Cognitive treatment of pathological gamblers

Ladouceur, Robert; Sylvain, Caroline; Letarte, Hélène; Giroux, Isabelle; Jacques, Christian

doi:10.1016/s0005-7967(98)00086-2

Cited by 172 publications

(63 citation statements)

References 22 publications

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“…Ladouceur et al have stressed that the typical gambler carries a set of cognitive distortions which includes denial of randomness and beliefs that patterns can be spotted in chance events. 60 In this distorted sense, gambling could be even financially rewarding. The gamblers' combination of high Novelty Seeking and high Harm Avoidance is similar to the one described for cigarette smokers, and provides fur ther evidence for Cloninger 's hypothesis of the relation between temperament factors and motivated behavior.…”

Section: -56mentioning

confidence: 99%

Pathological gambling and obsessive-compulsive disorder: towards a spectrum of disorders of volition

Tavares

Gentil

2007

Rev. Bras. Psiquiatr.

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Pathological gambling and obsessive-compulsive disorder: towards a spectrum of disorders of volition Jogo patológico e transtorno obsessivo-compulsivo: rumo a um espectro de transtornos da volição A b s t r a c t Objective: Pathological gambling is proposed as a participant of an impulsive-compulsive spectrum related to obsessive-compulsive disorder. This study aims to contrast pathological gambling and obsessive-compulsive disorder regarding course, comorbidity, and personality, hence testing the validity of the impulsive-compulsive spectrum. Method: 40 pathological gambling and 40 obsessivecompulsive disorder subjects matched to 40 healthy volunteers according to gender, age, and education were assessed with the Temperament Personality Questionnaire and the Barratt Impulsiveness Scale. Psychiatric patients were also assessed for course and comorbidity data. Results: Obsessive-compulsive disorder presented an earlier onset, but the full syndrome took longer to evolve. Pathological gambling had higher comorbidity with substance-related disorders, and obsessive-compulsive disorder higher comorbidity with somatoform disorders. Gamblers scored higher than controls on the sub-factors Impulsiveness, Extravagance, Disorderliness, and Fear of Uncertainty. Obsessive-compulsive patients scored higher than controls on Fear of Uncertai-nty. Impulsiveness, Extravagance, and Disorderliness significantly correlated with the Barratt Impulsiveness Scale total score, Fear of Uncertainty did not. Discussion: The course and comorbidity profiles of pathological gambling resemble an addiction and differ from obsessive-compulsive disorder. Pathological gambling combines impulsive and compulsive traits. Impulsivity and compulsivity should be regarded as orthogonal constructs, and as drives implicated in volition aspects of behavioral syndromes.

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Section: -56mentioning

confidence: 99%

Pathological gambling and obsessive-compulsive disorder: towards a spectrum of disorders of volition

Tavares

Gentil

2007

Rev. Bras. Psiquiatr.

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“…In treatment settings, cognitive treatments that involve the provision of information aimed to dispute erroneous cognitions, have demonstrated effectiveness in reducing gambling behaviours and intentions to gamble [18]. Comparisons with cognitive-behavioural treatment methods indicate that purely cognitive treatments are equally as effective as combined cognitive-behavioural techniques in reducing gambling behaviours and intentions to gamble, which can be explained by the significant role of erroneous cognitions in the development of disordered gambling behaviours [18] [24].…”

Section: Discussionmentioning

confidence: 99%

“…Comparisons with cognitive-behavioural treatment methods indicate that purely cognitive treatments are equally as effective as combined cognitive-behavioural techniques in reducing gambling behaviours and intentions to gamble, which can be explained by the significant role of erroneous cognitions in the development of disordered gambling behaviours [18] [24]. However, despite the fundamental role of cognitions in disordered gambling, previous empirical research investigating the effectiveness of cognitive treatments for gambling has failed to include measures of gambling-related cognitions, making it difficult to assess whether there were changes in cognitions from pre to post treatment.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Ladouceur et al [18] evaluated the efficacy of a cognitive treatment model aiming to correct erroneous beliefs around the concept of randomness, the independence of events, and control over gambling outcomes. The results indicated that the majority of the participants displayed increased control over their gambling activities and reduced their urges to gamble at six months follow-up.…”

Section: Cognitive Treatments For Gamblingmentioning

confidence: 99%

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Disordered Gambling: The Effects of a Brief, Online Cognitive Intervention in an Australian Sample

Ellison¹,

Vale²,

Ladouceur³

2017

OALib

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Cognitive processes, in particular, erroneous beliefs surrounding gambling outcomes and abilities, are thought to play an important role in the development and maintenance of disordered gambling behaviours. The current study investigated the impact of erroneous gambling-related cognitions on gambling severity and intentions to gamble, trialling a brief, online cognitive intervention designed to reduce gambling-related cognitions and intentions to gamble. One hundred and twenty one participants were randomly allocated to either an educational intervention condition or an alternative intervention (control condition). Participants in the educational intervention condition showed larger reductions in gambling-related cognitions than did participants in the control condition. The educational intervention significantly reduced erroneous cognitions from pre to post treatment, with effectiveness of the intervention increasing in those exhibiting more severe gambling behaviours.

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“…114 It is known that gamblers make a number of cognitive errors that play a role in maintaining their disorder, and cognitive therapy aimed at correcting these errors and misperceptions has shown promise. 115,116 Thus, cognitive therapy may have potential for the treatment of PG either alone or, more likely, as part of a comprehensive treatment program; however, further structured and controlled investigations and long-term outcome studies are needed.…”

Section: Pathological Gamblingmentioning

confidence: 99%