Walker Michael, Toneatto Tony, Potenza Marc N, Petry Nancy, Ladouceur Robert, Hodgins David C, el-Guebaly Nady, Echeburua Enrique, Blaszczynski Alex
University of Sydney, Australia.
Addiction. 2006 Apr;101(4):504-11. doi: 10.1111/j.1360-0443.2005.01341.x.
The objective is provide a framework concerning the minimum features of reporting efficacy of treatment in the problem gambling field. Research to date has not used uniform outcome measures and it is, therefore, difficult to compare the relative efficacy of various approaches. Some studies emphasize self-reported behavioural measures such as frequency and intensity of gambling whereas others emphasise change with respect to the criteria used to diagnose problem gambling or use composite measures of symptom severity in multiple domains involving gambling-related thoughts, urges, and behaviours.
An expert panel consensus.
The proposed minimum features of reporting the efficacy of treatment outcome studies are: measures of gambling behaviour - the net expenditure each month, the frequency (in days per month) with which gambling takes place, and the time spent thinking about or engaged in the pursuit of gambling each month; measures of the problems caused by gambling - especially problems in the areas of personal health, relationships, financial, and legal; these measures can be complemented by additional measures of quality of life. measures of the processes of change - whatever mechanisms of change are assumed to occur.
We believe that these guidelines are broad enough to allow clinical research conducted from diverse perspectives to allow valid cross study evaluations of intervention studies. Such conditions will facilitate the development of empirically validated best practice guidelines for use by clinicians in the management of problem gambling.
目的是提供一个关于报告问题赌博领域治疗效果的最低限度特征的框架。迄今为止的研究尚未使用统一的结果测量方法，因此，难以比较各种方法的相对疗效。一些研究强调自我报告的行为测量方法，如赌博的频率和强度，而另一些研究则强调在用于诊断问题赌博的标准方面的变化，或使用涉及赌博相关想法、冲动和行为的多个领域的症状严重程度综合测量方法。
专家小组达成共识。
报告治疗结果研究疗效的拟议最低限度特征为：赌博行为测量指标——每月净支出、赌博发生的频率（每月天数）以及每月花在思考或参与赌博上的时间；赌博造成的问题测量指标——特别是个人健康、人际关系、财务和法律方面的问题；这些测量指标可以通过生活质量的额外测量指标加以补充。变化过程测量指标——无论假定发生何种变化机制。
我们认为，这些指导方针足够宽泛，能够允许从不同角度开展临床研究，从而对干预研究进行有效的跨研究评估。此类情况将有助于制定经实证验证的最佳实践指南，供临床医生在管理问题赌博时使用。
