Cognitive versus exposure therapy for problem gambling: Randomised controlled trial
| Autor: | Rene G Pols, David Smith, Peter Harvey, Robert Ladouceur, Malcolm Battersby |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Exposure therapy Implosive Therapy Experimental and Cognitive Psychology Mean difference law.invention Primary outcome Randomized controlled trial law Intervention (counseling) medicine Humans Psychiatry Cognitive Behavioral Therapy Parallel design Cognition Middle Aged Psychiatry and Mental health Clinical Psychology Treatment Outcome Gambling Cognitive therapy Physical therapy Female Psychology |
| Zdroj: | Behaviour Research and Therapy. 69:100-110 |
| ISSN: | 0005-7967 |
| DOI: | 10.1016/j.brat.2015.04.008 |
| Popis: | Background Problem gambling-specific cognitive therapy (CT) and behavioural (exposure-based) therapy (ET) are two core cognitive-behavioural techniques to treating the disorder, but no studies have directly compared them using a randomised trial. Aims To evaluate differential efficacy of CT and ET for adult problem gamblers at a South Australian gambling therapy service. Methods Two-group randomised, parallel design. Primary outcome was rated by participants using the Victorian Gambling Screen (VGS) at baseline, treatment-end, 1, 3, and 6 month follow-up. Findings Of eighty-seven participants who were randomised and started intervention (CT = 44; ET = 43), 51 (59%) completed intervention (CT = 30; ET = 21). Both groups experienced comparable reductions (improvement) in VGS scores at 12 weeks (mean difference −0.18, 95% CI: −4.48–4.11) and 6 month follow-up (mean difference 1.47, 95% CI: −4.46–7.39). Conclusions Cognitive and exposure therapies are both viable and effective treatments for problem gambling. Large-scale trials are needed to compare them individually and combined to enhance retention rates and reduce drop-out. |
| Databáze: | OpenAIRE |
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