Assessing and treating problem gambling: Empirical status and promising trends

Toneatto, Tony; Millar, Goldie

doi:10.1177/070674370404900803

Cited by 116Gambling Behavior and TreatmentsSubstance Abuse Treatment and OutcomesObsessive-Compulsive Spectrum Disorders

Assessing and treating problem gambling: Empirical status and promising trends

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Toneatto, Tony, Millar, Goldie·2004·The Canadian Journal of Psychiatry

DOI 10.1177/070674370404900803

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Abstract

OBJECTIVE: Ways to clinically assess and treat problem gambling evolve as our knowledge about this disorder increases. This paper summarizes current knowledge about treating problem gambling and describes developments in the assessment, psychology, and biology of problem gambling that may be important for treatment. METHODS: We reviewed recent published literature reporting advances in the assessment, psychology, and biology of problem gambling. We retained for review only controlled clinical trials in which subjects were randomized to either psychological or pharmacologic treatment. RESULTS: Although several gambling treatments were found to be efficacious, support for any specific treatment modality is still limited. Cognitive-behavioural treatments were most effective. Although diagnostic assessment has improved, there are still very few measures of gambling-related variables. The contribution to gambling of sex, concurrent psychiatric disorders, cognitive distortions, and impulsivity has been described. Evidence implicating decision-making areas of the cortex and disturbances in serotonin and dopamine functioning has been reviewed. Available evidence for a genetic contribution to problem gambling is weak. CONCLUSIONS: Improvements in the methodology of gambling-treatment research were discussed to advance the clinical approach to this disorder. Developments in the area of assessment, psychology, and biology of gambling should inform clinical approaches to a greater degree than they currently do. We identified the need to study different types of gambling separately, rather than combining them, as an important goal.

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Heterogeneity in disordered gambling may introduce a source of variance that interacts with the delivered intervention.
“Such heterogeneity in disordered gambling may introduce a source of variance that interacts with the delivered intervention (Toneatto & Millar, 2004).”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Toneatto & Millar, 2004

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Effectiveness of community-based treatment for problem gambling: A quasi-experimental evaluation of cognitive-behavioral vs. twelve-step therapy
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Treatment Outcomes and Predictors of Drop out for Problem Gamblers in South Australia: A Cohort Study
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Single-session interventions for problem gambling may be as effective as longer treatments: Results of a randomized control trial
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Interventions for comorbid problem gambling and psychiatric disorders: Advancing a developing field of research
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Conceptualizing and Treating Problem Gambling as a Family Issue
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The Longitudinal Relationships Between Psychiatric Disorders and Gambling Disorders
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Sex differences in the relationship between white matter microstructure and impulsivity in adolescents
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Towards a Validation of the Three Pathways Model of Pathological Gambling
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The role of mindfulness in the cognitive-behavioural treatment of problem gambling
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Profiling Metacognition in Gambling Disorder
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A Randomized, Double‐Blind, Placebo‐Controlled Trial of Naltrexone in the Treatment of Concurrent Alcohol Use Disorder and Pathological Gambling
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Gambling-Related Cognitive Biases and Pathological Gambling Among Youths, Young Adults, and Mature Adults in Chinese Societies
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Recovery from problem gambling without formal treatment
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Internet Gamblers: A Latent Class Analysis of Their Behaviours and Health Experiences
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Efficacy of face-to-face versus self-guided treatments for disordered gambling: a meta-analysis
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Metacognitions in Problem Gambling
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Gendered gambling domains and changes in Sweden
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Pathological gambling: Understanding relapses and dropouts
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The relative contribution of metacognitions and attentional control to the severity of gambling in problem gamblers
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Community Treatment for Problem Gambling: Sex Differences in Outcome and Process
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Does the Treatment of Cognitive Distortions Improve Clinical Outcomes for Problem Gambling?
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Pathological Gambling Associated With Aripiprazole or Dopamine Replacement Therapy
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The Metacognitions about Gambling Questionnaire: Development and psychometric properties
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Adapted Couple Therapy (ACT) for Pathological Gamblers: A Promising Avenue
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A French adaptation of the Gambling-Related Cognitions Scale (GRCS): a useful tool for assessment of irrational thoughts among gamblers
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Gambling transitions among adult gamblers: A multi-state model using a Markovian approach applied to the JEU cohort.
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The current status and future direction of self-help treatments for problem gamblers.
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Gambling behaviors and psychopathology related to Attention-Deficit/Hyperactivity Disorder (ADHD) in problem and non-problem adult gamblers
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Correlates of gambling-related problems among older adults in Ontario
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Types of gambling and levels of harm: A UK study to assess severity of presentation in a treatment-seeking population
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Congruence Couple Therapy for Pathological Gambling
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Testing the Validity of a Cognitive Behavioral Model for Gambling Behavior
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Why People Gamble: A Qualitative Study of Four New Zealand Ethnic Groups
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Exploring Facets of Personality and Escapism in Pathological Gamblers
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On Finding the C in CBT: The Challenges of Applying Gambling-Related Cognitive Approaches to Video-Gaming
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A Shorter and Multidimensional Version of the Gambling Attitudes and Beliefs Survey (GABS-23)
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Relating severity of gambling to cognitive distortions in a representative sample of problem gamblers
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Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment
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The Experience of Couples in the Process of Treatment of Pathological Gambling: Couple vs. Individual Therapy
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Examining DSM-IV Criteria for Pathological Gambling: Psychometric Properties and Evidence from Cognitive Biases
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Is pathological gambling just a big problem or also an addiction?
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A Gamblers Clustering Based on Their Favorite Gambling Activity
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Effectiveness of a Self Help Cognitive Behavioural Treatment Program for Problem Gamblers: A Randomised Controlled Trial
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Update on Gambling Disorder
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Exposure therapy for problem gambling in rural communities: A program model and early outcomes
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Correlates of Motivation to Change in Pathological Gamblers Completing Cognitive‐Behavioral Group Therapy
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For poorer : how men experience, understand and respond to problematic aspects of a partner's gambling
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Study protocol: the JEU cohort study – transversal multiaxial evaluation and 5-year follow-up of a cohort of French gamblers
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How Well are We Helping Problem Gamblers? An Update to the Evidence Base Supporting Problem Gambling Treatment
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Motivation to change and pathological gambling: analysis of the relationship with clinical and psychopathological variables.
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A Cognitive Neuroscience Approach to Studying the Role of Overconfidence in Problem Gambling
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Moderate-Risk and Problem Slot Machine Gamblers: A Typology of Gambling-Related Cognitions
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Treatment of Gambling Problems in Asia: Comprehensive Review and Implications for Asian Problem Gamblers
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Behind the allure of gambling: A qualitative exploration of the existential yearnings of Chinese men with problem gambling in Hong Kong
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Pathological Gambling and Couple: Towards an Integrative Systemic Model
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Brain Emotion Systems, Personality, Hopelessness, Self/Other Perception, and Gambling Cognition: A Structural Equation Model
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Proposal for a cognitive model to the treatment of pathological gambling
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Screening and Treatment for Co-occurring Gambling and Substance Use: A Scoping Review
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Psychometric properties of the Polish version of two screening tests for gambling disorders: the Problem Gambling Severity Index and Lie/Bet Questionnaire
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Addressing the Issue of Problem Gambling in the Criminal Justice System: A Series of Case Studies
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Typology of patients with behavioral addictions or eating disorders during a one-year period of care: Exploring similarities of trajectory using growth mixture modeling coupled with latent class analysis
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Betting on Dopamine
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Models for Multi-site Problem Gambling Clinical Trials
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Attitudes, beliefs and impulsivity in online gambling addiction
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Natural Recovery
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Disordered gambling and dementia
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The gambler’s fallacy in problem and non-problem gamblers
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Stressful Life Events and Problem Gambling Among Chinese Lottery Gamblers: The Mediating Effects of Coping Strategies and Magical Thinking
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The specificity of pathological gambling
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Pathological Gambling and Cross-Addiction
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Treatment of Pathological Gambling: A Critical Review of the Literature.
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Understanding and treating the pathological gambler: Book review.
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A Comparison of a Behavioural and a Cognitive-Behavioural Approach to the Management of Chronic Tic Disorders
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Authors: Toneatto, T., & Millar, G.
Affiliations: Centre for Addiction and Mental Health (CA)
Corresponding author: Toneatto, Tony
ORCID: Toneatto, Tony
Venue: The Canadian Journal of Psychiatry
Publisher: SAGE Publications
Published: 2004-08
Volume: 49
Issue: 8
Pages: 517-525
ISSN: 0706-7437 (ISSN-L)
1497-0015
DOI: 10.1177/070674370404900803
OpenAlex: W2123954338
Cited by: 116
References: 75
Citations by year: 2023: 2 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 10 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 7
FWCI: 0.95
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Canadian Journal of Psychiatry (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: problem gambling, gambling addiction, clinical evaluation, cognitive behavioral therapy, pharmacotherapy, treatment efficacy, diagnostic measures, sex differences, psychiatric comorbidity, cognitive distortions, impulsivity, decision-making, serotonin, dopamine, genetic contribution
MeSH terms: Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Psychotherapy, Randomized Controlled Trials as Topic, Empirical Research

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Assessing and treating problem gambling: Empirical status and promising trends

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