McNeese State University, 4205 Ryan St., Lake Charles, LA 70609, USA.
J Gambl Stud. 2011 Mar;27(1):171-90. doi: 10.1007/s10899-010-9196-y.
This study examined the efficacy of two group treatments for pathological gambling, a node-link mapping-enhanced cognitive-behavioral group therapy (CBGT-mapping) and twelve-step facilitated (TSF) group treatment. Forty-nine participants meeting criteria for pathological gambling were recruited from local newspaper advertisements. These participants were randomly assigned to one of three conditions: TSF (n = 11), CBGT-mapping (n = 18), and Wait-List control (n = 9); 11 refused treatment prior to randomization. Outcome measures included number of DSM-IV criteria met, perception of control/self-efficacy, desire to gamble, and frequency of gambling episodes. Analyses revealed a significant treatment group x time interaction (η²(partial) = .39). Specifically, the group treatments resulted in significant improvements in the dependent measures, while the Wait-List group remained relatively stable. Overall, CBGT-mapping and TSF had no significant differences on any outcome measure at follow-up assessments. Analysis of post-treatment and 6-month follow-up reveal a significant improvement in gambling outcomes (i.e., fewer DSM-IV criteria met, greater self-efficacy, and fewer gambling episodes (η²(partial) = .35), with treatment gains maintained at 6 months. These results are consistent with previous research for group treatment for pathological gambling and provide support for the utility of TSF and a mapping-based CBT therapy as viable intervention for pathological gambling.
本研究考察了两种赌博障碍团体治疗方法的疗效，即节点链接映射增强认知行为治疗（CBGT-mapping）和十二步促进治疗（TSF）。49 名符合赌博障碍标准的参与者通过当地报纸广告招募而来。这些参与者被随机分配到三种条件之一：TSF（n = 11）、CBGT-mapping（n = 18）和等待名单对照组（n = 9）；11 名参与者在随机分组前拒绝治疗。结果测量包括符合 DSM-IV 标准的数量、控制/自我效能感的感知、赌博欲望和赌博频率。分析显示治疗组 x 时间交互作用具有统计学意义（η²(partial) =.39）。具体而言，团体治疗在依赖指标上均有显著改善，而等待名单组则相对稳定。总体而言，CBGT-mapping 和 TSF 在随访评估中任何结果测量上均无显著差异。治疗后和 6 个月随访分析显示，赌博结果有显著改善（即符合 DSM-IV 标准的数量减少，自我效能感增强，赌博次数减少（η²(partial) =.35），治疗效果在 6 个月时仍得以维持。这些结果与以往赌博障碍团体治疗的研究一致，为 TSF 和基于映射的 CBT 治疗作为赌博障碍的可行干预措施提供了支持。
