Dowling Nicki, Smith David, Thomas Trang
School of Psychology, Psychiatry and Psychological Medicine, Monash University, Clayton, VIC 3800, Australia.
Behav Res Ther. 2007 Sep;45(9):2192-202. doi: 10.1016/j.brat.2006.11.003. Epub 2006 Dec 28.
The current study aimed to determine the differential efficacy of a cognitive-behavioural treatment program for female pathological gamblers delivered in individual and group format. Fifty-six female pathological gamblers with electronic gaming machine gambling problems were randomly assigned to the control (waiting list) group or one of the treatment groups (individual or group treatment). Treatment comprised a 12-session program including financial limit setting, alternative activity planning, cognitive correction, problem solving, communication training, relapse prevention, and imaginal desensitisation. Treatment outcome was evaluated with conceptually related measures within the areas of gambling behaviour and psychological functioning. While individual and group treatment formats generally produced comparable outcomes in terms of gambling behaviour and psychological functioning, group treatment failed to produce superior outcomes to the control group in relation to several measures of psychological functioning. Moreover, by the completion of the six-month follow-up, 92% of the gamblers allocated to individual treatment compared with 60% allocated to group treatment no longer satisfied the diagnostic criteria for pathological gambling. These findings suggest that some caution should be employed when delivering cognitive-behavioural treatment in a group format until further research is conducted to establish its efficacy.
本研究旨在确定以个体和小组形式开展的针对女性病态赌徒的认知行为治疗方案的不同疗效。五十六名有电子游戏机赌博问题的女性病态赌徒被随机分配到对照组（等候名单组）或其中一个治疗组（个体治疗或小组治疗）。治疗包括一个为期12节的方案，内容有设定财务限额、规划替代活动、认知矫正、解决问题、沟通训练、预防复发和想象脱敏。治疗结果通过在赌博行为和心理功能领域内概念相关的测量方法进行评估。虽然个体治疗和小组治疗形式在赌博行为和心理功能方面总体上产生了可比的结果，但在一些心理功能测量方面，小组治疗未能产生优于对照组的结果。此外，到六个月随访结束时，分配到个体治疗的赌徒中有92%不再符合病态赌博的诊断标准，而分配到小组治疗的这一比例为60%。这些发现表明，在以小组形式开展认知行为治疗时应谨慎行事，直到进行进一步研究以确定其疗效。
