Effectiveness of community-based treatment for problem gambling: A quasi-experimental evaluation of cognitive-behavioral vs. twelve-step therapy
Abstract
With the increasing availability of gambling throughout North America, there is interest in developing more effective treatments. This study compares the effectiveness of two brief outpatient treatments for problem gambling: eight sessions of Cognitive-Behavioral Therapy (n = 65) and eight sessions of a twelve-step treatment-oriented approach based on the first five steps of Gamblers Anonymous (n = 61). There were no baseline group differences on gambling-relevant variables. Twelve months post-treatment showed no group differences on key gambling variables (eg, frequency, abstinence rates, money wagered) in an analysis of completers. Participants who attended more sessions and chose an initial abstinent treatment goal appeared to achieve better outcomes.
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Mixed results were identified for treatment goal in two different studies, whereby abstinence and controlled gambling were associated with positive treatment outcomes.
“Lastly, mixed results were identified for treatment goal in two different studies, whereby abstinence (Toneatto & Dragonetti, 2008) and controlled gambling (Ladouceur, Lachance, & Fournier, 2009) were associated with positive treatment outcomes.”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Toneatto & Dragonetti, 2008
Toneatto & Dragonetti (2008) indicated that an abstinence goal was associated with more successful post-treatment and medium-term treatment outcomes.
“another study (Toneatto & Dragonetti, 2008) indicating that an abstinence goal was associated with more successful post-treatment and medium-term treatment outcomes.”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Toneatto & Dragonetti, 2008
In the systematic review, treatment goal (abstinence) was examined as a predictor of medium-term outcomes in three studies, and the table reports 33% of significant results.
“| Treatment goal | Abbott et al. (2013) | x | x | x | 3 | 33% |”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Toneatto and Dragonetti (2008)
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- Authors
- Toneatto, T., & Dragonetti, R.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Toneatto, Tony
- Venue
- The American Journal on Addictions
- Publisher
- Wiley
- Published
- 2008-07-08
- Volume
- 17
- Issue
- 4
- Pages
- 298-303
- ISSN
- 1055-0496 (ISSN-L)
- 1521-0391
- OpenAlex
- W1969070347
- Cited by
- 85
- References
- 16
- Citations by year
- 2022: 2 · 2021: 1 · 2020: 45 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 7 · 2013: 3 · 2012: 6
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal on Addictions (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 › Psychotherapy Techniques and Applications
- Keywords
- problem gambling, cognitive behavioral therapy, Gamblers Anonymous, community-based treatment, treatment effectiveness, gambling frequency
- MeSH terms
- Adult, Community Mental Health Services, Female, Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Middle Aged, Outcome and Process Assessment, Health Care, Self-Help Groups, Cognitive Behavioral Therapy, Treatment Outcome
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