Mindfulness-Based Relapse Prevention for the Treatment of Gambling Disorder among U.S. Military Veterans: Case Series and Feasibility

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2021-05-30 DOI:10.1177/15346501211020122

S. Shirk, L. Muquit, J. Deckro, Patricia J. Sweeney, Shane W. Kraus

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引用次数: 3

Abstract

Gambling disorder (GD) occurs at higher rates in U.S. veterans than civilians. The present case series describes the application of a manualized mindfulness treatment used with U.S. veterans seeking outpatient treatment for GD at a Department of Veterans Affairs hospital. Mindfulness-Based Relapse Prevention (MBRP) was developed to treat substance use disorders, but its core principles can be readily applied to the treatment of behavioral addictions. However, there has been little empirical evidence demonstrating its successful application for GD, and none demonstrating its successful implementation with U.S. veterans. Three veterans receiving treatment for GD participated in a 9-session adapted MBRP protocol. Following completion of treatment, the veterans reported less frequent engagement in their gambling behavior, fewer cravings, and less intense craving. The veterans also experienced increased self-efficacy in managing urges, less impulsivity and emotion dysregulation, and improved functioning. Preliminary results provide support for a larger treatment trial for veterans seeking treatment for GD.

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基于正念的复发预防治疗美国退伍军人赌博障碍：案例系列和可行性

美国退伍军人的赌博障碍发生率高于平民。本案例系列描述了在退伍军人事务部医院寻求GD门诊治疗的美国退伍军人使用的手动正念治疗的应用。基于正念的复发预防（MBRP）是为了治疗物质使用障碍而开发的，但其核心原则可以很容易地应用于行为成瘾的治疗。然而，几乎没有实证证据表明其成功应用于GD，也没有证据表明其在美国退伍军人中的成功实施。三名接受GD治疗的退伍军人参加了一项9期适应MBRP方案。治疗结束后，退伍军人报告说，他们的赌博行为不那么频繁，渴望也不那么强烈。退伍军人在管理冲动方面的自我效能感也有所提高，冲动和情绪失调减少，功能也有所改善。初步结果为寻求GD治疗的退伍军人进行更大规模的治疗试验提供了支持。

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 Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.