Predictors of outcomes of psychological treatments for disordered gambling : a systematic review

Merkouris, SS, Thomas, SA, Browning, CJ and Dowling, NA 2016, Predictors of outcomes of psychological treatments for disordered gambling : a systematic review, Clinical psychology review, vol. 48, pp. 7-31, doi: 10.1016/j.cpr.2016.06.004.

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Title Predictors of outcomes of psychological treatments for disordered gambling : a systematic review
Author(s) Merkouris, SSORCID iD for Merkouris, SS orcid.org/0000-0001-9037-6121
Thomas, SA
Browning, CJ
Dowling, NAORCID iD for Dowling, NA orcid.org/0000-0001-8592-2407
Journal name Clinical psychology review
Volume number 48
Start page 7
End page 31
Total pages 25
Publisher Elsevier
Place of publication London, Eng.
Publication date 2016-08
ISSN 1873-7811
Keyword(s) Gambling
Predictor
Systematic review
Treatment outcome
Social Sciences
Psychology, Clinical
Psychology
SEEKING PATHOLOGICAL GAMBLERS
COGNITIVE-BEHAVIORAL THERAPY
SUBSTANCE-ABUSE TREATMENT
FOLLOW-UP
PERSONALITY-DISORDER
PROBLEM SEVERITY
METAANALYSIS
IMPULSIVITY
PSYCHOTHERAPY
PREVALENCE
Summary This systematic review aimed to synthesise the evidence relating to pre-treatment predictors of gambling outcomes following psychological treatment for disordered gambling across multiple time-points (i.e., post-treatment, short-term, medium-term, and long-term). A systematic search from 1990 to 2016 identified 50 articles, from which 11 socio-demographic, 16 gambling-related, 21 psychological/psychosocial, 12 treatment, and no therapist-related variables, were identified. Male gender and low depression levels were the most consistent predictors of successful treatment outcomes across multiple time-points. Likely predictors of successful treatment outcomes also included older age, lower gambling symptom severity, lower levels of gambling behaviours and alcohol use, and higher treatment session attendance. Significant associations, at a minimum of one time-point, were identified between successful treatment outcomes and being employed, ethnicity, no gambling debt, personality traits and being in the action stage of change. Mixed results were identified for treatment goal, while education, income, preferred gambling activity, problem gambling duration, anxiety, any psychiatric comorbidity, psychological distress, substance use, prior gambling treatment and medication use were not significantly associated with treatment outcomes at any time-point. Further research involving consistent treatment outcome frameworks, examination of treatment and therapist predictor variables, and evaluation of predictors across long-term follow-ups is warranted to advance this developing field of research.
Language eng
DOI 10.1016/j.cpr.2016.06.004
Field of Research 170106 Health, Clinical and Counselling Psychology
1701 Psychology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086011

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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