Randomized trial of internet-delivered self-help with telephone support for pathological gamblers.
Abstract
Although effective therapies for pathological gambling exist, their uptake is limited to 10% of the target population. To lower the barriers for help seeking, the authors tested an online alternative in a randomized trial (N = 66). The participants were pathological gamblers not presenting with severe comorbid depression. A wait-list control was compared with an 8-week Internet-based cognitive behavior therapy program with minimal therapist contact via e-mail and weekly telephone calls of less than 15 min. Average time spent on each participant, including phone conversations, e-mail, and administration, was 4 hr. The Internet-based intervention resulted in favorable changes in pathological gambling, anxiety, depression, and quality of life. Composite between-group effect size (Cohen's d) at posttreatment was 0.83. Follow-ups carried out in the treatment group at 6, 18, and 36 months indicated that treatment effects were sustained (ds = 2.58, 1.96, and 1.98). This evidence is in support of Internet-delivered treatment for pathological gamblers. However, it is not clear how effective the treatment is for more severely depressed individuals.
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Problematic attrition rates in RCTs of online interventions for gambling disorders vary from 6% to 65% in the first follow-up assessment (between 6 and 12 weeks).
“However, it is important to consider the problematic attrition rates in RCTs of online interventions for gambling disorders, which vary from 6% to 65% in the first follow-up assessment (between 6 and 12 weeks) (Bücker et al., 2018; Carlbring and Smith, 2008; Casey et al., 2017; Cunningham et al., 2009; Hodgins et al., 2019; Magnusson et al., 2019).”
From Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial (2021) · cites this paper as Carlbring and Smith, 2008
WL control designs are appropriate for estimating treatment effects compared to no-treatment.
“WL control designs have been used in previous studies (Boudreault et al., 2018; Carlbring and Smith, 2008; Magnusson et al., 2019; Oei et al., 2018), and they are appropriate for estimating treatment effects compared to no-treatment.”
From Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial (2021) · cites this paper as Carlbring and Smith, 2008
Internet-delivered CBT has been efficaciously implemented with problem gamblers.
“Moreover, internet-delivered CBT has also been efficaciously implemented with problem gamblers.39”
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“[54,55] The BCT intervention was based on BCT manuals for alcohol problems,[38] a Swedish manual for CSOs of”
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Internet-Based Cognitive Behavior Therapy
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- Authors
- Carlbring, P., & Smit, F.
- Affiliations
- Linköping University (SE)
- Trimbos Institute (NL)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008-12
- Volume
- 76
- Issue
- 6
- Pages
- 1090-1094
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1997426905
- Cited by
- 187
- References
- 29
- Citations by year
- 2026: 1 · 2024: 7 · 2023: 15 · 2022: 4 · 2021: 11 · 2020: 6 · 2019: 14 · 2018: 9 · 2017: 20 · 2016: 15 · 2015: 12 · 2014: 11 · 2013: 21 · 2012: 11
- FWCI
- 10.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Swedish National Institute of Public Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- gambling addiction, internet-based cognitive behavioral therapy, telephone support, self-help, help-seeking barriers, treatment uptake, anxiety, depression, quality of life, treatment effects over time
- MeSH terms
- Adult, Anxiety Disorders, Depression, Female, Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Middle Aged, Quality of Life, Self-Help Groups, Social Support, Telephone, Internet, Young Adult
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