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Assessing and Treating Problem Gambling: Empirical Status and Promising Trends
Open accessAbstract
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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“Such heterogeneity in disordered gambling may introduce a source of variance that interacts with the delivered intervention (Toneatto & Millar, 2004).”
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Metadata
- 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
- 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
- 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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