Treatment of Female Pathological Gambling: The Efficacy of a Cognitive-Behavioural Approach

Dowling, Nicki A.; Smith, David; Thomas, Trang

doi:10.1007/s10899-006-9027-3

Cited by 59 publications

(45 citation statements)

References 22 publications

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“…These measures have been used extensively in research and clinical practice, and there is considerable evidence to support their psychometric properties in the field of PG [3,9,11,49,50]. …”

Section: Methodsmentioning

confidence: 99%

Predictors of Pathological Gambling Severity Taking Gender Differences into Account

et al. 2012

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Background: The current study aims to identify predictors of pathological gambling (PG) severity, taking gender differences into account, in an outpatient sample of pathological gamblers seeking treatment. Methods: The sample for this study consisted of 103 subjects (51 women and 52 men) meeting current DSM-IV-TR criteria for PG. Linear and logistic regression analyses were used to examine different risk factors (gender, age, impulsivity, sensation seeking, self-esteem) and risk markers (depression, anxiety, gambling-related thoughts, substance abuse) as predictors of PG severity. Results: Impulsivity, maladjustment in everyday life and age at gambling onset were the best predictors in the overall sample. When gender differences were taken into account, duration of gambling disorder in women and depression and impulsivity in men predicted PG severity. In turn, a high degree of severity in the South Oaks Gambling Screen score was related to older age and more familiy support in women and to low self-esteem and alcohol abuse in men. Female gamblers were older than male gamblers and started gambling later in life, but became dependent on gambling more quickly than men. Conclusions: Further research should examine these data to tailor treatment to specific patients’ needs according to sex and individual characteristics.

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Section: Methodsmentioning

confidence: 99%

Predictors of Pathological Gambling Severity Taking Gender Differences into Account

et al. 2012

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“…To date, the best evidence for gambling treatments exists for psychological interventions where variations of cognitive-behavioural therapy (CBT) have been the most researched (Cowlishaw et al, 2012). Several CBT programs reported in the gambling intervention literature have been underpinned by two dominant approaches to explaining gambling behaviour (Carlbring, Jonsson, Josephson, & Forsberg, 2010;Dowling, 2006;Namrata Raylu & Oei, 2010). The cognitive approach focuses on teaching the concept of randomness, increasing awareness of inaccurate perceptions and restructuring erroneous gambling beliefs (Ladouceur et al, 2003;Ladouceur et al, 2001;Sylvain, Ladouceur, & Boisvert, 1997).The behavioural approach (exposure-based) uses techniques that target gambling related psychobiological states (e.g.…”

Section: Introductionmentioning

confidence: 99%

Effects of Affective and Anxiety Disorders on Outcome in Problem Gamblers Attending Routine Cognitive–Behavioural Treatment in South Australia

et al. 2014

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Aims This study evaluated the influence of 12-month affective and anxiety disorders on treatment outcomes for adult problem gamblers in routine cognitive-behavioural therapy (CBT). Methods A cohort study at a state-wide gambling therapy service in South Australia. Primary outcome measure was rated by participants using Victorian Gambling Screen (VGS) 'harm to self' sub-scale with validated cut score 21+ (score range: 0 -60) indicative of problem gambling behaviour. Secondary outcome measure was work and social adjustment scale (WSAS). Independent variable was severity of affective and anxiety disorders based on Kessler 10 scale (K10). We used propensity score adjusted random-effects models to estimate treatment outcomes for subpopulations of individuals from baseline to 12 month follow-up. Results Between July, 2010 and December, 2012, 380 participants were eligible for inclusion in the final analysis. Mean age was 44.1(SD=13.6) years and 211 (56%) were males. At baseline, 353 (92.9%) were diagnosed with a gambling disorder using VGS. For exposure, 175 (46%) had a very high probability of a 12-month affective or anxiety disorder, 103 (27%) in the high range and 102 (27%) in the low to moderate range. For the main analysis, individuals experienced similar clinically significant reductions (improvement) in gambling related outcomes across time (p < 0.001). Conclusions Individuals with covarying patterns of problem gambling and 12 month affective and anxiety disorders who present to a gambling help service for treatment in metropolitan South Australia gain similar significant reductions in gambling behaviours from routine cognitivebehavioural therapy in the mid-term.

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confidence: 99%

“…substance use disorders [3], high rates of comorbidity [15,16] and a lag in the evaluation of treatments relative to practice [17].…”

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confidence: 99%

Stepping up the game

Goudriaan

2014

Addiction

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substance use disorders [3], high rates of comorbidity [15,16] and a lag in the evaluation of treatments relative to practice [17].The proposed criteria will require refinement Petry and colleagues [3] note that the criteria should be subject to systematic investigation and empirical validation. Future research may indicate that the diagnostic threshold fails to differentiate non-dependent from dependent use [16], that some criteria do not add to diagnostic accuracy [18] or that some criteria are more central to diagnosis than others [18]. Like gambling disorder, there may also be a need for exclusion criteria and specifiers relating to course, remission and current severity. A unified assessment approach is requiredRather than developing additional measurement instruments, the validity and reliability of existing measures must be assessed against the proposed criteria [19], with a view to adopting a unified assessment approach [11]. ConclusionAlthough including IGD in the DSM-5 and the subsequent development of diagnostic criteria will be well received by researchers and clinicians, the criteria are in need of widespread empirical testing and validation. Time will tell whether this condition has the requisite features for inclusion as a behavioural addiction in subsequent editions of the DSM. Declaration of interests None.Keywords Addiction, behavioural addiction, DSM-5, internet addiction, internet gaming disorder, video gaming.

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Treatment of Female Pathological Gambling: The Efficacy of a Cognitive-Behavioural Approach

Cited by 59 publications

References 22 publications

Predictors of Pathological Gambling Severity Taking Gender Differences into Account

Predictors of Pathological Gambling Severity Taking Gender Differences into Account

Effects of Affective and Anxiety Disorders on Outcome in Problem Gamblers Attending Routine Cognitive–Behavioural Treatment in South Australia

Stepping up the game

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