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A preliminary, qualitative exploration of the influences associated with drop-out from cognitive-behavioural therapy for problem gambling : an Australian perspective

Dunn, Kirsten, Delfabbro, Paul and Harvey, Peter 2012, A preliminary, qualitative exploration of the influences associated with drop-out from cognitive-behavioural therapy for problem gambling : an Australian perspective, Journal of gambling studies, vol. 28, no. 2, pp. 253-272, doi: 10.1007/s10899-011-9257-x.

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Title A preliminary, qualitative exploration of the influences associated with drop-out from cognitive-behavioural therapy for problem gambling : an Australian perspective
Author(s) Dunn, Kirsten
Delfabbro, Paul
Harvey, PeterORCID iD for Harvey, Peter orcid.org/0000-0003-2983-663X
Journal name Journal of gambling studies
Volume number 28
Issue number 2
Start page 253
End page 272
Total pages 20
Publisher Springer
Place of publication Berlin, Germany
Publication date 2012-06
ISSN 1050-5350
Keyword(s) qualitative
gambling
drop-out
CBT
Summary It has been estimated that 80% of Australians engage in some form of gambling, with approximately 115,000 Australians experiencing severe problems (Productivity Commission 2010). Very few people with problem gambling seek help and, of those who do, large numbers drop-out of therapy before completing their program. To gain insights into these problems, participants who had either completed or withdrawn prematurely from an individual CBT-based problem gambling treatment program were interviewed to examine factors predictive of premature withdrawal from therapy as well as people's 'readiness' for change. The results indicated that there might be some early indicators of risk for early withdrawal. These included: gambling for pleasure or social interaction; non-compliance with homework tasks; gambling as a strategy to avoid personal issues or dysphoric mood; high levels of guilt and shame; and a lack of readiness for change. The study further showed that application of the term 'drop-out' to some clients may be an unnecessarily negative label in that a number appear to have been able to reduce their gambling urges even after a short exposure to therapy.
Language eng
DOI 10.1007/s10899-011-9257-x
Field of Research 111799 Public Health and Health Services not elsewhere classified
1506 Tourism
1701 Psychology
1608 Sociology
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081523

Document type: Journal Article
Collection: School of Medicine
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