Toneatto Tony, Ladoceur Robert
Clinical Research Department, Center for Addiction and Mental Health, Toronto, ON, Canada.
Psychol Addict Behav. 2003 Dec;17(4):284-92. doi: 10.1037/0893-164X.17.4.284.
The legalization and availability of new forms of gambling are increasing in most Western countries. This trend has contributed to the fact that more individuals are developing gambling problems. As a result, there is a need for effective treatments. Although gambling treatment dates several decades, few empirically supported treatments for pathological gambling have been developed. This critical review includes only controlled treatment studies. The primary inclusion criterion was randomization of participants to an experimental group and to at least 1 control group. Eleven studies were identified and evaluated. Key findings showed that cognitive-behavioral studies received the best empirical support. Recommendations to improve gambling treatment research include better validated psychometric measures, inclusion of process measures, better definition of outcomes, and more precise definition of treatments.
在大多数西方国家，新型赌博形式的合法化及可得性正在增加。这一趋势导致越来越多的人出现赌博问题。因此，需要有效的治疗方法。尽管赌博治疗已有数十年历史，但针对病态赌博的实证支持疗法却很少。本综述仅纳入对照治疗研究。主要纳入标准是将参与者随机分配到实验组和至少一个对照组。共识别并评估了11项研究。主要发现表明，认知行为研究获得了最佳的实证支持。改善赌博治疗研究的建议包括更好地验证心理测量方法、纳入过程测量、更明确地界定结果以及更精确地定义治疗方法。
