The Efficacy of Three Modalities of Internet-Based Psychotherapy for Non–Treatment-Seeking Online Problem Gamblers: A Randomized Controlled Trial

Luquiens, Amandine; Tanguy, Marie‐Laure; Lagadec, M.; Benyamina, Aminé; Aubin, Henri‐Jean; Reynaud, Michel

doi:10.2196/jmir.4752

Cited by 54 publications

(83 citation statements)

References 31 publications

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“…the Our Relationship program, on‐line help for couples with sexual dysfunction, expectant couples and for children with mental health problems and their care‐givers . Several studies have investigated internet‐based interventions involving only the gambler …”

Section: Introductionmentioning

confidence: 99%

Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial

et al. 2020

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Background and aims There is evidence that cognitive behavioral therapy (CBT) is effective for treating problem gambling (PG). Some research points to the possible benefits of involving concerned significant others (CSOs) in treatment. This study compared the efficacy of behavioral couples therapy (BCT) and CBT for both the gambler and the CSO. Design Two parallel‐group randomized controlled study comparing two different internet‐based treatments for PG. Follow‐up measures were conducted at treatment finish, and at 3‐, 6‐ and 12‐month post‐treatment. Setting Stockholm, Sweden. Participants A total of 136 problem gamblers and 136 CSOs were included in the study: 68 gamblers and 68 CSOs for each treatment condition. The gamblers were on average 35.6 years old and 18.4% were female. CSOs were on average 45.3 years old and 75.7% were women. Interventions A treatment based on BCT was compared with a CBT intervention. Both treatments were internet‐based, with 10 therapist‐guided self‐help modules accompanied by weekly telephone and e‐mail support from a therapist. CSOs were given treatment in the BCT condition, but not in the CBT condition. Measurements The primary outcome measures were time‐line follow‐back for gambling (TLFB‐G) and the NORC Diagnostic Screen for Gambling Problems (NODS) for problem gamblers, corresponding to DSM‐IV criteria for pathological gambling. Secondary outcomes measures were the Patient Health Questionnaire‐9 (PHQ‐9), the Generalized Anxiety Disorder seven‐item scale (GAD‐7), the Relation Assessment Scale Generic (RAS‐G), the Alcohol Use Disorders Identification Test (AUDIT), the Inventory of Consequences of Gambling for the Gambler and CSO (ICS) and adherence to treatment for both the problem gambler and the CSO. Findings The outcomes of both gambler groups improved, and differences between the groups were not statistically significant: TLFB‐G: multiplicative effect = 1.13, 95% confidence interval (CI) = 0.30;4.31); NODS: multiplicative effect = 0.80, 95%, 95% CI = 0.24;2.36. BCT gamblers began treatment to a higher proportion than CBT gamblers: P = 0.002. Conclusions Differences in the efficacy of internet‐based behavioral couples therapy and cognitive behavioral therapy for treatment of problem gambling were not significant, but more gamblers commenced treatment in the behavioral couples therapy group.

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Section: Introductionmentioning

confidence: 99%

Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial

et al. 2020

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“…Specific gambling related harms scales included the Problem Gambling Severity Index (PGSI) [6] [12] [22] [16] [23], Gambling Attitudes Scale (GAS) [7], South Oakes Gambling Screen (SOGS) [20], SOGS-R [19], and SOGS-RA [7], National Opinion Research Center DSM Screen for Gambling Problems (NODS) [8] [9] [11], Problem Gambling Significant Other Impact Scale (PG-SOIS) [13] and the Diagnostic and Statistical Manual for Mental Disorders criteria for pathological gambling (DSM IV) [6]. Of these scales the PGSI and the NODS were the most popular.…”

Section: Methodsmentioning

confidence: 99%

“…The authors note that this may have been due to recruiting players from an online casino website and that these participants were not seeking help [16]. Another RCT design study found that normative feedback did not offer significantly different reductions in gambling behaviours compared to controls [14].…”

Section: Principle Findingsmentioning

confidence: 99%

Internet-Based Interventions for Problem Gambling: Scoping Review (Preprint)

Maas¹,

Marshall²,

Hodgins³

et al. 2017

Preprint

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BackgroundThe rate of treatment seeking has been demonstrated to be low across several research environments. This is in part due to the systemic barriers that would be treatment seekers face to accessing traditional face-to-face treatment. Making problem gambling treatment resources available through the Internet is one way to reduce the impact of those systemic barriers. The use of Internet based resources to address problem gambling has been growing and a field of research evaluating it has developed as well. However, there has been little done to examine this growing field of research as a whole. ObjectiveTo collect and evaluate research on the use of Internet based intervention for problem gambling in order to provide an understanding of the current state of the field. A secondary objective of this study is to outline the advantages and challenges that are associated with addressing problem gambling using Internet based resources. MethodsA scoping review was performed of five peer-reviewed research data bases (PsychINFO, CINAHL, Medline, Social Science Abstracts and Scopus) and three grey literature databases (MedEdPortal, Proquest: dissertations and Opengrey). Article inclusion required to have been published in the last ten years (2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017), include an intervention for problem gambling, and involve the use of the Internet to deliver that intervention. ResultsA total of 21 articles were found that met the review requirements. Studies were found from several different areas with particularly strong representation for Australia and New Zealand, and Scandinavia. Cognitive behavioural therapy was the most common form of internet based intervention. Internet based interventions we generally shown to be effective by the collected research in reducing problem gambling scores and gambling behaviours. Stated advantages include lower feelings of stigma, greater flexibility in time of treatment, and ease of access to relevant information. Stated disadvantages include ethical concerns related to clients in crisis and confidentiality, a lack of rapport in the client-provider relationship, and high rates of attrition. ConclusionInternet based interventions are a promising direction for treatment and prevention of problem gambling, particularly in reducing barrier to accessing professional help. The state of the current literature is sparse and more research is needed in directly comparing internet based interventions and their traditional counterparts.

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“…Diese Hilfeformen sind jederzeit verfügbar, kostengünstig und bewahren die Anonymität [51,60,61]. Bereits erwähnte Online-Eigentests, welche die Internet-Spieler in Form von Popup-Nachrichten erreichen, sind vorgesehen als Einstieg in eine Internetbasierte Kurzintervention über Chat oder E-Mail [49,62].…”

Section: Hilfesucheverhalten Und Therapieangeboteunclassified

Glücksspielsucht über das Internet – eine Übersicht der Situation in der Schweiz

Mühlebach

Seifritz

Mutschler

2020

Fortschr Neurol Psychiatr

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ZusammenfassungGestörtes Glückspielen ist eine Verhaltenssucht, welche in der fünften Auflage des diagnostischen und statistischen Leitfadens psychischer Störungen (DSM-5) neu als Abhängigkeitserkrankung klassifiziert worden ist. Das Internet erleichtert die Zugänglichkeit zu Glücksspielen, erweitert das Angebot an Spielmöglichkeiten und führt zu neuen Herausforderungen in der Prävention 1, 2. In der folgenden Übersichtsarbeit werden die unterschiedlichen Eigenschaften zwischen traditionellen Glücksspielern und Internet-Glücksspielern sowie die Risikofaktoren zur Entwicklung einer Glücksspielsucht aufgezeigt. Mögliche Präventionsstrategien und bisherige Behandlungskonzepte mit ihrer Wirksamkeit werden vorgestellt. Wir fokussieren uns auf die Situation in der Schweiz im Hinblick auf die aktuellen politischen Ereignisse mit dem neuen Geldspielgesetz.

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The Efficacy of Three Modalities of Internet-Based Psychotherapy for Non–Treatment-Seeking Online Problem Gamblers: A Randomized Controlled Trial

Cited by 54 publications

References 31 publications

Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial

Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial

Internet-Based Interventions for Problem Gambling: Scoping Review (Preprint)

Glücksspielsucht über das Internet – eine Übersicht der Situation in der Schweiz

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