101103 these findings mirror evidence from the

This preview shows page 7 - 9 out of 11 pages.

101–103 These findings mirror evidence from the treatment of alcohol dependence. 104 Although CBT for gambling is very similar to CBT for substance abuse treatment, cognitive therapies that focus explicitly on the distorted cognitions related to gambling are more unique in content. These therapies often involve more therapist contact (eg, up to 20 sessions) and demonstrate robust benefits relative to wait-list controls. 105,106 However, these results will need to be replicated using larger sample sizes and using intent-to-treat analyses, as these studies 105,106 excluded individuals who dropped out of treatment resulting in inflated treatment effects. Similar to other studies finding few differences among gambling treatments, 101 an RCT 107 that compared cognitive therapy to other active therapies (eg, motivational interviewing, behavioral therapy) and used intent-to-treat analyses found no significant differences in gambling outcomes among the therapies. Overall, AUD/DUD and gambling treatment research to date suggests that no one format or approach is ideal. Rather, it appears that most treatments are beneficial, with few differences found between active treatments when pit- ted against one another. Thus, persons with addictions who desire treatment have a wide range of options available to Substance Abuse and Rehabilitation downloaded from by 5.189.201.158 on 16-Aug-2018 For personal use only. 1 / 1
Image of page 7

Subscribe to view the full document.

Substance Abuse and Rehabilitation 2016:7 submit your manuscript | Dove press Dove press 10 Rash et al them based on preferences, needs, and perhaps severity of their disorder. Moving forward, therapies may need to increas- ingly incorporate content that addresses the high comorbid- ity between GD and other psychiatric disorders, including, anxiety, mood, personality, alcohol, and drug disorders. 22 Evidence suggests that psychiatric symptoms are responsive to and improve during gambling treatment. 108 However, room for further improvement in psychiatric symptoms remains among those with more severe presentations, 109 suggesting that these individuals need specialized and integrated content to address comorbid conditions. Conclusion A major challenge in comprehensively delineating links and risks across GD and AUD/DUD pertains to the asymmetrical nature of research on addiction-related disorders in which GD is a nascent field of inquiry with a dearth of funding in comparison to other addictions. 110 Nevertheless, recent investigations have begun to elucidate the developmental progression of GD, 111 suggesting that the etiology of GD is complex, epigenetic, and includes a multitude of both proximal and distal predictors. Moreover, these models are similar in nature to developmental psychopathology models of AUD/DUD, suggesting significant overlap and common risk factors. As evidence accumulates, we are able to integrate decades of research into broad, inclusive models of addic- tion 37 that incorporate behavioral addictions such as GD.
Image of page 8
Image of page 9

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern