Cognitive versus exposure therapy for problem gambling: randomised controlled trial

Smith, David P., Battersby, Malcolm W., Harvey, Peter W., Pols, Rene G. and Ladouceur, Robert 2015, Cognitive versus exposure therapy for problem gambling: randomised controlled trial, Behaviour research and therapy, vol. 69, pp. 100-110, doi: 10.1016/j.brat.2015.04.008.

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Title Cognitive versus exposure therapy for problem gambling: randomised controlled trial
Author(s) Smith, David P.
Battersby, Malcolm W.
Harvey, Peter W.ORCID iD for Harvey, Peter W.
Pols, Rene G.
Ladouceur, Robert
Journal name Behaviour research and therapy
Volume number 69
Start page 100
End page 110
Total pages 11
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-06
ISSN 1873-622X
Keyword(s) Problem gambling
Cognitive therapy
Exposure therapy
Randomised controlled trial
Summary BACKGROUND: Problem gambling-specific cognitive therapy (CT) and behavioural (exposure-based) therapy (ET) are two core cognitive-behavioural techniques to treating the disorder, but no studies have directly compared them using a randomised trial. AIMS: To evaluate differential efficacy of CT and ET for adult problem gamblers at a South Australian gambling therapy service. METHODS: Two-group randomised, parallel design. Primary outcome was rated by participants using the Victorian Gambling Screen (VGS) at baseline, treatment-end, 1, 3, and 6 month follow-up. FINDINGS: Of eighty-seven participants who were randomised and started intervention (CT = 44; ET = 43), 51 (59%) completed intervention (CT = 30; ET = 21). Both groups experienced comparable reductions (improvement) in VGS scores at 12 weeks (mean difference -0.18, 95% CI: -4.48-4.11) and 6 month follow-up (mean difference 1.47, 95% CI: -4.46-7.39). CONCLUSIONS: Cognitive and exposure therapies are both viable and effective treatments for problem gambling. Large-scale trials are needed to compare them individually and combined to enhance retention rates and reduce drop-out.
Language eng
DOI 10.1016/j.brat.2015.04.008
Field of Research 1701 Psychology
1503 Business And Management
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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