Cited by 187Gambling Behavior and TreatmentsDigital Mental Health InterventionsSubstance Abuse Treatment and Outcomes

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Randomized trial of internet-delivered self-help with telephone support for pathological gamblers.

Carlbring, Per, Smit, Filip·2008·Journal of Consulting and Clinical Psychology

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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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Authors: Carlbring, P., & Smit, F.
Affiliations: Linköping University (SE)
Trimbos Institute (NL)
ORCID: Carlbring, Per
Smit, Filip
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008-12
Volume: 76
Issue: 6
Pages: 1090-1094
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0013603
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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Randomized trial of internet-delivered self-help with telephone support for pathological gamblers.

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