Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?

Introduction. Cognitive-behavioural therapy (CBT) seems to offer effective treat- ment for pathological gambling (PG). However, it has not yet been established which techniques yield the best results, or whether exposure and response prevention (ERP) techniques are of additional use. Objectives. To...

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Autores: Jiménez Murcia, Susana|||0000-0002-3596-8033, Aymamí, Neus|||0000-0002-4607-9565, Gomez-Peña, Monica|||0000-0001-6194-8266, Santamaría, Juan José|||0000-0001-9957-9363, Alvarez Moya, Eva Maria|||0000-0002-3723-3225, Fernández Aranda, Fernando|||0000-0002-2968-9898, Granero, Roser|||0000-0001-6308-3198, Penelo Werner, Eva|||0000-0001-6796-7660, Bueno, Blanca, Moragas, Laura|||0000-0001-5235-7026, Gunnard, Katarina|||0000-0002-8002-0997, Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Tipo de recurso: artículo
Fecha de publicación:2012
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319681
Acceso en línea:https://ddd.uab.cat/record/319681
https://dx.doi.org/urn:doi:10.1111/j.2044-8260.2011.02012.x
Access Level:acceso abierto
Palabra clave:Cognitive-behavioural therapy
Pathological gambling
Exposure and response prevention
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spelling Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?Jiménez Murcia, Susana|||0000-0002-3596-8033Aymamí, Neus|||0000-0002-4607-9565Gomez-Peña, Monica|||0000-0001-6194-8266Santamaría, Juan José|||0000-0001-9957-9363Alvarez Moya, Eva Maria|||0000-0002-3723-3225Fernández Aranda, Fernando|||0000-0002-2968-9898Granero, Roser|||0000-0001-6308-3198Penelo Werner, Eva|||0000-0001-6796-7660Bueno, BlancaMoragas, Laura|||0000-0001-5235-7026Gunnard, Katarina|||0000-0002-8002-0997Menchón Magriñá, José Manuel|||0000-0002-6231-6524Cognitive-behavioural therapyPathological gamblingExposure and response preventionIntroduction. Cognitive-behavioural therapy (CBT) seems to offer effective treat- ment for pathological gambling (PG). However, it has not yet been established which techniques yield the best results, or whether exposure and response prevention (ERP) techniques are of additional use. Objectives. To evaluate clinical and socio-demographic characteristics of a PG sample at baseline, comparing cognitive-behavioural group intervention, with and without exposure, with response prevention (CBT + ERP vs. CBT), to compare the results of therapy and to assess pre-post changes in psychopathology between both groups. Design. We applied a quasi-experimental design comprising intervention on the independent variable, but without random assignment. Methods. The sample comprised 502 males with PG, consecutively admitted to a specialist unit, who received standardized outpatient CBT group therapy in 16 weekly sessions. Scores on the Symptom Checklist-Revised (SCL-90-R), the Temperament and Character Inventory-Revised (TCI-R), the South Oaks Gambling Screen (SOGS), and other clinical and psychopathological scales were recorded. Results. Pre-post changes did not differ between groups, except for SCL paranoid ideation, being greater in the CBT therapy group. The risk of relapse during treatment was similar in the CBT + ERP and CBT patients. However, compliance with treatment was poorer in the CBT + ERP group, who presented higher drop-out rates during treatment. Drop-out during therapy was associated with shorter disorder duration and higher scores on the TCI-R novelty seeking scale. Conclusions. Although the two CBT programs elicited similar therapy responses, patients receiving CBT alone showed higher adherence to therapy and lower drop-out rates. 22012-01-0120122012-01-01Articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/319681https://dx.doi.org/urn:doi:10.1111/j.2044-8260.2011.02012.xreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 215839Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2009/SGR-1554open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3196812026-06-06T12:50:31Z
dc.title.none.fl_str_mv Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
title Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
spellingShingle Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
Jiménez Murcia, Susana|||0000-0002-3596-8033
Cognitive-behavioural therapy
Pathological gambling
Exposure and response prevention
title_short Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
title_full Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
title_fullStr Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
title_full_unstemmed Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
title_sort Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
dc.creator.none.fl_str_mv Jiménez Murcia, Susana|||0000-0002-3596-8033
Aymamí, Neus|||0000-0002-4607-9565
Gomez-Peña, Monica|||0000-0001-6194-8266
Santamaría, Juan José|||0000-0001-9957-9363
Alvarez Moya, Eva Maria|||0000-0002-3723-3225
Fernández Aranda, Fernando|||0000-0002-2968-9898
Granero, Roser|||0000-0001-6308-3198
Penelo Werner, Eva|||0000-0001-6796-7660
Bueno, Blanca
Moragas, Laura|||0000-0001-5235-7026
Gunnard, Katarina|||0000-0002-8002-0997
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author Jiménez Murcia, Susana|||0000-0002-3596-8033
author_facet Jiménez Murcia, Susana|||0000-0002-3596-8033
Aymamí, Neus|||0000-0002-4607-9565
Gomez-Peña, Monica|||0000-0001-6194-8266
Santamaría, Juan José|||0000-0001-9957-9363
Alvarez Moya, Eva Maria|||0000-0002-3723-3225
Fernández Aranda, Fernando|||0000-0002-2968-9898
Granero, Roser|||0000-0001-6308-3198
Penelo Werner, Eva|||0000-0001-6796-7660
Bueno, Blanca
Moragas, Laura|||0000-0001-5235-7026
Gunnard, Katarina|||0000-0002-8002-0997
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author_role author
author2 Aymamí, Neus|||0000-0002-4607-9565
Gomez-Peña, Monica|||0000-0001-6194-8266
Santamaría, Juan José|||0000-0001-9957-9363
Alvarez Moya, Eva Maria|||0000-0002-3723-3225
Fernández Aranda, Fernando|||0000-0002-2968-9898
Granero, Roser|||0000-0001-6308-3198
Penelo Werner, Eva|||0000-0001-6796-7660
Bueno, Blanca
Moragas, Laura|||0000-0001-5235-7026
Gunnard, Katarina|||0000-0002-8002-0997
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cognitive-behavioural therapy
Pathological gambling
Exposure and response prevention
topic Cognitive-behavioural therapy
Pathological gambling
Exposure and response prevention
description Introduction. Cognitive-behavioural therapy (CBT) seems to offer effective treat- ment for pathological gambling (PG). However, it has not yet been established which techniques yield the best results, or whether exposure and response prevention (ERP) techniques are of additional use. Objectives. To evaluate clinical and socio-demographic characteristics of a PG sample at baseline, comparing cognitive-behavioural group intervention, with and without exposure, with response prevention (CBT + ERP vs. CBT), to compare the results of therapy and to assess pre-post changes in psychopathology between both groups. Design. We applied a quasi-experimental design comprising intervention on the independent variable, but without random assignment. Methods. The sample comprised 502 males with PG, consecutively admitted to a specialist unit, who received standardized outpatient CBT group therapy in 16 weekly sessions. Scores on the Symptom Checklist-Revised (SCL-90-R), the Temperament and Character Inventory-Revised (TCI-R), the South Oaks Gambling Screen (SOGS), and other clinical and psychopathological scales were recorded. Results. Pre-post changes did not differ between groups, except for SCL paranoid ideation, being greater in the CBT therapy group. The risk of relapse during treatment was similar in the CBT + ERP and CBT patients. However, compliance with treatment was poorer in the CBT + ERP group, who presented higher drop-out rates during treatment. Drop-out during therapy was associated with shorter disorder duration and higher scores on the TCI-R novelty seeking scale. Conclusions. Although the two CBT programs elicited similar therapy responses, patients receiving CBT alone showed higher adherence to therapy and lower drop-out rates.
publishDate 2012
dc.date.none.fl_str_mv 2
2012-01-01
2012
2012-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/319681
https://dx.doi.org/urn:doi:10.1111/j.2044-8260.2011.02012.x
url https://ddd.uab.cat/record/319681
https://dx.doi.org/urn:doi:10.1111/j.2044-8260.2011.02012.x
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission https://doi.org/10.13039/501100000780 215839
Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2009/SGR-1554
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
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