Efficacy of a randomized controlled trial of integrative couple treatment for pathological gambling (ICT-PG): 10-month follow-up.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2023-04-01 DOI:10.1037/ccp0000765

Joël Tremblay, Magali Dufour, Karine Bertrand, Marianne Saint-Jacques, Francine Ferland, Nadine Blanchette-Martin, Annie-Claude Savard, Mélissa Côté, Djamal Berbiche, Myriam Beaulieu

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引用次数: 2

Abstract

Objective: Assess the efficacy of integrative couple treatment for pathological gambling (ICT-PG) in comparison to treatment provided in an individual approach.

Method: Eighty couples were assigned randomly to ICT-PG (n = 44, M_age = 42.2, SD [13.4], n male gamblers = 29) or individual treatment (n = 36, M_age = 39.9 SD [13.0], n male gamblers = 31) with follow-ups at 4- and 10-months postadmission regarding the severity of gambling, the individual and couple's well-being. Linear mixed and generalized estimating equation models for repeated measures were applied to take into account the dependency of observations. Protocol was preregistered at www.

Clinicaltrials: gov (ID: NCT02240485).

Results: Participants in both treatments generally improved over time with reductions on gambling expanses from an initial $4,000-$600 in a 90-day period following treatment, without difference across treatment conditions in money spent on gambling or frequency of gambling. However, on different indices of gambling severity, the participants in ICT-PG showed more improvement at follow-ups, with better control capacity (OR = 2.57, p < .0129) and greater reduction in gambling craving (OR = 5.83, p < .0001) and erroneous cognitions (OR = 2.63, p < .0063). The couple treatment was associated with a better individual well-being (e.g., less depression for partners, OR = 5.53; p < .0351, and gamblers, OR = 2.37; p < .0334) and couple well-being (e.g., better dyadic satisfaction for partners, OR = 2.02; p < .0057, and gamblers, OR = 3.07; p < .0212).

Conclusions: The results underline the necessity to provide a greater diversity of treatment for gamblers and their partner. Further research should focus on identifying active components of ICT-PG and widen its provision to gamblers with concurrent addiction disorders. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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结合治疗病理性赌博(ICT-PG)的随机对照试验疗效:10个月随访。

目的:评估综合夫妻治疗病理赌博(ICT-PG)的效果，并与个体治疗方法进行比较。方法:80对夫妇被随机分配到ICT-PG组(n = 44, Mage = 42.2, SD [13.4]， n名男性赌徒= 29)或单独治疗组(n = 36, Mage = 39.9 SD [13.0]， n名男性赌徒= 31)，并在入院后4个月和10个月对赌博严重程度、个人和夫妇的幸福感进行随访。采用线性混合和广义估计方程模型进行重复测量，以考虑观测值的依赖性。协议已在www.Clinicaltrials: gov (ID: NCT02240485)上预注册。结果:两种治疗的参与者随着时间的推移普遍有所改善，在治疗后的90天内，赌博费用从最初的4,000美元减少到600美元，在不同的治疗条件下，赌博花费或赌博频率没有差异。然而，在不同的赌博严重程度指标上，ICT-PG参与者在随访中表现出更多的改善，更好的控制能力(OR = 2.57, p < 0.0129)，赌博渴望(OR = 5.83, p < 0.0001)和错误认知(OR = 2.63, p < 0.0063)的减少更大。夫妻治疗与更好的个人幸福感相关(例如，伴侣较少抑郁，OR = 5.53;p < .0351，赌徒，OR = 2.37;p < .0334)和夫妻幸福感(例如，伴侣的二元满意度更高，OR = 2.02;p < 0.0057，赌徒，OR = 3.07;P < 0.0212)。结论:研究结果强调了为赌徒及其伴侣提供更多样化治疗的必要性。进一步的研究应集中于确定信息通信技术- pg的活性成分，并扩大其提供给同时成瘾障碍的赌徒。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.