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Published on: March 17, 2019
[Cognitive-behavioral treatment for impulse control disorders]
David C Hodgins1, Nicole Peden
1Departmento de Psicologia, University of Calgary, Calgary, Alberta, Canada. dhodgins@ucalgary.ca
Cognitive-behavioral therapies show promise for treating kleptomania, compulsive buying, and pathological gambling. While research is limited, these techniques offer an effective intervention model for these impulse-control disorders.
Area of Science:
- Psychiatry
- Psychology
- Behavioral Science
Background:
- Kleptomania, compulsive buying, and pathological gambling are impulse-control disorders.
- Limited empirical research exists for effective treatments.
Purpose of the Study:
- To review cognitive-behavioral treatment strategies for kleptomania, compulsive buying, and pathological gambling.
Main Methods:
- A comprehensive review of the published literature was conducted.
Main Results:
- Cognitive-behavioral techniques reviewed include covert sensitization, imaginal/systematic desensitization, aversion therapy, relaxation training, stimulus control, cognitive restructuring, and relapse prevention.
- Treatment research for these disorders is limited, with no empirical support for compulsive buying treatments.
- Pathological gambling treatment has shown success using multimodal and cognitive techniques.
Conclusions:
- Cognitive-behavioral therapies are recognized as an effective intervention model for kleptomania, compulsive buying, and pathological gambling.
- Individualized case formulation and suggested clinical practice guidelines are provided.
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