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Related Concept Videos

Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...

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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
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Computerized cognitive training for problem gambling: A randomized controlled trial (TRAIN-online).

Amandine Luquiens1,2,3, Amine Benyamina3,4, Pascal Perney1,2

  • 11Department of Addiction, CHU Nîmes, Univ Montpellier, Nîmes, France.

Journal of Behavioral Addictions
|January 17, 2025
PubMed
Summary
This summary is machine-generated.

Web-based cognitive training showed inconsistent efficacy for problem gambling. Minimal telephone interventions may suffice for some individuals, indicating a need for optimized cognitive strategies and objective outcome measures.

Keywords:
RCTcognitive trainingefficacynon face-to-face interventionproblem gambling

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Area of Science:

  • Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Non-face-to-face interventions show promise for problem gambling.
  • Cognitive training has potential but inconsistent efficacy in treating problem gambling.

Purpose of the Study:

  • To evaluate a web-based cognitive training program targeting inhibition in adults with problem gambling.
  • To compare the efficacy of cognitive training against a visuo-spatial control program.
  • To assess changes in gambling severity, impulsivity, and quality of life.

Main Methods:

  • A parallel, randomized, controlled, single-blinded trial was conducted.
  • Participants (CPGI ≥5) were randomized 1:1 to cognitive training or a control program.
  • Weekly phone calls supported engagement and transferability; outcomes measured at 6 and 14 weeks.

Main Results:

  • No significant differences were found between the cognitive training and control groups for any outcome.
  • Mean Problem Gambling Severity Index (PGSI) change at 6 weeks was -2.75 (intervention) vs. -2.44 (control).
  • 34% of participants were no longer problem gamblers at 14 weeks; intervention acceptability was moderate.

Conclusions:

  • Further research is needed to optimize cognitive interventions for problem gambling, improve engagement, and demonstrate added value.
  • Minimal telephone interventions may be sufficient for some individuals with problem gambling.
  • Objective, account-based gambling data are recommended for future studies.