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Related Experiment Videos

Cognitive-behavioral therapy for pathological gamblers.

Nancy M Petry1, Yola Ammerman, Jaime Bohl

  • 1Department of Psychiatry, University of Connecticut Health Center, Storrs, CT 06030-3944, USA. petry@psychiatry.uchc.edu

Journal of Consulting and Clinical Psychology
|July 11, 2006
PubMed
Summary

Cognitive-behavioral therapy (CBT) significantly reduced pathological gambling compared to Gamblers Anonymous (GA) alone. CBT approaches, especially individual therapy, showed lasting improvements in gambling behavior and related problems.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Pathological gambling is a significant public health issue.
  • Limited research exists on the efficacy of psychotherapies for pathological gambling.
  • Cognitive-behavioral (CB) interventions are a promising avenue for treatment.

Purpose of the Study:

  • To evaluate the efficacy of cognitive-behavioral (CB) interventions for pathological gambling.
  • To compare the effectiveness of individual CB therapy, a CB workbook, and referral to Gamblers Anonymous (GA).

Main Methods:

  • 231 pathological gamblers were randomly assigned to three groups: GA referral, GA referral plus a CB workbook, or GA referral plus 8 sessions of individual CB therapy.
  • Gambling and related problems were assessed at baseline, 1 month, posttreatment, and at 6- and 12-month follow-ups.

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Main Results:

  • CB treatment significantly reduced gambling compared to GA referral alone during the treatment period.
  • Both individual CB therapy and the CB workbook resulted in clinically significant improvements, with some effects maintained throughout follow-up.
  • Individual CB therapy demonstrated superior outcomes compared to the CB workbook for certain measures.
  • Attendance at GA and engagement with CB interventions (sessions or workbook exercises) correlated with gambling abstinence.

Conclusions:

  • Cognitive-behavioral therapy is an effective treatment for pathological gambling.
  • Individual CB therapy offers significant benefits over a self-help workbook approach.
  • Engagement with treatment is a key factor in achieving and maintaining abstinence from gambling.