Outcome of psychological treatments of pathological gambling: a review and meta‐analysis

Pallesen, Ståle; Mitsem, Morten; Kvale, Gerd; Johnsen, Bjørn-Helge; Molde, Helge

doi:10.1111/j.1360-0443.2005.01204.x

Cited by 234 publications

(163 citation statements)

References 49 publications

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“…Problem gambling causes substantial harm (Productivity Commission 1999) and unfortunately, there is little understanding of the factors that lead to the development of gambling problems, relapse and effective clinical interventions (Sodano and Wulfert 2009). Critiques of empirical studies highlight the paucity of well-designed studies, predominantly nonstandardized measures in existing studies (Pallesen et al 2005) and the few empirical relapse studies that have directly evaluated relapse (Goudriaan et al 2008;Oei and Gordon 2008;Daughters et al 2005;Hodgins and el-Guebaly 2004;Echeburúa et al 2001). …”

Section: Introductionmentioning

confidence: 99%

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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Section: Introductionmentioning

confidence: 99%

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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“…A small amount of clinical evidence suggests that pathological gambling is associated with serotonergic dysfunction as exemplified by (inconsistent) reports of reduced concentrations of the serotonin metabolite, 5-hydroxyindoleacetic acid in cerebrospinal fluid (Bergh et al, 1997;Roy et al, 1988) and by reports of increased prolactin release (and reports of a subjective 'high') following acute challenge with the 5-HT 2c receptor agonist, meta-chlorophenylpiperazine (Pallanti et al, 2006). Selective serotonin reuptake inhibitors have also shown some promise as a treatment of pathological gambling via their anticompulsive and anxiolytic effects (Grant and Potenza, 2006;Pallesen et al, 2007). Finally, serotonin exerts pronouncedFalbeit, complexFinfluences on impulsive behaviors (Winstanley et al, 2004), which both promote loss chasing (Breen and Zuckerman, 1999), and are exaggerated in problem gamblers (Blaszczynski et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Serotonin and Dopamine Play Complementary Roles in Gambling to Recover Losses

Campbell-Meiklejohn

Wakeley

Herbert

et al. 2010

Neuropsychopharmacol

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Continued gambling to recover lossesF'loss chasing'Fis a prominent feature of social and pathological gambling. However, little is known about the neuromodulators that influence this behavior. In three separate experiments, we investigated the role of serotonin activity, D 2 /D 3 receptor activity, and beta-adrenoceptor activity on the loss chasing of age and IQ-matched healthy adults randomized to treatment or an appropriate control/placebo. In Experiment 1, participants consumed amino-acid drinks that did or did not contain the serotonin precursor, tryptophan. In Experiment 2, participants received a single 176 mg dose of the D 2 /D 3 receptor agonist, pramipexole, or placebo. In Experiment 3, participants received a single 80 mg dose of the beta-adrenoceptor blocker, propranolol, or placebo. Following treatment, participants completed a computerized loss-chasing game. Mood and heart rate were measured at baseline and following treatment. Tryptophan depletion significantly reduced the number of decisions made to chase losses, and the number of consecutive decisions to chase, in the absence of marked changes in mood. By contrast, pramipexole significantly increased the value of losses chased and diminished the value of losses surrendered. Propranolol markedly reduced heart rate, but produced no significant changes in loss-chasing behavior. Loss chasing can be thought of as an aversively motivated escape behavior controlled, in part, by the marginal value of continued gambling relative to the value of already accumulated losses. Serotonin and dopamine appear to play dissociable roles in the tendency of individuals to gamble to recover, or to seek to 'escape' from, previous losses. Serotonergic activity seems to promote the availability of loss chasing as a behavioral option, whereas D 2 /D 3 receptor activity produces complex changes in the value of losses judged worth chasing. Sympathetic arousal, at least as mediated by beta-adrenoceptors, does not play a major role in laboratory-based loss-chasing choices.

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“…This converges with the meta-analytical reviews of Gooding & Tarrier 13 and Pallesen, Mitsem, Kvale, Johnsen & Molde 14 indicating that CBT has the most empirical evidence for the treatment of pathological gambling. However, there is also a need to look at a separate treatment pathways for "non-strategic" gamblers who may be driven by other factors to gamble.…”

Section: Current Cbt-based Treatment Approach Efficacious For Strategmentioning

confidence: 97%

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2017

MOJAMT

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This paper does a separate and independent review of the various studies put forth by National Addictions Management Service (NAMS) in relation to pathological gambling from 2009 to 2013. The findings are analyzed in totality and split into 2 sections, looking at the evolving demographics of help-seeking gamblers (looking at a clinical population as opposed to general public targeted by the NCPG survey) over the years and the predictors of treatment outcomes. It was found that, over the years, (i) more gamblers are driven to gamble as a way to cope with their psychiatric co-morbidities and (ii) psychologist distress is also a common outcome due to the consequences of gambling. It was also found that there is a need to further examine the standard psychosocial treatment guidelines (mainly based on a cognitive behavioural approach) for the gamblers to better meet the idiosyncratic needs of the non-strategic gambler.

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Outcome of psychological treatments of pathological gambling: a review and meta‐analysis

Abstract: Psychological interventions for pathological gamble seem to be yield very favourable short- and long-term outcomes.

Cited by 234 publications

References 49 publications

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

Serotonin and Dopamine Play Complementary Roles in Gambling to Recover Losses

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