A clinician's quick guide of evidence‐based approaches: Gambling

Vale, Kirsten; Smout, Matthew; Blaszczynski, Alex

doi:10.1111/cp.12075

Cited by 1 publication

(2 citation statements)

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“…ET directly targets the actionable events and responses concerning gambling-related arousal. This approach remains commensurate with the empirically grounded clinical perspective advising that gambling urge should be targeted early in treatment (Vale, Smout, & Blaszczynski, 2015). A single session of exposure for gambling disorder has also been shown to be clinically efficacious in short- and long-term follow-up (Tolchard, Thomas, & Battersby, 2006).…”

Section: Discussionmentioning

confidence: 85%

“…This partnership would enable patient-wise adjustments in treatment levels and treatment types (Friedman & Thase, 2008; Laurenceau et al, 2007) while augmenting patient self-efficacy through strengthening their sense of control of gambling urges and cognitions (Larimer, Palmer, & Marlatt, 1999). If improvement in these symptoms are not observed early in therapy, treatment should address other patient vulnerabilities to sustain more durable outcomes, including treatment continuation (Vale et al, 2015). This has important implications for the current study as the degree of premature drop-out was notable; so, too, was a substantial proportion of patients who reported significant levels of psychological disturbance at pretreatment (Smith et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 85%