Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
J Gambl Stud. 2018 Jun;34(2):539-559. doi: 10.1007/s10899-017-9704-4.
Problem gambling creates significant harm for the gambler and for concerned significant others (CSOs). While several studies have investigated the effects of individual cognitive behavioral therapy (CBT) for problem gambling, less is known about the effects of involving CSOs in treatment. Behavioral couples therapy (BCT) has shown promising results when working with substance use disorders by involving both the user and a CSO. This pilot study investigated BCT for problem gambling, as well as the feasibility of performing a larger scale randomized controlled trial. 36 participants, 18 gamblers and 18 CSOs, were randomized to either BCT or individual CBT for the gambler. Both interventions were Internet-delivered self-help interventions with therapist support. Both groups of gamblers improved on all outcome measures, but there were no differences between the groups. The CSOs in the BCT group lowered their scores on anxiety and depression more than the CSOs of those randomized to the individual CBT group did. The implications of the results and the feasibility of the trial are discussed.
赌博问题会给赌徒和相关的重要他人（CSO）带来重大伤害。虽然有几项研究调查了个体认知行为疗法（CBT）对赌博问题的影响，但对于让 CSO 参与治疗的效果知之甚少。行为夫妻治疗（BCT）在涉及使用者和 CSO 的情况下，对物质使用障碍的治疗显示出了有希望的结果。这项试点研究调查了 BCT 对赌博问题的效果，以及进行更大规模随机对照试验的可行性。36 名参与者，18 名赌徒和 18 名 CSO，被随机分配到 BCT 或赌徒的个体 CBT 组。两种干预措施都是通过互联网提供的自助干预措施，并辅以治疗师的支持。两组赌徒在所有结果测量上都有所改善，但两组之间没有差异。BCT 组的 CSO 在焦虑和抑郁方面的得分下降幅度大于随机分配到个体 CBT 组的 CSO。讨论了结果的意义和试验的可行性。
