Efficacy of face-to-face versus self-guided treatments for disordered gambling: a meta-analysis
Open accessAbstract
Background and aims In the light of growing traditional and novel forms of gambling, the treatment of disordered gambling is gaining increasing importance and practical relevance. Most studies have examined face-to-face treatments. Although trials implementing self-guided treatments have recently been conducted, these options have not yet been systematically examined. The primary objective of this meta-analysis, therefore, was to analyze the efficacy of all types of psychological face-to-face and self-guided treatments. Methods A multilevel literature search yielded 27 randomized controlled studies totaling 3,879 participants to provide a comprehensive comparative evaluation of the short- and long-term efficacies of face-to-face and self-guided treatments for disordered gambling. Results As expected, the results revealed significantly higher effect sizes for face-to-face treatments (16 studies with Hedges's g ranging from 0.67 to 1.15) as compared with self-guided treatments (11 studies with Hedges's g ranging from 0.12 to 0.30) regarding the reduction of problematic gambling behavior. The intensity of treatment moderated the therapy effect, particularly for self-guided treatments. Discussion and Conclusions The results of this meta-analysis favor face-to-face treatments over self-guided treatments for the reduction of disordered gambling. Although the findings broaden the scope of knowledge about psychological treatment modalities for disordered gambling, further research is needed to identify the reasons for these differences with the goal to optimize the treatment for this disabling condition.
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The efficacy of face-to-face and high intensity structured Internet-based programs with MI and CBT components is equivalent, though results are cautious due to low number of studies.
“Goslar et al. (2017) indicate that the efficacy of face-to-face and high intensity structured Internet-based programs with MI and CBT components is equivalent, but these results have to be interpreted with caution because of the low number of studies.”
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 Goslar et al. (2017)
There are indicators of the advantages of therapist support for GD.
“There are indicators of the advantages of therapist support for GD (Goslar et al., 2017)”
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 Goslar et al., 2017
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- Authors
- Goslar, M., Leibetseder, M., Muench, H. M., Hofmann, S. G., & Laireiter, A.-R.
- Affiliations
- University of Salzburg (AT)
- Department of Clinical Psychology and Psychotherapy, Eberhard Karls University of Tübingen, Tübingen, Germany
- Boston University (US)
- University of Vienna (AT)
- Corresponding author
- Goslar, Martina
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2017-06
- Volume
- 6
- Issue
- 2
- Pages
- 142-162
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC5520130
- OpenAlex
- W2728692853
- Cited by
- 58
- References
- 109
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 2 · 2023: 10 · 2022: 5 · 2021: 12 · 2020: 7 · 2019: 8 · 2018: 4 · 2017: 1
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Behavioral Addictions (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- OpenBU (Boston University) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- gambling addiction, problem gambling treatment, face-to-face treatment, self-guided treatment, psychological intervention, treatment efficacy, treatment intensity, treatment comparison
- MeSH terms
- Gambling, Humans, Self Care, Randomized Controlled Trials as Topic
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