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Gamblers Anonymous as a Recovery Pathway: A Scoping Review
Andrée Schuler1, Peter Ferentzy2, Nigel E Turner2
1Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Gamblers Anonymous (GA) effectiveness for problem gambling recovery is inconsistently supported by current research. More rigorous studies are needed to understand GA's impact and recovery culture.
Area of Science:
- Addiction research
- Psychology
- Public Health
Background:
- Gamblers Anonymous (GA) is a prevalent mutual aid organization for problem gambling.
- Limited research exists on the effectiveness of GA as a recovery approach.
Purpose of the Study:
- To conduct a scoping review of the evidence base for GA's effectiveness in problem gambling recovery.
- To identify key aspects of GA's recovery culture.
Main Methods:
- Scoping review of literature published between 2002 and 2015.
- Searched 13 databases and relevant organizational websites.
- Assessed methodological quality using the Mixed Methods Appraisal Tool.
Main Results:
- 17 studies (25 publications) were included, mostly cross-sectional from the US.
- Evidence for GA's effectiveness, alone or with other treatments, is inconsistent.
- GA's recovery culture emphasizes patience, acceptance, and self-identity as a "compulsive gambler".
Conclusions:
- There is a need for large-scale randomized controlled trials to assess GA's effectiveness.
- Further research should explore GA's mechanisms, barriers, and the experiences of women within the fellowship.
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