The impact of an exercise program as a treatment for gambling disorder: A randomized controlled trial

Penna, Ana Claudia; Kim, Hyoun S.; Brito, Antonio Marcelo Cabrita de; Tavares, Hermano

doi:10.1016/j.mhpa.2018.07.003

Cited by 10 publications

(31 citation statements)

References 52 publications

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“… Severe psychiatric disorders. Penna et al, 2018 [ 28 ] Brazil 8 weeks 59 54.03 years 57.6% males 78% caucasians Diagnostic according DSM-5 criteria, ability to understand the purpose of the study, physically able to engage in physical activity, for female patients a negative pregnancy test. Severe psychiatric disorder or other medical condition requiring inpatient treatment.…”

Section: Resultsmentioning

confidence: 99%

“…The personalized feedback intervention group also reduced the maximum amount of money spent on one occasion and gambling severity (CPGI score) at follow-up, but with no significant differences compared with controls. Physical activity has already proven to be efficient in the treatment of other disorders, such as alcohol and drug dependence [ 28 ]. It helps reduce stress levels, cravings and improves the mood [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…Physical activity has already proven to be efficient in the treatment of other disorders, such as alcohol and drug dependence [ 28 ]. It helps reduce stress levels, cravings and improves the mood [ 28 ]. Penna’s et al [ 28 ] controlled trial randomized 59 patients into a group doing an exercise program (16 sessions for 8 weeks) and a control group doing stretching-only sessions.…”

Section: Resultsmentioning

confidence: 99%

“…It helps reduce stress levels, cravings and improves the mood [ 28 ]. Penna’s et al [ 28 ] controlled trial randomized 59 patients into a group doing an exercise program (16 sessions for 8 weeks) and a control group doing stretching-only sessions. This physical activity sessions consisted of 10-min stretching plus 40-min running at 70–85% of the estimated maximum heart rate for age, while the control group had 50 min sessions of only stretching exercises.…”

Section: Resultsmentioning

confidence: 99%

“…Higher total scores indicate more severe problem gambling (score ≥ 5 indicate pathological gambling status). Gambling Follow-up Scale self-report version [ 27 , 28 ] GFS-SR Self-report questionnaire that evaluate gambling behaviour, impairments in social life and personal impairments in patients diagnosed with GD according to the DSM-5 criteria. 10 items scored on a scale value of 1 (severity) to 5 (not at all).…”

Section: Methodsmentioning

confidence: 99%

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Non-pharmacological treatment of gambling disorder: a systematic review of randomized controlled trials

2021

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Background The main focus of the non-pharmacological treatment of Gambling Disorder (GD) is the behaviour, cognition and motivation of the patient, addressing the psychological determinants of gambling. Although there is not a gold standard non-pharmacological treatment yet, many studies already had promising results, and the outcomes were even better when pharmacotherapies were combined with psychotherapies. This review intended to synthesise the efficacy of various available non-pharmacological therapies for GD evaluated in randomized controlled trials. Methods A systematic search was conducted in PubMed and in Cochrane Library for randomized controlled trials. Studies were included if participants had GD as their primary diagnosis and excluded if patients had other comorbidities. Results From 320 records identified, 22 studies were included in the critical appraisal. They included a total of 1694 patients, with a mean age of 42.94 years, and a 62.31% of males. Seven trials revealed the efficacy of cognitive behaviour therapy in improving significantly the outcomes. Three studies assessing cognitive therapy showed significant improvements in gambling symptoms, while one study showed improvements in gambling behaviour using exposure therapy. Combined or separate motivational interviewing and imaginal desensitization had significant results in 4 trials. Four other studies also showed efficacy for: couples therapy, node-link mapping therapy, 12-step facilitated and personalized feedback intervention. Physical exercise had promising results but did not reach significance. Conclusion The literature included in this review showed the heterogeneity of available psychotherapies. The majority of studies supported the efficacy of the tested therapies, while some of them, due to limitations such as small sample sizes or inadequate control groups, failed to reach significance.

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