The Effect of Compliance-Improving Interventions on the Cognitive-Behavioural Treatment of Pathological Gambling

Milton, Simon; Crino, Rocco; Hunt, Caroline; Prosser, Emma

doi:10.1023/a:1015580800028

Cited by 103Gambling Behavior and TreatmentsSubstance Abuse Treatment and OutcomesObsessive-Compulsive Spectrum Disorders

The Effect of Compliance-Improving Interventions on the Cognitive-Behavioural Treatment of Pathological Gambling

Milton, Simon, Crino, Rocco, Hunt, Caroline, Prosser, Emma·2002·Journal of Gambling Studies

DOI 10.1023/a:1015580800028

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Abstract

This exploratory study investigated the effect of interventions designed to improve compliance and reduce dropout rates during the outpatient treatment of pathological gambling at a University-based gambling treatment clinic. Forty subjects (29 males, 11 females, mean age = 37.6) meeting DSM-IV criteria (APA, 1994) for pathological gambling were randomly assigned to either a cognitive-behavioural treatment or a cognitive-behavioural treatment combined with interventions designed to improve treatment compliance. Compliance was indicated by the completion of all treatment sessions. Outcome measures were DSM-IV criteria assessed by structured clinical interview, South Oaks Gambling Screen scores, and percentage of income gambled. Logistic regression analyses identified pretreatment characteristics predicting compliance and outcome. Compliance-improving interventions significantly reduced dropout rates, resulting in superior outcomes at posttreatment compared to the cognitive behavioural treatment alone. At 9-month follow-up, there was no difference in outcome between treatments, although both produced clinically significant change. Comorbid problem drinking, drug use, and problem gambling duration predicted poor compliance. Poor outcome was predicted by comorbid problem drinking. The clinical implications of these results are discussed in light of the exploratory nature of the study and the need for future research to address compliance, outcome, and comorbidity issues.

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Milton et al. (2002) noted that higher levels of depression were associated with poor treatment outcomes.
“Milton et al. (2002) noted that higher levels of depression were associated with poor treatment outcomes”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Milton et al. (2002)

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Authors: Milton, S., Crino, R., Hunt, C., & Prosser, E.
Affiliations: The University of Sydney (AU)
St Vincent's Hospital Sydney (AU)
Corresponding author: Milton, Simon
ORCID: Hunt, Caroline
Venue: Journal of Gambling Studies
Publisher: Springer Science and Business Media LLC
Published: 2002-06
Volume: 18
Issue: 2
Pages: 207-229
ISSN: 1050-5350 (ISSN-L)
1573-3602
DOI: 10.1023/a:1015580800028
OpenAlex: W35741747
Cited by: 103
References: 70
Citations by year: 2026: 3 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 5 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 12 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 5
FWCI: 3.97
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Journal of Gambling Studies (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Keywords: gambling addiction, medication adherence, dropout, cognitive-behavioral intervention, treatment outcome predictors
MeSH terms: Adult, Female, Follow-Up Studies, Gambling, Humans, Male, Patient Compliance, Patient Dropouts, Cognitive Behavioral Therapy, Behavior, Addictive

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The Effect of Compliance-Improving Interventions on the Cognitive-Behavioural Treatment of Pathological Gambling

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