Betting on change: An analysis of cognitive motivational behavior therapy versus referral to gamblers anonymous for gambling disorder.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2025-03-20 DOI:10.1037/adb0001063

Edelgard Wulfert, Stephanie E Wemm, James D Broussard

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引用次数: 0

Abstract

Objective: Many existing treatments for gambling disorder grapple with the challenge of losing participants from treatment. Thus, treatments designed to increase adherence and retention would contribute significantly to the existing gambling treatment efficacy literature. Our study steps into the arena with an innovative approach.

Method: We tested the effectiveness of cognitive motivational behavior therapy (CMBT), a treatment for gambling disorder designed not only to address symptoms but also to anchor participants throughout the treatment journey. We enrolled 46 individuals seeking treatment for gambling problems, all meeting the criteria for gambling disorder, and randomly assigned them to undergo 12 sessions of CMBT or to attend at least 12 sessions of Gamblers Anonymous (GA) meetings.

Results: Zero-inflated Poisson regression showed that individuals in CMBT had a 94% probability of completing treatment, with 95.7% attending all 12 treatment sessions and 91.3% completing the 6-month follow-up. Overall, individuals in CMBT gambled less money during follow-up periods relative to baseline than those in GA, F(3, 116.81) = 3.72, p = .01. A secondary moderator analysis revealed that of those participants who were low in readiness to change, only those randomized to CMBT gambled less money, F(3, 110.29) = 3.96, p = .01.

Conclusions: Compared to GA, CMBT was more effective at retaining participants in treatment and reducing the amount of money gambled. For those who began treatment with low readiness to change, CMBT also decreased the severity of problem gambling, which was not the case for those referred to GA. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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赌改变：认知动机行为疗法与匿名赌徒转介治疗赌博障碍的对比分析。

目的：许多现有的治疗赌博障碍与失去参与者的挑战作斗争。因此，旨在增加依从性和保留的治疗方法将对现有的赌博治疗疗效文献做出重大贡献。我们的研究以一种创新的方法进入了这个领域。方法：我们测试了认知动机行为疗法（CMBT）的有效性，这是一种针对赌博障碍的治疗方法，不仅可以解决症状，还可以在整个治疗过程中锚定参与者。我们招募了46名寻求赌博问题治疗的个人，他们都符合赌博障碍的标准，并随机分配他们接受12次CMBT或参加至少12次赌徒匿名（GA）会议。结果：零膨胀泊松回归显示，CMBT患者完成治疗的概率为94%，其中95.7%的人参加了所有12次治疗，91.3%的人完成了6个月的随访。总体而言，与基线相比，CMBT个体在随访期间的赌博金额较少，F(3,116.81) = 3.72, p = 0.01。二次调节分析显示，在那些改变意愿较低的参与者中，只有随机分配到CMBT的参与者赌博较少，F(3,110.29) = 3.96, p = 0.01。结论：与GA相比，CMBT在保留参与者治疗和减少赌博金额方面更有效。对于那些开始治疗时不太愿意改变的人来说，CMBT也降低了问题赌博的严重程度，而对于那些接受GA治疗的人来说，情况并非如此。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.