联合动机访谈和认知行为治疗方案的团体和个体形式对赌博问题的有效性：一项随机对照试验。
Effectiveness of group and individual formats of a combined motivational interviewing and cognitive behavioral treatment program for problem gambling: a randomized controlled trial.
机构信息
The University of Queensland, Brisbane, Australia.
出版信息
Behav Cogn Psychother. 2010 Mar;38(2):233-8. doi: 10.1017/S1352465809990701.
BACKGROUND
The study aimed to assess the effectiveness of group and individual formats of a combined motivational interviewing and cognitive behavioral treatment (CBT) program for problem gamblers (PGs) using a randomized controlled design.
METHOD
One hundred and two PGs were randomly assigned to individual or group CBT conditions. Twenty-eight of these participants were randomly allocated to a 6-week waitlist control condition prior to receiving the designated treatment.
RESULTS
At post-treatment, there were significant improvements in all dependent variables (frequency and amount gambled, gambling urges, gambling cognitions, negative psychological states, and life satisfaction) for both the treatment conditions but not for the waitlist condition. Individuals that completed the individual (compared to group) treatment condition generally had higher effect sizes for gambling correlates. Therapeutic gains for gambling correlates were generally maintained at 6-month follow-up.
CONCLUSIONS
A combined motivational interviewing and CBT program applied in group or individual format can improve PG behaviors, as well as gambling correlates.
背景
本研究旨在采用随机对照设计评估团体和个体相结合的动机访谈和认知行为治疗（CBT）方案对问题赌徒（PG）的有效性。
方法
102 名 PG 被随机分配到个体或团体 CBT 条件。其中 28 名参与者在接受指定治疗前被随机分配到 6 周的候补名单对照条件。
结果
在治疗后，所有因变量（赌博频率和金额、赌博冲动、赌博认知、负面心理状态和生活满意度）在治疗条件下均有显著改善，但候补名单条件下没有改善。完成个体（相对于团体）治疗的个体通常对赌博相关因素有更高的效果量。赌博相关因素的治疗收益通常在 6 个月随访时保持。
结论
以团体或个体形式应用的结合动机访谈和 CBT 方案可以改善 PG 的行为以及赌博相关因素。
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