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Twelve-step facilitated versus mapping-enhanced cognitive-behavioral therapy for pathological gambling: a controlled
Janice C Marceaux1, Cameron L Melville
1McNeese State University, 4205 Ryan St., Lake Charles, LA 70609, USA.
Journal of Gambling Studies
|May 22, 2010
Summary
Both cognitive-behavioral group therapy (CBGT-mapping) and twelve-step facilitated (TSF) treatment effectively reduce pathological gambling. These interventions showed sustained improvements in gambling outcomes at six months.
Area of Science:
- Psychiatry
- Behavioral Science
Background:
- Pathological gambling is a significant public health concern.
- Effective group treatments are needed to address gambling disorder.
Purpose of the Study:
- To compare the efficacy of node-link mapping-enhanced cognitive-behavioral group therapy (CBGT-mapping) and twelve-step facilitated (TSF) group treatment for pathological gambling.
- To evaluate treatment gains at post-treatment and 6-month follow-up.
Main Methods:
- Forty-nine participants with pathological gambling were randomly assigned to CBGT-mapping, TSF, or a Wait-List control group.
- Outcome measures included DSM-IV criteria, self-efficacy, desire to gamble, and gambling frequency.
Main Results:
- Both CBGT-mapping and TSF groups showed significant improvements in gambling outcomes compared to the Wait-List control.
- No significant differences were found between CBGT-mapping and TSF at follow-up.
- Treatment gains were maintained at the 6-month follow-up assessment.
Conclusions:
- Both TSF and CBGT-mapping are viable and effective group interventions for pathological gambling.
- The observed improvements in gambling outcomes were sustained at 6 months post-treatment.
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