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Dissociative experiences reduce online problem gambling treatment effectiveness.

Tuire Korvuo1, Jussi Palomäki2, Sari Castrén3

  • 1Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Comprehensive Psychiatry
|September 9, 2023
PubMed
Summary

Dissociative experiences can reduce the effectiveness of online problem gambling treatment. Tailoring interventions for individuals with persistent dissociation is crucial for long-term success in managing gambling behaviors.

Keywords:
Cognitive behavioral therapyDissociationInterventionOnlineProblem gamblingTreatment

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Area of Science:

  • Psychiatry
  • Psychology
  • Behavioral Science

Background:

  • Problem gambling is a significant public health issue.
  • Dissociative experiences are common in individuals with problem gambling.
  • Online treatments offer accessible interventions for problem gambling.

Purpose of the Study:

  • To investigate if dissociative experiences moderate the effectiveness of online problem gambling treatment.
  • To examine the long-term relationship between dissociation and problem gambling.

Main Methods:

  • A guided online cognitive behavioral therapy (CBT) for problem gambling was evaluated.
  • Self-report data on problem gambling and dissociation were collected from 1243 participants before, after, and at 6- and 12-month follow-ups.
  • Statistical analyses examined the interaction between treatment phase, dissociative experiences, and problem gambling severity.

Main Results:

  • Problem gambling and dissociative experiences significantly decreased post-treatment and were sustained at follow-ups.
  • Online CBT was less effective for individuals with persistent post-treatment dissociative experiences.
  • Dissociation is linked to problem gambling severity and impacts treatment outcomes.

Conclusions:

  • Sustained dissociative experiences can significantly impair the long-term effectiveness of online problem gambling treatments.
  • Treatment strategies should be individualized to address varying levels of dissociation.
  • Further research should explore dissociation in other behavioral addictions.