Innovative Treatment Approaches in Gambling Disorder

Snippe, Leroy; Boffo, Marilisa; Stewart, Sherry H.; Dom, Geert; Wiers, Reínout W.

doi:10.1007/978-3-030-03060-5_10

Cited by 9 publications

(3 citation statements)

References 270 publications

(353 reference statements)

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“…74 SUD treatment programs are an important potential diagnostic resource for problem gambling, as it occurs disproportionately in people with SUD and is seldom identified in other healthcare settings. 75 SUD treatment also presents a unique opportunity to intervene on multiple conditions. However, SUD treatment programs rarely screen for gambling behavior; one study of residential SUD treatment programs found that only 14% of individuals who screened positive for disordered gambling received specialized counseling, just slightly lower than in our study.…”

Section: Discussionmentioning

confidence: 99%

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Gambling, tobacco use, and health among individuals in substance use disorder treatment

Pagano,

Le,

Fong

et al. 2023

American J Addict

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Background and ObjectivesGambling is highly comorbid with disordered use of tobacco and other drugs, and may increase relapse risk among substance use disorder (SUD) patients. We investigated associations between gambling and tobacco use behaviors among SUD patients to inform clinical care.MethodsPatients (N = 651, 170 female) from 25 residential SUD treatment programs in California completed surveys about tobacco use, health, and gambling. Using multivariate regression, we examined associations between gambling, tobacco use behaviors, and mental and physical health.ResultsPast‐year gamblers were more likely than non‐gamblers to be current smokers (adjusted odds ratio [AOR] = 1.44, 95% confidence interval [CI] = 1.03, 2.01). Smokers who gambled had higher mean Heaviness of Smoking Index (HSI) scores (mean difference = +0.32, 95% CI = 0.04, 0.60), and more often reported smokeless tobacco use (AOR = 1.73, 95% CI = 1.16, 2.58), compared to non‐gambling smokers. Past‐year problem gamblers were more likely than all others (non‐gamblers and non‐problem gamblers) to be current smokers (AOR = 1.44, 95% CI = 1.08, 1.90) and to report high psychosocial stress (AOR = 1.87, 95% CI = 1.34, 2.61). Smokers with problem gambling also had higher HSI scores (mean difference = +0.54, 95% CI = 0.14, 0.95) compared to smokers without problem gambling.Discussion and ConclusionsGambling and problem gambling were associated with tobacco use and heavier smoking. SUD patients with gambling comorbidity may be heavier smokers and may need concurrent treatment for tobacco use and problem gambling.Scientific SignificanceThis study provides novel data regarding gambling and tobacco use behaviors among SUD patients.

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Section: Discussionmentioning

confidence: 99%

“…SUD treatment programs are an important potential diagnostic resource for problem gambling, as it occurs disproportionately in people with SUD and is seldom identified in other healthcare settings 75 . SUD treatment also presents a unique opportunity to intervene on multiple conditions.…”

Section: Discussionmentioning

confidence: 99%

Gambling, tobacco use, and health among individuals in substance use disorder treatment

Pagano,

Le,

Fong

et al. 2023

American J Addict

View full text Add to dashboard Cite

show abstract

“…Additionally, the role of innovative treatment approaches should be considered, including the application of transdiagnostic approaches [potentially targeting common features across disorders ( 62 )], third-wave CBT interventions (such as mindfulness and acceptance-based approaches) ( 63 ) and neurocognitive interventions ( 64 ), non-invasive neuromodulation, and the potential for digital tools to support stimulus control in treatment and to deliver early phase interventions ( 65 , 66 ). There is a poverty of studies in this area but lessons can be learned from the use of such approaches for other conditions, notably substance use disorders ( 67 , 68 ).…”

Section: Top Priorities For Uk Research Into Gambling Disordermentioning

confidence: 99%