Retaining Pathological Gamblers in Cognitive Behavior Therapy Through Motivational Enhancement

Wulfert, Edelgard; Blanchard, Edward B.; Freidenberg, Brian M.; Martell, Rebecca

doi:10.1177/0145445503262578

Cited by 77 publications

(53 citation statements)

References 31 publications

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“…A small body of empirical research has also shown that educational programs about erroneous beliefs can successfully help change the targeted cognitions (Wohl, Christie, Matheson, & Anisman, 2010;Wulfert, Blanchard, Freidenberg, & Martell, 2006). As people's behavior can be a direct result of how people think cognitively, correcting people's thinking and misbeliefs may lead to a desired behavioral change (Delfabbro, 2004).…”

Section: Early Onset and Adolescent Gambling: Implications For Prevenmentioning

confidence: 99%

The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study

Canale

Vieno

Griffiths

et al. 2016

Computers in Human Behavior

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. The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study. Computers in Human Behavior, 55, 946-954. AbstractEarly onset in adolescent gambling involvement can be a precipitator of later gambling problemsThe aim of the present study was to test the preliminary efficacy of a web-based gambling intervention program for students within a high school-based setting. Students attending a high school in Italy (N = 168) participated in the present study (58% male -age, M = 15.01; SD = 0.60).Twelve classes were randomly assigned to one of two conditions: intervention (N = 6; 95 students) and control group (N = 6; 73 students). Both groups received personalized feedback and then the intervention group received online training (interactive activities) for three weeks. At a two-month follow-up, students in the intervention group reported a reduction in gambling problems relative to those in the control group. However, there were no differences in gambling frequency, gambling expenditure, and attitudes toward the profitability of gambling between the two groups. In addition, frequent gamblers (i.e., those that gambled at least once a week at baseline) showed reductions in gambling problems and gambling frequency post-intervention. Frequent gamblers that only received personalized feedback showed significantly less realistic attitudes toward the profitability of gambling post-intervention. The present study is the first controlled study to test the preliminary efficacy of a web-based gambling intervention program for students within a high school-based setting. The results indicate that a brief web-based intervention delivered in the school setting may be a potentially promising strategy for a low-threshold, low-cost, preventive tool for at-risk gambling high school students. KeywordsGambling; High school; Web-based intervention; Personalized feedback; Online activities 2 IntroductionYouth problem gambling has become an emerging public health issue in many countries (e.g., King, Delfabbro, Kaptsis, & Zwaans, 2014; Molinaro et al., 2014a), and a recent Italian study (Molinaro, Potente, & Cutilli, 2014) estimated a past-year problem gambling prevalence rate of 7.5% among high school students (ages 15-19 years). Although there is an age limit of 18 years for gambling in Italy, 44% of students (aged between 15 and 19 years) reported having engaged in some form of gambling during the past year (Molinaro et al., 2014b). In addition, problem gambling among high school students has been associated with significant health and psychosocial problems (Blinn-Pike, Worthy, & Jonkman, 2010). Gambling becomes a problem 1 when gamblers lose control and cause harms to themselves, their family, friend or society (Ferris & Wynne, 2001; Neal, Delfabbro & O'Neil, 2005).Gambling from an early age is associated with more severe gambling behaviors (Granero et al., 2014) and may predict depression, substance use disorders, and other psychiatric concerns in adulthood (Grant, Potenza, Weinstei...

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Section: Early Onset and Adolescent Gambling: Implications For Prevenmentioning

confidence: 99%

The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study

Canale

Vieno

Griffiths

et al. 2016

Computers in Human Behavior

View full text Add to dashboard Cite

show abstract

“…Two studies have demonstrated that incorporating motivational enhancement in problem gambling interventions reduced attrition and increased positive treatment outcomes (Milton, Crino, Hunt, & Prosser, 2002;Wulfert, Blanchard, Freidenberg, & Martell, 2006). Furthermore, a telephoneadministered motivational enhancement therapy added to a self-help problem gambling workbook treatment had significant advantages compared to only receiving the self-help workbook, with changes retained at 24-month follow-up (Hodgins et al, 2001;Hodgins et al, 2004).…”

Section: Motivational Enhancementmentioning

confidence: 99%

Online self-guided interventions for the treatment of problem gambling

Gainsbury

Blaszczynski

2011

International Gambling Studies

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“…Moreover the addition of motivational interviewing to CBT can reduce treatment attrition and improve outcomes (Wulfert, Blanchard, Freidenberg, & Martell, 2006). However, these motivational approaches, which are more attractive to gamblers and may result in an increase of treatment seekers, cannot be so effective with severe individuals with GD or patients with comorbid pathology.…”

Section: Motivational Enhancement Therapymentioning

confidence: 99%

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

Echeburúa

Amor

Gómez

2017

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Background. Although the presence of a gambling disorder (GD) together with another mental disorder poses special treatment challenges, such as relapses, severe outcomes for patients and families, and increased number of hospitalizations, there are only a few critical reviews in the literature. Objective. To review empirical evidence of psychological approaches to cope specifically with these dual disorders. Method. A narrative review of the relevant bibliography on this topic was carried out. A systematic search of original articles (2010-October 2017) was conducted in MEDLINE and PsycInfo. Key terms were: 1. gambling/gamblers, 2. treatment/intervention/therapy/therapeutics, and 3. dual diagnosis/comorbidity. Results. Current treatment for GD involves a number of different options, including inpatient treatments, intensive outpatient therapy, individual and group cognitive-behavioral options (CBT), self-help groups, and pharmacotherapy. Inpatient care is generally limited to patients with severe acute crises, treatment failures, and severe comorbid disorders, particularly depression and attempted suicide. Treatment for GD with other mental disorder needs more research. CBT, motivational enhancement therapy and self-help groups have some empirical support when GD is comorbid with other addiction, mood disorder, or schizophrenia. Programs that combine pharmacotherapy and psychosocial treatments for GD into a single comprehensive package are most likely to have good treatment outcomes, at least with regard to treatment retention. Discussion and conclusion. Interventions should be tailored to the needs of the patients. Future research should be concerned about the statistical power of the studies, implement motivational strategies for patients with poor medication adherence, and design measures to study treatment fidelity in the CBT groups.

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Retaining Pathological Gamblers in Cognitive Behavior Therapy Through Motivational Enhancement

Cited by 77 publications

References 31 publications

The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study

The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study

Online self-guided interventions for the treatment of problem gambling

Current psychological therapeutic approaches for gambling disorder with psychiatric comorbidities: A narrative review

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