Does money control enhance the effectiveness of CBT for gambling disorder?
Several therapy modalities have been developed for gambling disorder (GD), and the cognitive behavioral therapy (CBT) is one of the most promising approaches. The objective of this study was to explore the impact of patients' adherence to guidelines concerning money control on the effectiveness and...
| Authors: | ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; |
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| Format: | Article |
| Publication date: | 2021 |
| Country: | España |
| Institution: | Universitat Autònoma de Barcelona |
| Repository: | Dipòsit Digital de Documents de la UAB |
| Language: | English |
| OAI Identifier: | oai:ddd.uab.cat:301979 |
| Online Access: | https://ddd.uab.cat/record/301979 https://dx.doi.org/urn:doi:10.1007/s11469-019-00212-z |
| Access Level: | Open access |
| Keyword: | Cognitive behavioral therapy Dropout Gambling disorder Money control Outcome SDG 3 - Good Health and Well-being |
| _version_ | 1878742596117856257 |
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| author | Granero, Roser|||0000-0001-6308-3198 |
| author2 | Blaszczynski, Alexander|||0000-0003-1476-0791 Fernández Aranda, Fernando|||0000-0002-2968-9898 Gomez-Peña, Monica|||0000-0001-6194-8266 Moragas, Laura|||0000-0001-5235-7026 Aymamí, Neus|||0000-0002-4607-9565 Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850 Codina, Ester|||0000-0002-0848-0614 Mena Moreno, Teresa|||0000-0003-4172-9714 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Lozano Madrid, María|||0000-0003-3833-317X Agüera, Zaida|||0000-0003-4453-4939 López-González, Hibai|||0000-0003-1249-2623 Valenciano-Mendoza, Eduardo|||0000-0002-1690-5109 Mora-Maltas, Bernat|||0000-0002-4142-3208 Munguía Godínez, Jazmín Lucero|||0000-0002-9751-810X Testa, Giulia|||0000-0003-4200-8062 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Menchón Magriñá, José Manuel|||0000-0002-6231-6524 Jiménez Murcia, Susana|||0000-0002-3596-8033 |
| author2_role | author author author author author author author author author author author author author author author author author author author |
| author_browse | Agüera, Zaida|||0000-0003-4453-4939 Aymamí, Neus|||0000-0002-4607-9565 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Blaszczynski, Alexander|||0000-0003-1476-0791 Codina, Ester|||0000-0002-0848-0614 Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850 Fernández Aranda, Fernando|||0000-0002-2968-9898 Gomez-Peña, Monica|||0000-0001-6194-8266 Granero, Roser|||0000-0001-6308-3198 Jiménez Murcia, Susana|||0000-0002-3596-8033 Lozano Madrid, María|||0000-0003-3833-317X López-González, Hibai|||0000-0003-1249-2623 Mena Moreno, Teresa|||0000-0003-4172-9714 Menchón Magriñá, José Manuel|||0000-0002-6231-6524 Mora-Maltas, Bernat|||0000-0002-4142-3208 Moragas, Laura|||0000-0001-5235-7026 Munguía Godínez, Jazmín Lucero|||0000-0002-9751-810X Testa, Giulia|||0000-0003-4200-8062 Valenciano-Mendoza, Eduardo|||0000-0002-1690-5109 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 |
| author_facet | Granero, Roser|||0000-0001-6308-3198 Blaszczynski, Alexander|||0000-0003-1476-0791 Fernández Aranda, Fernando|||0000-0002-2968-9898 Gomez-Peña, Monica|||0000-0001-6194-8266 Moragas, Laura|||0000-0001-5235-7026 Aymamí, Neus|||0000-0002-4607-9565 Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850 Codina, Ester|||0000-0002-0848-0614 Mena Moreno, Teresa|||0000-0003-4172-9714 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Lozano Madrid, María|||0000-0003-3833-317X Agüera, Zaida|||0000-0003-4453-4939 López-González, Hibai|||0000-0003-1249-2623 Valenciano-Mendoza, Eduardo|||0000-0002-1690-5109 Mora-Maltas, Bernat|||0000-0002-4142-3208 Munguía Godínez, Jazmín Lucero|||0000-0002-9751-810X Testa, Giulia|||0000-0003-4200-8062 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Menchón Magriñá, José Manuel|||0000-0002-6231-6524 Jiménez Murcia, Susana|||0000-0002-3596-8033 |
| author_role | author |
| collection | Dipòsit Digital de Documents de la UAB |
| description | Several therapy modalities have been developed for gambling disorder (GD), and the cognitive behavioral therapy (CBT) is one of the most promising approaches. The objective of this study was to explore the impact of patients' adherence to guidelines concerning money control on the effectiveness and outcomes of a CBT program. Sample included n = 998 gambling disorder (GD) patients aged between 18 and 80 years old, who were consecutively attended in a Spanish reference-university-based hospital specialized in gambling treatment. The CBT program consisted of 16 weekly group sessions (each lasting about 90 min) aimed to achieve definitive abstinence from all types of gambling. Money control was integrated during the complete treatment. Different assessments were made: at baseline, during the CBT program, and at the end of the intervention. The risk of dropout during therapy was lower in patients who reported money control (19.1% versus 76.4%, p = 0.001), and differences were also found in the Kaplan-Meier cumulative survival functions of dropout (χ 2 = 118.9, p < 0.001). No differences were found for the risk of relapse (defined in this study as the occurrence of gambling episodes during the intervention) (26.4% versus 28.0%, p = 0.775) or in the cumulative survival function of relapse (χ 2 = 0.16, p = 0.689). At the end of the intervention, patients with money control had lower levels of gambling severity and comorbid psychopathology. The benefits of money control as a stimulus control during the CBT highlight the need to design intervention programs with reliable adherence strategies addressed to achieve complete abstinence from the gambling activities. Personalized interventions for GD should identify patients with higher needs of stimulus control training. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_f8c8a140f64031ade4e9f02ae1f8b6d2 |
| institution | Universitat Autònoma de Barcelona |
| instname_str | Universitat Autònoma de Barcelona |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:ddd.uab.cat:301979 |
| publishDate | 2021 |
| publishDateSort | 2021 |
| publisher | Springer |
| publisherStr | Springer |
| reponame_str | Dipòsit Digital de Documents de la UAB |
| spelling | Does money control enhance the effectiveness of CBT for gambling disorder? Granero, Roser|||0000-0001-6308-3198 Blaszczynski, Alexander|||0000-0003-1476-0791 Fernández Aranda, Fernando|||0000-0002-2968-9898 Gomez-Peña, Monica|||0000-0001-6194-8266 Moragas, Laura|||0000-0001-5235-7026 Aymamí, Neus|||0000-0002-4607-9565 Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850 Codina, Ester|||0000-0002-0848-0614 Mena Moreno, Teresa|||0000-0003-4172-9714 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Lozano Madrid, María|||0000-0003-3833-317X Agüera, Zaida|||0000-0003-4453-4939 López-González, Hibai|||0000-0003-1249-2623 Valenciano-Mendoza, Eduardo|||0000-0002-1690-5109 Mora-Maltas, Bernat|||0000-0002-4142-3208 Munguía Godínez, Jazmín Lucero|||0000-0002-9751-810X Testa, Giulia|||0000-0003-4200-8062 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Menchón Magriñá, José Manuel|||0000-0002-6231-6524 Jiménez Murcia, Susana|||0000-0002-3596-8033 Cognitive behavioral therapy Dropout Gambling disorder Money control Outcome SDG 3 - Good Health and Well-being Several therapy modalities have been developed for gambling disorder (GD), and the cognitive behavioral therapy (CBT) is one of the most promising approaches. The objective of this study was to explore the impact of patients' adherence to guidelines concerning money control on the effectiveness and outcomes of a CBT program. Sample included n = 998 gambling disorder (GD) patients aged between 18 and 80 years old, who were consecutively attended in a Spanish reference-university-based hospital specialized in gambling treatment. The CBT program consisted of 16 weekly group sessions (each lasting about 90 min) aimed to achieve definitive abstinence from all types of gambling. Money control was integrated during the complete treatment. Different assessments were made: at baseline, during the CBT program, and at the end of the intervention. The risk of dropout during therapy was lower in patients who reported money control (19.1% versus 76.4%, p = 0.001), and differences were also found in the Kaplan-Meier cumulative survival functions of dropout (χ 2 = 118.9, p < 0.001). No differences were found for the risk of relapse (defined in this study as the occurrence of gambling episodes during the intervention) (26.4% versus 28.0%, p = 0.775) or in the cumulative survival function of relapse (χ 2 = 0.16, p = 0.689). At the end of the intervention, patients with money control had lower levels of gambling severity and comorbid psychopathology. The benefits of money control as a stimulus control during the CBT highlight the need to design intervention programs with reliable adherence strategies addressed to achieve complete abstinence from the gambling activities. Personalized interventions for GD should identify patients with higher needs of stimulus control training. Springer https://ddd.uab.cat/record/301979 https://dx.doi.org/urn:doi:10.1007/s11469-019-00212-z |
| spellingShingle | Does money control enhance the effectiveness of CBT for gambling disorder? Granero, Roser|||0000-0001-6308-3198 Cognitive behavioral therapy Dropout Gambling disorder Money control Outcome SDG 3 - Good Health and Well-being |
| title | Does money control enhance the effectiveness of CBT for gambling disorder? |
| title_full | Does money control enhance the effectiveness of CBT for gambling disorder? |
| title_fullStr | Does money control enhance the effectiveness of CBT for gambling disorder? |
| title_full_unstemmed | Does money control enhance the effectiveness of CBT for gambling disorder? |
| title_short | Does money control enhance the effectiveness of CBT for gambling disorder? |
| title_sort | Does money control enhance the effectiveness of CBT for gambling disorder? |
| topic | Cognitive behavioral therapy Dropout Gambling disorder Money control Outcome SDG 3 - Good Health and Well-being |
| topic_facet | Cognitive behavioral therapy Dropout Gambling disorder Money control Outcome SDG 3 - Good Health and Well-being |
| url | https://ddd.uab.cat/record/301979 https://dx.doi.org/urn:doi:10.1007/s11469-019-00212-z |