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Comparative Effectiveness of Three Therapeutic Modalities in the Psychological Treatment of Pathological Gambling: Long-Term Outcome
Open accessAbstract
The aim of this paper was to test the comparative effectiveness of three therapeutic modalities: a) individual stimulus control and exposure with response prevention; b) group cognitive restructuring; and c) a+b in the treatment of pathological gambling with slot machines. An additional waiting-list group was used to evaluate the spontaneous evolution of the non-treated gamblers. The sample consisted of 64 patients selected according to DSM-III-R criteria. A multigroup experimental design with repeated measures (pretreatment, posttreatment and 1, 3, 6 and 12-month follow-up) was used. Most treated patients gave up gambling as well as improved, albeit more slowly, in family/social and psychological functioning. The success rate was higher in the individual treatment compared both to group and combined treatment. There was also an improvement in gambling in the control group between the pretreatment and the 6–month follow-up and there was no difference between the combined treatment and control group. Individual stimulus control and exposure with response prevention appears to be a cost-effective therapy for pathological gambling. Implications of this study for clinical practice and future research in this field are discussed.
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Cited by
Pathological gambling: Etiology, comorbidity, and treatment.
Petry, N. M. (2005) · doi:10.1037/10894-000 · Cited by 659
Raylu, N., & Oei, T. P. S. (2002) · Clinical Psychology Review · doi:10.1016/s0272-7358(02)00101-0 · Cited by 517
Cognitive and behavioral treatment of pathological gambling: A controlled study.
Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.5.727 · Cited by 458
Cognitive-behavioral therapy for pathological gamblers.
Petry, N. M., Ammerman, Y., Bohl, J., Doersch, A., Gay, H., Kadden, R., Molina, C., & Steinberg, K. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.3.555 · Cited by 356
Cognitive Treatment of Pathological Gambling
LADOUCEUR, R., SYLVAIN, C., BOUTIN, C., LACHANCE, S., DOUCET, C., LEBLOND, J., & JACQUES, C. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200111000-00007 · Cited by 356
Metadata
- Authors
- Echeburúa, E., Báez, C., & Fernández-Montalvo, J.
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 1996-01
- Volume
- 24
- Issue
- 1
- Pages
- 51-72
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W1984206268
- Cited by
- 201
- References
- 0
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- green
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