Treatment outcomes and predictors of drop out for problem gamblers in South Australia : a cohort study

Smith, David, Harvey, Peter, Battersby, Malcolm, Pols, Rene, Oakes, Jane and Baigent, Michael 2010, Treatment outcomes and predictors of drop out for problem gamblers in South Australia : a cohort study, Australian and New Zealand journal of psychiatry, vol. 44, no. 10, pp. 911-920, doi: 10.3109/00048674.2010.493502.

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Title Treatment outcomes and predictors of drop out for problem gamblers in South Australia : a cohort study
Author(s) Smith, David
Harvey, PeterORCID iD for Harvey, Peter
Battersby, Malcolm
Pols, Rene
Oakes, Jane
Baigent, Michael
Journal name Australian and New Zealand journal of psychiatry
Volume number 44
Issue number 10
Start page 911
End page 920
Total pages 10
Publisher Sage Publications
Place of publication London, Eng.
Publication date 2010-10
ISSN 0004-8674
Keyword(s) gambling treatment
problem gambling
treatment drop-out
treatment outcomes
Summary OBJECTIVES: Recent prevalence studies in Australia, the USA and Canada have estimated 1-2% of the adult population meet the diagnostic criteria for problem or pathological gambling. The Statewide Gambling Therapy Service (SGTS) provides treatment for problem gamblers in key metropolitan and rural regions in South Australia. The aims of this study were two-fold: to analyse the short and mid-term outcomes following treatment provided by SGTS and to identify factors associated with treatment drop-out. METHOD: A cohort of treatment seeking problem gamblers was recruited through SGTS in 2008. Repeated outcome measures included problem gambling screening, gambling related cognitions and urge. Treatment drop-out was defined as participants attending three or less treatment sessions, whilst potential predictors of drop-out included perceived social support , anxiety and sensation-seeking traits. RESULTS: Of 127 problem gamblers who participated in the study, 69 (54%) were males with a mean age of 43.09 years (SD = 12.65 years) and with 65 (52%) reporting a duration of problem gambling greater than 5 years. Follow up time for 50% of participants was greater than 8.9 months and, overall, 41 (32%) participants were classified as treatment drop-outs. Results indicated significant improvement over time on all outcome measures except alcohol use for both treatment completers and drop-outs, although to a lesser extent for the treatment drop-out group. A significant predictor of treatment drop-out was sensation-seeking traits. CONCLUSION: These results will inform future treatment planning and service delivery, and guide research into problem gambling including aspects of treatment drop-out.
Language eng
DOI 10.3109/00048674.2010.493502
Field of Research 111799 Public Health and Health Services not elsewhere classified
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 ©2010, Sage
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