University of Kentucky College of Public Health, 151 Washington Ave, Bowman Hall 345, Lexington, KY, 40536, USA.
Pacific Institute for Research and Evaluation, 401 W Main St, Suite 2100, Louisville, KY, 40202, USA.
J Gambl Stud. 2022 Dec;38(4):1493-1502. doi: 10.1007/s10899-021-10089-0. Epub 2022 Jan 1.
Individuals with gambling disorder (GD) experience a host of negative psychosocial and physical health outcomes, yet few seek treatment. Of particular concern are individuals with co-occurring mental and behavioral health disorders, a group at higher risk for GD in the state of Ohio. To better serve this population, the Ohio Department of Mental Health and Addiction Services developed a group-based GD treatment manual for adults with co-occurring disorders. Over the course of 5 years, 353 individuals engaged in at least some of the manual's 12 weekly modules, and more than one-third (n = 122) completed the entire curriculum. Participants who completed all 12 modules completed pre-and post-tests, and after controlling for covariates, participants significantly decreased their GD symptom severity, though changes in self-esteem and gambling urges were non-significant. These findings suggest the treatment manual holds promise at reducing gambling behaviors for individuals with co-occurring disorders, but further research is warranted to explore best practices on how to intervene on the psychological antecedents to gambling in this population.
患有赌博障碍（GD）的个体经历了一系列负面的社会心理和身体健康结果，但很少有人寻求治疗。特别令人关注的是同时存在精神和行为健康障碍的个体，他们在俄亥俄州处于更高的 GD 风险中。为了更好地为这一人群服务，俄亥俄州心理健康和成瘾服务部为患有共病的成年人开发了一种基于小组的 GD 治疗手册。在 5 年的时间里，353 名个体参与了至少 12 个每周模块中的一些模块，超过三分之一（n=122）完成了整个课程。完成所有 12 个模块的参与者完成了前后测试，在控制了协变量后，参与者的 GD 症状严重程度显著降低，尽管自尊和赌博冲动的变化不显著。这些发现表明，治疗手册有希望减少共病个体的赌博行为，但需要进一步研究探索如何针对这一人群的赌博心理前因采取最佳干预措施。
