Understanding dropout during psychological treatment for gambling: A scoping review

IF 11.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI:10.1016/j.cpr.2025.102653

C.O. Hawker , S.E. Dias , N.A. Dowling , A.C. Thomas , B.J. Thornley , S.L. Campbell , K.L. Quigley , S.S. Merkouris

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引用次数: 0

Abstract

This scoping review broadly aims to identify recent research on six indices of dropout during face-to-face psychological treatment for harmful gambling, including definitions of dropout, estimates of dropout, reasons for dropout, predictors of dropout, consequences of dropout, and solutions to dropout. A systematic search of electronic databases and grey literature identified 66 studies (from 67 articles/reports) published from 2004, most commonly contributing data to estimates (94 %), followed by predictors (74 %), definitions (73 %), reasons (15 %), consequences (8 %), and solutions (3 %). The findings revealed several definitions of dropout, typically relating to the non-attendance of a pre-defined and usually arbitrary number of treatment sessions, which risks the misclassification of clients with symptom improvement. The median rate of dropout (derived from 76 estimates) was 35.4 % across all treatment types and 34.8 % across Cognitive Behavioural Therapy (CBT) treatments. The most reported reasons for dropout were practical issues (e.g., scheduling conflicts), with few reasons relating to specific therapeutic orientations recorded. A large number of potential predictors have been examined with few consistent results, whereby being married/de-facto appears to consistently lower the risk of dropout. Dropout was consistently associated with higher subsequent gambling symptoms, urges, cognitions, and behaviors, with some additional evidence for worsened psychological symptoms, albeit based on a small number of studies. Only two studies examined the addition of motivational procedures to redress the risk of dropout, which produced favourable results. More research is needed, utilising standardised definitions and bespoke large-scale examinations, to improve retention during gambling treatment.

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了解赌博心理治疗期间的辍学：范围审查

这一范围审查的广泛目的是确定在面对面的有害赌博心理治疗中辍学的六个指标的最新研究，包括辍学的定义、辍学的估计、辍学的原因、辍学的预测因素、辍学的后果和辍学的解决方案。对电子数据库和灰色文献进行系统搜索，确定了2004年以来发表的66项研究（来自67篇文章/报告），其中最常见的是为估计（94%）提供数据，其次是预测（74%）、定义（73%）、原因（15%）、结果（8%）和解决方案（3%）。研究结果揭示了辍学的几种定义，通常与不参加预先定义的、通常是任意数量的治疗有关，这有可能对症状改善的客户进行错误分类。所有治疗类型的中位辍学率（来自76项估计）为35.4%，认知行为疗法（CBT）治疗的中位辍学率为34.8%。据报道，大多数辍学的原因是实际问题（例如，日程冲突），很少有与具体治疗取向有关的原因记录。对大量潜在的预测因素进行了研究，但几乎没有一致的结果，即结婚/同居似乎始终能降低辍学的风险。辍学与随后更高的赌博症状、冲动、认知和行为一致相关，尽管基于少量研究，但还有一些额外的证据表明心理症状会恶化。只有两项研究考察了增加激励程序以纠正辍学风险，并产生了有利的结果。需要更多的研究，利用标准化的定义和定制的大规模检查，以提高赌博治疗期间的记忆力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.