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Cognitive versus exposure therapy for problem gambling: Randomised controlled trial.

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Cognitive therapy (CT) and exposure therapy (ET) show similar effectiveness in treating problem gambling. Further large-scale studies are needed to compare these cognitive-behavioural therapies and improve patient retention.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Problem gambling is a significant issue with limited comparative treatment research.
  • Cognitive therapy (CT) and exposure therapy (ET) are established cognitive-behavioural approaches.
  • Direct randomized trials comparing CT and ET for problem gambling are lacking.

Purpose of the Study:

  • To compare the effectiveness of CT and ET for adult problem gamblers.
  • To evaluate differential efficacy of these two core treatments.
  • To assess treatment outcomes at a South Australian gambling therapy service.

Main Methods:

  • A two-group randomized, parallel design trial was conducted.
  • Participants were adult problem gamblers receiving either CT or ET.
  • The Victorian Gambling Screen (VGS) was used for outcome assessment at multiple follow-up points.

Main Results:

  • Eighty-seven participants were randomized (CT=44, ET=43), with 59% completing treatment.
  • Both CT and ET groups showed comparable reductions in VGS scores at 12 weeks and 6 months.
  • No significant difference in treatment efficacy was observed between CT and ET.

Conclusions:

  • Cognitive therapy and exposure therapy are both effective treatments for problem gambling.
  • Further large-scale randomized trials are necessary.
  • Investigating combined therapies and strategies to improve retention is recommended.