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Related Experiment Videos

WITHDRAWN: Interventions for pathological gambling.

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

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

The Cochrane Database of Systematic Reviews
|July 20, 2007
PubMed
Summary
This summary is machine-generated.

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Limited research indicates behavioral or cognitive-behavioral therapy (BT/CBT) shows short-term efficacy for pathological gambling. More high-quality randomized controlled trials (RCTs) are needed to confirm long-term effectiveness and guide treatment strategies for this growing public health concern.

Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Pathological gambling is increasing with wider accessibility.
  • Associated with significant individual and societal consequences, including medical conditions and comorbid disorders.
  • Growing demand for evidence-based treatment efficacy necessitates quality research.

Purpose of the Study:

  • To systematically review and meta-analyze all randomized controlled trials (RCTs) of psychological and pharmacological treatments for pathological gambling.
  • To assess the efficacy of treatments based on published and unpublished scientific reports.

Main Methods:

  • Systematic search of electronic databases, hand searching journals, and contacting researchers/treatment centers for RCTs.
  • Inclusion of all RCTs for pathological gambling treatments, with quality rating focusing on allocation concealment and blinding.

Related Experiment Videos

  • Relative risk analyses for controlled vs. uncontrolled gambling, considering short-term and long-term outcomes using fixed and random effects models.

    • Main Results:

    • Only four RCTs of psychological treatments were identified, exhibiting heterogeneity and poor methodological quality.
    • Behavioral or cognitive-behavioral therapy (BT/CBT) demonstrated short-term efficacy compared to control interventions (RR 0.44, 95% CI 0.24-0.81).
    • A trend suggested long-term efficacy for BT/CBT, but statistical significance varied with the meta-analysis model used.

    Conclusions:

    • A significant lack of robust evidence exists for effective pathological gambling treatments.
    • Increasing rates of pathological gambling worldwide highlight the urgent need for more rigorous RCTs.
    • Further high-quality research is crucial to establish effective interventions for pathological gambling.