Cognitive and Behavioral Treatment of Pathological Gambling: A Controlled Study

This study evaluated the efficacy of a cognitive-behavioral treatment package for pathological gambling. Twenty-nine men who met criteria for pathological gambling in accordance with the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised; DSM-III-R; American Psychiatric Associat...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1997-10, Vol.65 (5), p.727-732
Main Authors: Sylvain, Caroline, Ladouceur, Robert, Boisvert, Jean-Marie
Format: Article
Language:English
Subjects:
Adult
Behavior modification
Behavior therapy. Cognitive therapy
Behavioral sciences
Biological and medical sciences
Cognitive Behavioral Therapy
Cognitive behaviour therapy
Cognitive Therapy
Follow-Up Studies
Followup Studies
Gambling
Gambling - psychology
Gambling Disorder
Human
Humans
Internal-External Control
Male
Medical sciences
Men
Middle Aged
Motivation
Pathological gambling
Perceptual Distortion
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Treatment Outcome
Treatments
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Summary:This study evaluated the efficacy of a cognitive-behavioral treatment package for pathological gambling. Twenty-nine men who met criteria for pathological gambling in accordance with the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised; DSM-III-R; American Psychiatric Association, 1987 ) were randomly assigned to treatment or wait-list control. The treatment included 4 components: (a) cognitive correction of erroneous perceptions about gambling, (b) problem-solving training, (c) social skills training, and (d) relapse prevention. The dependent variables were the South Oaks Gambling Screen, perception of control, frequency of gambling, perceived self-efficacy, desire to gamble, and number of DSM-III-R criteria met by participants. Posttest results indicated highly significant changes in the treatment group on all outcome measures, and analysis of data from 6- and 12-month follow-ups revealed maintenance of therapeutic gains. Recommendations for clinical interventions are discussed and focus on the cognitive correction of erroneous perceptions of gambling.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.65.5.727