Group therapy for pathological gamblers: a cognitive approach

Ladouceur, Robert; Sylvain, Caroline; Boutin, Claude; Lachance, Stella; Doucet, Céline; Leblond, Jean

doi:10.1016/s0005-7967(02)00036-0

Cited by 186 publications

(123 citation statements)

References 19 publications

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“…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. urge to gamble) (Battersby, Oakes, Tolchard, Forbes, & Pols, 2008;Oakes, Battersby, Pols, & Cromarty, 2008;Barry Tolchard, Thomas, & Battersby, 2006).…”

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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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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“…groups versus individual, mindfulness based therapy versus CBT) works more efficaciously for different groups of gamblers. These ideas originates from a persuasive body of evidence provided by Ladouceur et al 15 & Zablocki 16 lending support for the efficacy of group work in and Toneatto, Vettese & Nguyen 17 on the role of mindfulness based therapy in the treatment of disordered gambling. Other forms of studies may also be conducted at some point to look at Predictors of treatment seeking behaviour in gamblers, 18 Barriers to Seeking Help for Gambling Problems,…”

Section: Resultsmentioning

confidence: 99%

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2017

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This paper does a separate and independent review of the various studies put forth by National Addictions Management Service (NAMS) in relation to pathological gambling from 2009 to 2013. The findings are analyzed in totality and split into 2 sections, looking at the evolving demographics of help-seeking gamblers (looking at a clinical population as opposed to general public targeted by the NCPG survey) over the years and the predictors of treatment outcomes. It was found that, over the years, (i) more gamblers are driven to gamble as a way to cope with their psychiatric co-morbidities and (ii) psychologist distress is also a common outcome due to the consequences of gambling. It was also found that there is a need to further examine the standard psychosocial treatment guidelines (mainly based on a cognitive behavioural approach) for the gamblers to better meet the idiosyncratic needs of the non-strategic gambler.

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“…en cuanto al tipo de pacientes indicados, no se ha conseguido establecer de forma operativa quiénes pueden beneficiarse específicamente de los programas de juego controlado. El grupo de Ladouceur (Ladouceur, 2005;Ladouceur, Sylvain, Boutin, Lachance, Doucet y Leblond, 2003) da a elegir a los pacientes la meta del tratamiento (abstinencia o control del juego), pero este enfoque resulta poco riguroso. a raíz de los conocimientos acumulados en el campo del abuso de alcohol, parece más razonable pensar que el juego controlado sea un objetivo válido para ciertos pacientes (los jugadores problemáticos, a quienes se puede motivar más fácilmente con esta propuesta), pero no para otros (los ludópatas propiamente dichos).…”

Section: Objetivos Terapéuticosunclassified

Nuevos Retos en el Tratamiento del Juego Patológico

2014

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Universidad del país vasco (Upv/ehU), españa ResumenEn este artículo se señalan los avances y retos de futuro en el tratamiento del juego patológico. El objetivo terapéutico (abstinencia o juego moderado) es actualmente objeto de controversia. Los tratamientos para la ludopatía incluyen la terapia hospitalaria, los tratamientos cognitivo-conductuales individuales o grupales, jugadores anónimos y la farmacoterapia, así como la prevención de recaídas. la terapia cognitivo-conductual presenta unas tasas de éxito del 50% al 80% de los casos tratados en un seguimiento a largo plazo. La farmacoterapia es un complemento cuando los pacientes tienen un estado de ánimo deprimido o un elevado nivel de impulsividad. el juego controlado puede ser una alternativa terapéutica para los jugadores jóvenes o que no presentan aún una dependencia severa. Se requiere más información sobre el tratamiento del juego on-line y de poblaciones específicas (mujeres y jóvenes). Se comentan las implicaciones de esta revisión para la práctica clínica y para las investigaciones futuras. Palabras clave: Juego patológico, objetivos terapéuticos, tratamiento psicológico, terapia farmacológica, prevención de recaídas. AbstractThis paper deals with the new developments in the treatment of disordered gambling, as well as with the challenges for further research. Abstinence versus moderated gambling is an issue that raises many concerns and that needs to be addressed. Current treatment for disordered gambling involves a number of different options, including inpatient treatments, individual and group cognitive-behavioral options, Gamblers Anonymous and pharmacotherapy, as well as an intervention in relapse prevention. Cognitive-behavioral therapy may have asuccess rate ranging from 50% to 80% of treated patients in a long-term follow-up. Psychopharmacological therapy may have incremental benefit when patients have comorbid depression or high impulsivity. Responsible gambling may be a therapeutic option for young gamblers or people without a severe dependence. Further information is required about treatment for online gambling addictions and for dealing with specific populations (women and young people). Unanswered questions for future research in this field are commented upon.

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Group therapy for pathological gamblers: a cognitive approach

Cited by 186 publications

References 19 publications

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

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

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Nuevos Retos en el Tratamiento del Juego Patológico

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