Cognitive-behavioral treatment for gambling harm: Umbrella review and meta-analysis

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2023-09-09 DOI:10.1016/j.cpr.2023.102336

Rory A. Pfund , Meredith K. Ginley , Hyoun S. Kim , Cassandra L. Boness , Tori L. Horn , James P. Whelan

{"title":"Cognitive-behavioral treatment for gambling harm: Umbrella review and meta-analysis","authors":"Rory A. Pfund , Meredith K. Ginley , Hyoun S. Kim , Cassandra L. Boness , Tori L. Horn , James P. Whelan","doi":"10.1016/j.cpr.2023.102336","DOIUrl":null,"url":null,"abstract":"<div>The aim of the current umbrella review and meta-analysis was to evaluate the methodological rigor of existing meta-analyses on cognitive-behavioral treatment (CBT) for gambling harm. The Cochrane Database of Systematic Reviews, PsycINFO, and PubMed were searched for meta-analyses of CBT for gambling harm among individuals aged 18 years and older. The search yielded five meta-analyses that met inclusion criteria, representing 56 unique studies and 5389 participants. The methodological rigor for one meta-analyses was rated high, two were moderate, and two were critically low. Including only moderate- to high-quality meta-analyses, a robust variance estimation meta-analysis indicated that CBT significantly reduced gambling disorder severity (g = −0.91), gambling frequency (g = −0.52), and gambling intensity (g = −0.32) relative to minimal and no treatment control at posttreatment, suggesting 65%–82% of participants receiving CBT will show greater reductions in these outcomes than minimal or no treatment controls. Overall, there is strong evidence for CBT in reducing gambling harm and gambling behavior, and this evidence provides individuals, clinicians, managed care companies, and policymakers with clear recommendations about treatment selection.</div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":13.7000,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0272735823000946","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

The aim of the current umbrella review and meta-analysis was to evaluate the methodological rigor of existing meta-analyses on cognitive-behavioral treatment (CBT) for gambling harm. The Cochrane Database of Systematic Reviews, PsycINFO, and PubMed were searched for meta-analyses of CBT for gambling harm among individuals aged 18 years and older. The search yielded five meta-analyses that met inclusion criteria, representing 56 unique studies and 5389 participants. The methodological rigor for one meta-analyses was rated high, two were moderate, and two were critically low. Including only moderate- to high-quality meta-analyses, a robust variance estimation meta-analysis indicated that CBT significantly reduced gambling disorder severity (g = −0.91), gambling frequency (g = −0.52), and gambling intensity (g = −0.32) relative to minimal and no treatment control at posttreatment, suggesting 65%–82% of participants receiving CBT will show greater reductions in these outcomes than minimal or no treatment controls. Overall, there is strong evidence for CBT in reducing gambling harm and gambling behavior, and this evidence provides individuals, clinicians, managed care companies, and policymakers with clear recommendations about treatment selection.

查看原文本刊更多论文

赌博危害的认知行为治疗：总括综述和荟萃分析。

目前的总括综述和荟萃分析的目的是评估现有关于赌博危害的认知行为治疗（CBT）的荟萃分析的方法学严谨性。在Cochrane系统评价数据库、PsycINFO和PubMed中搜索CBT对18岁及以上人群赌博危害的荟萃分析。该搜索产生了五项符合纳入标准的荟萃分析，代表了56项独特的研究和5389名参与者。一项荟萃分析的方法学严谨性被评为高，两项中等，两项极低。仅包括中等至高质量的荟萃分析，一项稳健的方差估计荟萃分析表明，与治疗后的最低和无治疗控制相比，CBT显著降低了赌博障碍的严重程度（g=-0.91）、赌博频率（g=-0.52）和赌博强度（g=0.32），这表明接受CBT的参与者中，65%-82%的人将比很少或没有治疗的对照组表现出更大的这些结果的减少。总的来说，有强有力的证据表明CBT可以减少赌博危害和赌博行为，这一证据为个人、临床医生、管理型护理公司和政策制定者提供了关于治疗选择的明确建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.