Cognitive and behavioral treatment of pathological gambling: A controlled study

Author(s): Ladouceur, R., Boisvert, J. M.

Journal/Book: J Consult Clin Psychol. 1997; 65: 750 First St NE, Washington, DC 20002-4242. Amer Psychological Assoc. 727-732.

Abstract: This study evaluated the efficacy of a cognitive-behavioral treatment package for pathological gambling. Twenty-nine men who met criteria for pathological gambling in accordance with the Diagnostic nod Statistical Manual of Mental Disorders (3rd ed., revised; DSM-III-R; American Psychiatric Association, 1987) were randomly assigned to treatment or wait-list control. The treatment included 4 components: (a) cognitive correction of erroneous perceptions about gambling, (b) problem-solving training, (c) social skills training, and (d) relapse prevention. The dependent variables were the South Oaks Gambling Screen, perception of control, frequency of gambling, perceived self-efficacy desire to gamble, and number of DSM-III-R criteria met by participants. Posttest results indicated highly significant changes in the treatment group on all outcome measures, and analysis of data from 6- and 12-month follow-ups revealed maintenance of therapeutic gains. Recommendations for clinical interventions are discussed and focus on the cognitive correction of erroneous perceptions of gambling.

Note: Article Ladouceur R, Univ Laval, Ecole Psychol, St Foy, PQ G1K 7P4, CANADA

Keyword(s): SUBSTANCE-ABUSE; GAMBLERS; PREVALENCE; THERAPY; QUEBEC

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