Academic Journal
Psychological intervention for gambling disorder: A systematic review and meta-analysis
| Title: | Psychological intervention for gambling disorder: A systematic review and meta-analysis |
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| Authors: | Jakob W. Eriksen, Anne Fiskaali, Robert Zachariae, Kaare B. Wellnitz, Eva Oernboel, Anna W. Stenbro, Thomas Marcussen, Marie W. Petersen |
| Source: | J Behav Addict Eriksen, J W, Fiskaali, A, Zachariae, R, Wellnitz, K B, Ørnbøl, E, Stenbro, A W, Marcussen, T & Petersen, M W 2023, 'Psychological intervention for gambling disorder : A systematic review and meta-analysis', Journal of Behavioral Addictions, vol. 12, no. 3, pp. 613-630. https://doi.org/10.1556/2006.2023.00034 |
| Publisher Information: | Akademiai Kiado Zrt., 2023. |
| Publication Year: | 2023 |
| Subject Terms: | psychological intervention, Cognitive Behavioral Therapy, pathological gambling, Cognitive Behavioral Therapy/methods, gambling disorder, BF Psychology / lélektan, Gambling/therapy, Psychosocial Intervention, Article, 3. Good health, psychotherapy, meta-analysis, Psychotherapy, systematic review, Psychotherapy/methods, Gambling, Humans, meta-Analysis |
| Description: | Background and aimsIncreasingly, gambling features migrate into non-gambling platforms (e.g., online gaming) making gambling exposure and problems more likely. Therefore, exploring how to best treat gambling disorder (GD) remains important. Our aim was to review systematically and quantitatively synthesize the available evidence on psychological intervention for GD.MethodsRecords were identified through searches for randomized controlled trials (RCTs) evaluating psychological intervention for GD via six academic databases without date restrictions until February 3, 2023. Study quality was assessed with the revised Cochrane risk-of-bias tool for randomized trials (RoB2). Primary outcomes were GD symptom severity and remission of GD, summarized as Hedges' g and odds ratios, respectively. The study was preregistered in PROSPERO (#CRD42021284550).ResultsOf 5,541 records, 29 RCTs (3,083 participants analyzed) were included for meta-analysis of the primary outcomes. The efficacy of psychological intervention across modality, format and mode of delivery corresponded to a medium effect on gambling severity (g = −0.71) and a small effect on remission (OR = 0.47). Generally, risk of bias was high, particularly amongst early face-to-face interventions studies.Discussion and conclusionsThe results indicate that psychological intervention is efficacious in treating GD, with face-to-face delivered intervention producing the largest effects and with strongest evidence for cognitive behavioral therapy. Much remains to be known about the long-term effects, and investigating a broader range of treatment modalities and digital interventions is a priority if we are to improve clinical practice for this heterogeneous patient group. |
| Document Type: | Article Other literature type |
| File Description: | text |
| ISSN: | 2063-5303 2062-5871 |
| DOI: | 10.1556/2006.2023.00034 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/37450372 https://pure.au.dk/portal/en/publications/dbf71879-e062-4abf-a894-0f9bad24270f https://doi.org/10.1556/2006.2023.00034 http://www.scopus.com/inward/record.url?scp=85168978737&partnerID=8YFLogxK |
| Rights: | CC BY NC CC BY URL: http://creativecommons.org/licenses/by-nc/4.0/Open Access statement. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated. |
| Accession Number: | edsair.doi.dedup.....02ec522f7386a1c2195f065e651cfe6a |
| Database: | OpenAIRE |
| ISSN: | 20635303 20625871 |
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| DOI: | 10.1556/2006.2023.00034 |