) and the Alcohol Use Disorders Identification Test (AUDIT). Results Compared to non-problem gamblers, problem gamblers displayed facilitation bias for gambling cues at 500 ms and reported higher levels of craving and alcohol consumption. Results also indicated that alcohol use correlated with facilitation bias. Limitations The recruitment of a predominantly male sample and the use of an indirect measure of attentional bias may have affected the findings concerning attentional processes. Conclusions The present study provides the first empirical evidence of attentional processes in adolescent gambling, and confirms the role of attentional biases, craving, and alcohol use being associated factors in adolescent problem gambling. The results of the present study stress the importance of attentional biases in the initial stages of problem gambling and suggest the need for clinical interventions aimed at reducing attentional bias before they became automatic. Overall, the present study stressed the role of attentional bias as both facilitator and a consequence of gambling involvement.

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Cognitive bias modification in problem and pathological gambling using a web-based approach-avoidance task: A pilot trial

Cited by 19 publications

References 55 publications

Internet-based treatment of gambling problems: A systematic review and meta-analysis of randomized controlled trials

Internet-based treatment of gambling problems: A systematic review and meta-analysis of randomized controlled trials

Zebrafish models of impulsivity and impulse control disorders

Facilitated attention for gambling cues in adolescent problem gamblers: An experimental study

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