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Related Experiment Videos

Interventions for pathological gambling.

M A Oakley-Browne1, P Adams, P M Mobberley

  • 1Psychiatry and Behavioural Science, The University of Auckland, Private Bag 92019, Auckland, New Zealand. m.oakley-browne@auckland.ac.nz

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
This summary is machine-generated.

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Limited research exists on pathological gambling treatments. Behavioral and cognitive-behavioral therapies show short-term effectiveness, but more rigorous randomized controlled trials (RCTs) are needed due to increasing gambling accessibility.

Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Pathological gambling is a growing public health concern with significant individual and societal consequences.
  • Associated risks include relationship/job loss, criminal offenses, stress-related medical conditions, mood disorders, substance abuse, and high suicide rates.
  • Increasing awareness necessitates research into effective gambling disorder treatments.

Purpose of the Study:

  • To systematically review and meta-analyze all randomized controlled trials (RCTs) of psychological and pharmacological treatments for pathological gambling.
  • Inclusion of both published and unpublished scientific reports.

Main Methods:

  • Comprehensive searches of electronic databases and hand-searching relevant journals.
  • Contacting researchers and treatment centers, and scanning bibliographies for additional studies.

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  • Inclusion of all eligible RCTs, with quality rating focusing on allocation concealment and blinding.

    • Main Results:

    • Only four RCTs on psychological treatments were identified, exhibiting heterogeneity and poor methodological quality.
    • Behavioral/cognitive-behavioral therapy (BT/CBT) demonstrated short-term efficacy over control interventions (RR 0.44, 95% CI 0.24-0.81).
    • Long-term BT/CBT efficacy showed a trend but lacked consistent statistical significance due to model sensitivity.

    Conclusions:

    • A significant lack of robust evidence for effective pathological gambling treatments was identified.
    • Given increasing gambling accessibility and rising rates, there is a critical need for more rigorous RCTs.
    • Further high-quality research is crucial to inform effective interventions for gambling disorder.