OBJECTIVE: This study evaluated the efficacy of brief gambling treatments in patients attending substance abuse treatment clinics. METHOD:Substance abuse treatment patients with gambling problems (N = 217) were randomly assigned to a 10- to 15-min brief psychoeducation gambling intervention; a 10- to 15-min brief advice intervention addressing gambling norms, risk factors, and methods to prevent additional problems; or 4 50-min sessions of motivational enhancement therapy plus cognitive behavior therapy for reducing gambling (MET + CBT). Gambling and related problems were assessed at baseline and throughout 24 months. RESULTS: In the sample as a whole, days and dollars wagered and gambling problems decreased markedly from baseline through Month 5; thereafter, reductions in dollars wagered and gambling problems continued to decrease modestly but significantly, and days gambled remained constant. Brief advice significantly reduced days gambled between baseline and Month 5 relative to brief psychoeducation. The MET + CBT condition engendered no benefit beyond brief advice in terms of days gambled but did lead to more precipitous reductions in dollars gambled and problems experienced in the initial 5 months, and greater clinically significant improvements in gambling in both the short and long term. MET + CBT also resulted in initial decreases in self-reported alcohol use and problems but did not differentially impact self-reported illicit drug use or submission of positive samples. CONCLUSIONS:Gambling problems tend to dissipate over time regardless of the intervention applied, but offering MET + CBT was more efficacious in decreasing gambling than providing a brief single session intervention. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
RCT Entities:
OBJECTIVE: This study evaluated the efficacy of brief gambling treatments in patients attending substance abuse treatment clinics. METHOD: Substance abuse treatment patients with gambling problems (N = 217) were randomly assigned to a 10- to 15-min brief psychoeducation gambling intervention; a 10- to 15-min brief advice intervention addressing gambling norms, risk factors, and methods to prevent additional problems; or 4 50-min sessions of motivational enhancement therapy plus cognitive behavior therapy for reducing gambling (MET + CBT). Gambling and related problems were assessed at baseline and throughout 24 months. RESULTS: In the sample as a whole, days and dollars wagered and gambling problems decreased markedly from baseline through Month 5; thereafter, reductions in dollars wagered and gambling problems continued to decrease modestly but significantly, and days gambled remained constant. Brief advice significantly reduced days gambled between baseline and Month 5 relative to brief psychoeducation. The MET + CBT condition engendered no benefit beyond brief advice in terms of days gambled but did lead to more precipitous reductions in dollars gambled and problems experienced in the initial 5 months, and greater clinically significant improvements in gambling in both the short and long term. MET + CBT also resulted in initial decreases in self-reported alcohol use and problems but did not differentially impact self-reported illicit drug use or submission of positive samples. CONCLUSIONS: Gambling problems tend to dissipate over time regardless of the intervention applied, but offering MET + CBT was more efficacious in decreasing gambling than providing a brief single session intervention. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
Authors: Mary E Larimer; Clayton Neighbors; Ty W Lostutter; Ursula Whiteside; Jessica M Cronce; Debra Kaysen; Denise D Walker Journal: Addiction Date: 2012-02-28 Impact factor: 6.526
Authors: Rory A Pfund; Samuel C Peter; Nicholas W McAfee; Meredith K Ginley; James P Whelan; Andrew W Meyers Journal: Psychol Addict Behav Date: 2021-04-22
Authors: Samuel C Peter; Emma I Brett; Matthew T Suda; Eleanor L S Leavens; Mary Beth Miller; Thad R Leffingwell; James P Whelan; Andrew W Meyers Journal: J Gambl Stud Date: 2019-06
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Authors: Yasser Khazaal; Fares Zine El Abiddine; Louise Penzenstadler; Djamal Berbiche; Ghada Bteich; Saeideh Valizadeh-Haghi; Lucien Rochat; Sophia Achab; Riaz Khan; Anne Chatton Journal: Int J Environ Res Public Health Date: 2022-09-24 Impact factor: 4.614