The role of homework in exposure-based CBT outcome for problem gambling

Riley, Ben

doi:10.1080/14459795.2015.1062532

Cited by 10 publications

(6 citation statements)

References 43 publications

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“…x / Petry (2012) x x x Riley (2015) x Stinchfield et al (2008) x Ladouceur, et al (2009) x Stinchfield et al (2008) x Employment status Alvarez-Moya et al (2011) x 6 0% Aragay et al (2015) x Ingle et al (2008) x Jimenez-Murcia et al (2015) x x Ladouceur, et al (2009) x Stinchfield et al (2008) x Ethnicity Ingle et al (2008) Stinchfield et al (2008) x Gender (male) Aragay et al (2015) x 9 33% Grant, et al (2009) x Hodgins, et al (2001) x (2012) x + Stinchfield et al (2008) x Riley (2015) x Stinchfield et al (2008) x Illegal behaviours (presence of)/ Legal problems Aragay et al (2015) x 2 50% Ladouceur, et al (2009) x Smith et al (2011) x Stinchfield et al (2008) x Weinstock, et al (2007) x Gambling-related client characteristics Age of disordered gambling onset Ramos-Grille et al (2015) x 1 0% …”

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confidence: 99%

Predictors of outcomes of psychological treatments for disordered gambling: A systematic review

Merkouris

Thomas

Browning

et al. 2016

Clinical Psychology Review

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This systematic review aimed to synthesise the evidence relating to pre-treatment predictors of gambling outcomes following psychological treatment for disordered gambling across multiple time-points (i.e., post-treatment, short-term, medium-term, and long-term). A systematic search from 1990 to 2016 identified 50 articles, from which 11 socio-demographic, 16 gambling-related, 21 psychological/psychosocial, 12 treatment, and no therapist-related variables, were identified. Male gender and low depression levels were the most consistent predictors of successful treatment outcomes across multiple time-points. Likely predictors of successful treatment outcomes also included older age, lower gambling symptom severity, lower levels of gambling behaviours and alcohol use, and higher treatment session attendance. Significant associations, at a minimum of one time-point, were identified between successful treatment outcomes and being employed, ethnicity, no gambling debt, personality traits and being in the action stage of change. Mixed results were identified for treatment goal, while education, income, preferred gambling activity, problem gambling duration, anxiety, any psychiatric comorbidity, psychological distress, substance use, prior gambling treatment and medication use were not significantly associated with treatment outcomes at any time-point. Further research involving consistent treatment outcome frameworks, examination of treatment and therapist predictor variables, and evaluation of predictors across long-term follow-ups is warranted to advance this developing field of research.

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confidence: 99%

Predictors of outcomes of psychological treatments for disordered gambling: A systematic review

Merkouris

Thomas

Browning

et al. 2016

Clinical Psychology Review

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“…El tratamiento cognitivo conductual es el que se ha demostrado más eficaz para el tratamiento de la adicción al juego (Petry et al, 2006;Sylvain et al, 1997;Tolchard & Battersby, 2013). El mismo que tiene en cuenta tanto los aspectos puramente conductuales, como la exposición a señales (Ashrafioun et al, 2012;Riley, 2015;Riley et al, 2011;Riley et al, 2018), y los aspectos cognitivos (Smith et al, 2013).…”

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Juego online: tratamiento de un caso de adicción a apuestas deportivas

Marcos

2020

Liberabit

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Background: online gambling (bets, casino games, poker, etc.) is an activity that is spreading worldwide, even in countries where it is not yet legalized. Although the situation in Latin America is very heterogeneous, it is possible that, as online gambling is developed and promoted, addiction problems arise. This has already happened in Spain since the legalization of online gambling in 2011. Thus, psychology should be developing intervention programs to face this new scenario. Goal: this paper describes the treatment protocol for a young man with sports betting addiction. Method: the treatment proposal consisted in a cognitive behavioral therapy which focused on deconditioning of gambling situations; training of skills needed to prevent relapses and overcome risky situations; information on gambling risks; change of attitude towards gambling; and promotion of a healthy lifestyle incompatible with gambling addiction. Results: both the treatment phases and the theoretical basis of the intervention proposal are described. The patient, diagnosed with a severe gambling disorder, showed improvements in the gambling disorder criteria and the Symptom Severity Scale Score. Conclusions: a treatment protocol for online gambling addiction, which is based on the principles of motivation and learning, has been developed. This protocol has demonstrated to be effective in reducing gambling behavior and promoting a new healthy lifestyle.

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“…It is possible that this relationship plays a central role in determining the observed outcomes. In a naturalistic study involving help-seeking problem gamblers, Riley (2015) found that engaging in homework has a strong association with immediate and short-term outcome.…”

Section: Discussionmentioning

confidence: 99%

Exploring Patterns of Change Processes Over Distinct In-Treatment Phases of Cognitive and Exposure Therapies for Electronic Gaming Machine Problem Gamblers

et al. 2018

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Little is known about the change processes in gambling disorder-specific cognitive therapy (CT) and exposure therapy (ET). These therapies are underpinned by the cognitive approach (i.e., restructuring gambling cognitions) and the psychobiological approach (i.e., elimination of gambling urges) to treating problem gambling. Here, piecewise-linear modelling is used in a secondary analysis of randomised trial data for a CT group (n = 44) versus an ET group (n = 43) with the aim to open a discourse on how individuals respond to CT and ET relative to theory. Measures were administered between therapy sessions (average = 6.2 per individual) across 18 weeks for gambling urge (GUS) and gambling cognitions (GRCS). Results indicated the ET group had a stronger reduction in GUS (p < .01) in the first 4 weeks of treatment. Between 4–12 weeks, improvement in GUS (p < .01) and GRCS (p = .02) was more rapid in the CT group. Both groups experienced comparable improvements from 12–18 weeks. These findings have implications for further treatment development, including a combined cognitive and exposure approach that is flexibly adapted to the patient. A larger trial is needed to formally establish change processes and identify differences in problem gambler subgroups. This would provide therapists capacity to offer each patient a clear direction and an expedited pathway to their preferred outcome.

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The role of homework in exposure-based CBT outcome for problem gambling

Cited by 10 publications

References 43 publications

Predictors of outcomes of psychological treatments for disordered gambling: A systematic review

Predictors of outcomes of psychological treatments for disordered gambling: A systematic review

Juego online: tratamiento de un caso de adicción a apuestas deportivas

Exploring Patterns of Change Processes Over Distinct In-Treatment Phases of Cognitive and Exposure Therapies for Electronic Gaming Machine Problem Gamblers

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