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Erschienen in: Community Mental Health Journal 6/2009

01.12.2009 | ORIGINAL PAPER

Community Treatment for Problem Gambling: Sex Differences in Outcome and Process

verfasst von: Tony Toneatto, Jenny Jing Wang

Erschienen in: Community Mental Health Journal | Ausgabe 6/2009

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Abstract

This study compared sex differences in related treatment outcomes and processes in a community sample of outpatient problem gambling treatment-seekers. Participants attended approximately seven sessions of cognitive-behavioral treatment. Women were more likely to have a history of psychiatric comorbidity, prefer non-strategic/non-skill forms of gambling, and have a more rapid progression towards a gambling problem than did men. At the 6-month post-treatment follow-up, men were found to have improved to a significantly greater degree on measures of gambling severity and rates of abstinence in comparison to women. Moreover, men rated treatment components to be more helpful, whereas women found specific gambling-related treatment interventions (e.g., identification of high-risk situations, gambling beliefs and attitudes) to be less helpful. Implications for identifying treatment needs of women seeking problem gambling treatment are discussed.
Literatur
Zurück zum Zitat American Psychiatric Association. (1994). Committee on nomenclature and statistics. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Committee on nomenclature and statistics. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Zurück zum Zitat Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the national epidemiological survey on alcohol and related conditions. Psychological Medicine, 36, 943–953.CrossRefPubMed Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the national epidemiological survey on alcohol and related conditions. Psychological Medicine, 36, 943–953.CrossRefPubMed
Zurück zum Zitat Blanco, C., Petkova, E., Ibanez, A., & Saiz-Ruiz, J. (2002). A pilot placebo-controlled study of fluvoxamine for pathological gambling. Annals of Clinical Psychiatry, 14, 9–15.PubMed Blanco, C., Petkova, E., Ibanez, A., & Saiz-Ruiz, J. (2002). A pilot placebo-controlled study of fluvoxamine for pathological gambling. Annals of Clinical Psychiatry, 14, 9–15.PubMed
Zurück zum Zitat Crisp, B. R., Thomas, S. A., Jackson, A. C., Smith, S., Borrell, J., Ho, W.-Y., et al. (2004). Not the same: A comparison of female and male clients seeking treatment from problem gambling counseling services. Journal of Gambling Studies, 20, 283–299.CrossRefPubMed Crisp, B. R., Thomas, S. A., Jackson, A. C., Smith, S., Borrell, J., Ho, W.-Y., et al. (2004). Not the same: A comparison of female and male clients seeking treatment from problem gambling counseling services. Journal of Gambling Studies, 20, 283–299.CrossRefPubMed
Zurück zum Zitat Crisp, B. R., Thomas, S. A., Jackson, A. C., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10, 229–242. Crisp, B. R., Thomas, S. A., Jackson, A. C., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10, 229–242.
Zurück zum Zitat Daughters, S. B., Lejuez, C. W., Lesieur, H., Strong, D. R., & Zvolensky, M. (2003). Towards a better understanding of gambling treatment failure: Implications of translational research. Clinical Psychology Review, 23, 573–586.CrossRefPubMed Daughters, S. B., Lejuez, C. W., Lesieur, H., Strong, D. R., & Zvolensky, M. (2003). Towards a better understanding of gambling treatment failure: Implications of translational research. Clinical Psychology Review, 23, 573–586.CrossRefPubMed
Zurück zum Zitat Deegear, J., & Lawson, D. M. (2003). The utility of empirically supported treatments. Professional Psychology: Research and Practice, 34, 271–277.CrossRef Deegear, J., & Lawson, D. M. (2003). The utility of empirically supported treatments. Professional Psychology: Research and Practice, 34, 271–277.CrossRef
Zurück zum Zitat Derogatis, L. R. (2000). Brief symptom inventory-18 (BSI-18): Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems. Derogatis, L. R. (2000). Brief symptom inventory-18 (BSI-18): Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems.
Zurück zum Zitat Dowling, N., Smith, D., & Thomas, T. (2006). Treatment of female pathological gambling: The efficacy of a cognitive-behavioral approach. Journal of Gambling Studies, 22, 355–372.CrossRefPubMed Dowling, N., Smith, D., & Thomas, T. (2006). Treatment of female pathological gambling: The efficacy of a cognitive-behavioral approach. Journal of Gambling Studies, 22, 355–372.CrossRefPubMed
Zurück zum Zitat Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: User’s manual. Toronto, ON: Canadian Centre on Substance Abuse. Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: User’s manual. Toronto, ON: Canadian Centre on Substance Abuse.
Zurück zum Zitat Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Baltimore, MS: Johns Hopkins University Press. Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Baltimore, MS: Johns Hopkins University Press.
Zurück zum Zitat Getty, H. A., Watson, J., & Frisch, G. R. (2000). A comparison of depression and styles of coping in male and female GA members and controls. Journal of Gambling Studies, 16, 377–391.CrossRefPubMed Getty, H. A., Watson, J., & Frisch, G. R. (2000). A comparison of depression and styles of coping in male and female GA members and controls. Journal of Gambling Studies, 16, 377–391.CrossRefPubMed
Zurück zum Zitat Grant, J. E., & Kim, S. W. (2002). Gender differences in pathological gamblers seeking medication treatment. Comprehensive Psychiatry, 43, 56–62.CrossRefPubMed Grant, J. E., & Kim, S. W. (2002). Gender differences in pathological gamblers seeking medication treatment. Comprehensive Psychiatry, 43, 56–62.CrossRefPubMed
Zurück zum Zitat Hodgins, D. C., Currie, S. R., & el-Guebaly, N. (2001). Motivational enhancement and self-help treatments for problem gambling. Journal of Consulting and Clinical Psychology, 69, 50–57.CrossRefPubMed Hodgins, D. C., Currie, S. R., & el-Guebaly, N. (2001). Motivational enhancement and self-help treatments for problem gambling. Journal of Consulting and Clinical Psychology, 69, 50–57.CrossRefPubMed
Zurück zum Zitat Hodgins, D. C., & Holub, A. (2007). Treatment of problem gambling. In G. Smith, D. Hodgins, & R. Williams (Eds.), Research and measurement issues in gambling studies (pp. 372–399). Boston: Elsevier. Hodgins, D. C., & Holub, A. (2007). Treatment of problem gambling. In G. Smith, D. Hodgins, & R. Williams (Eds.), Research and measurement issues in gambling studies (pp. 372–399). Boston: Elsevier.
Zurück zum Zitat Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21, 255–271.CrossRefPubMed Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21, 255–271.CrossRefPubMed
Zurück zum Zitat Hraba, J., & Lee, G. (1996). Gender, gambling and problem gambling. Journal of Gambling Studies, 21, 83–101.CrossRef Hraba, J., & Lee, G. (1996). Gender, gambling and problem gambling. Journal of Gambling Studies, 21, 83–101.CrossRef
Zurück zum Zitat Ibanez, A., Blanco, C., Moreryra, P., & Saiz-Ruiz, J. (2003). Gender differences in pathological gambling. Journal of Clinical Psychiatry, 64, 295–301.PubMed Ibanez, A., Blanco, C., Moreryra, P., & Saiz-Ruiz, J. (2003). Gender differences in pathological gambling. Journal of Clinical Psychiatry, 64, 295–301.PubMed
Zurück zum Zitat Kim, S. W., & Grant, J. E. (2001). An open naltrexone treatment study in pathological gambling disorder. International Clinical Psychopharmacology, 16, 285–289.CrossRefPubMed Kim, S. W., & Grant, J. E. (2001). An open naltrexone treatment study in pathological gambling disorder. International Clinical Psychopharmacology, 16, 285–289.CrossRefPubMed
Zurück zum Zitat Ladd, G., & Petry, N. (2003). A comparison of pathological gamblers with and without substance abuse treatment histories. Experimental and Clinical Psychopharmacology, 11, 202–209.CrossRefPubMed Ladd, G., & Petry, N. (2003). A comparison of pathological gamblers with and without substance abuse treatment histories. Experimental and Clinical Psychopharmacology, 11, 202–209.CrossRefPubMed
Zurück zum Zitat Lesieur, H. R., & Blume, S. B. (1991). When lady luck loses: The female pathological gambler. In N. van den Bergh (Ed.), Feminist perspectives on addictions (pp. 181–197). New York: Springer. Lesieur, H. R., & Blume, S. B. (1991). When lady luck loses: The female pathological gambler. In N. van den Bergh (Ed.), Feminist perspectives on addictions (pp. 181–197). New York: Springer.
Zurück zum Zitat Mark, M. E., & Lesieur, H. R. (1992). A feminist critique of problem gambling research. British Journal of Addiction, 87, 33–50.CrossRef Mark, M. E., & Lesieur, H. R. (1992). A feminist critique of problem gambling research. British Journal of Addiction, 87, 33–50.CrossRef
Zurück zum Zitat National Centre for Education and Training on Addiction. (2000). Current ‘best practice’ interventions for gambling problems: A theoretical and empirical review. Melbourne, VIC: Victorian Government Department of Human Service. National Centre for Education and Training on Addiction. (2000). Current ‘best practice’ interventions for gambling problems: A theoretical and empirical review. Melbourne, VIC: Victorian Government Department of Human Service.
Zurück zum Zitat Pallanti, S., Rossi, N. B., Sood, E., & Hollander, E. (2002). Nefazodone treatment of pathological gambling: A prospective open-label controlled trial. Journal of Clinical Psychiatry, 63, 559–564.PubMed Pallanti, S., Rossi, N. B., Sood, E., & Hollander, E. (2002). Nefazodone treatment of pathological gambling: A prospective open-label controlled trial. Journal of Clinical Psychiatry, 63, 559–564.PubMed
Zurück zum Zitat Petry, N. M. (2005). Pathological gambling. Washington, DC: American Psychological Association.CrossRef Petry, N. M. (2005). Pathological gambling. Washington, DC: American Psychological Association.CrossRef
Zurück zum Zitat Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling help line. American Journal of Psychiatry, 158, 1500–1505.CrossRefPubMed Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling help line. American Journal of Psychiatry, 158, 1500–1505.CrossRefPubMed
Zurück zum Zitat Robson, E., Edwards, J., Smith, G., & Colman, I. (2002). Gambling decisions: An early intervention program for problem gamblers. Journal of Gambling Studies, 18, 235–255.CrossRefPubMed Robson, E., Edwards, J., Smith, G., & Colman, I. (2002). Gambling decisions: An early intervention program for problem gamblers. Journal of Gambling Studies, 18, 235–255.CrossRefPubMed
Zurück zum Zitat Toneatto, T. (2005). A perspective on problem gambling treatment: Issues and challenges. Journal of Gambling Studies, 21, 75–80.CrossRef Toneatto, T. (2005). A perspective on problem gambling treatment: Issues and challenges. Journal of Gambling Studies, 21, 75–80.CrossRef
Zurück zum Zitat Toneatto, T. (unpublished data). The psychometric properties of the inventory of gambling situations. Toneatto, T. (unpublished data). The psychometric properties of the inventory of gambling situations.
Zurück zum Zitat Toneatto, T., & Ladouceur, R. (2003). The treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors, 28, 4–292. Toneatto, T., & Ladouceur, R. (2003). The treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors, 28, 4–292.
Zurück zum Zitat Toneatto, T., & Millar, G. (2004). Assessing and treating problem gambling: Empirical status and promising trends. Canadian Journal of Psychiatry, 49, 173–181. Toneatto, T., & Millar, G. (2004). Assessing and treating problem gambling: Empirical status and promising trends. Canadian Journal of Psychiatry, 49, 173–181.
Zurück zum Zitat Toneatto, T., & Nguyen, L. (2007). Individual characteristics and problem gambling behaviors. In G. Smith, D. Hodgins, & R. Williams (Eds.), Research and measurement issues in gambling studies (pp. 279–305). Boston: Elsevier. Toneatto, T., & Nguyen, L. (2007). Individual characteristics and problem gambling behaviors. In G. Smith, D. Hodgins, & R. Williams (Eds.), Research and measurement issues in gambling studies (pp. 279–305). Boston: Elsevier.
Zurück zum Zitat Trevorrow, K., & Moore, S. (1998). The association between loneliness, social isolation and women’s electronic gaming machine gambling. Journal of Gambling Studies, 14, 263–284.CrossRef Trevorrow, K., & Moore, S. (1998). The association between loneliness, social isolation and women’s electronic gaming machine gambling. Journal of Gambling Studies, 14, 263–284.CrossRef
Zurück zum Zitat Turner, N., & Littman-Sharpe, N. (unpublished). The inventory of gambling situations. Turner, N., & Littman-Sharpe, N. (unpublished). The inventory of gambling situations.
Zurück zum Zitat Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.CrossRefPubMed Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.CrossRefPubMed
Zurück zum Zitat Volberg, R. A. (2003). Has there been a “feminization” of gambling and problem gambling in the United States? Journal of Gambling Issues, 8, 1–35.CrossRef Volberg, R. A. (2003). Has there been a “feminization” of gambling and problem gambling in the United States? Journal of Gambling Issues, 8, 1–35.CrossRef
Zurück zum Zitat Walker, M., Toneatto, T., Potenza, M. N., Petry, N., Ladouceur, R., Hodgins, D. C., et al. (2006). A framework for reporting outcomes in problem gambling treatment research: The Banff, Alberta Consensus. Addiction, 101, 504–511.CrossRefPubMed Walker, M., Toneatto, T., Potenza, M. N., Petry, N., Ladouceur, R., Hodgins, D. C., et al. (2006). A framework for reporting outcomes in problem gambling treatment research: The Banff, Alberta Consensus. Addiction, 101, 504–511.CrossRefPubMed
Metadaten
Titel
Community Treatment for Problem Gambling: Sex Differences in Outcome and Process
verfasst von
Tony Toneatto
Jenny Jing Wang
Publikationsdatum
01.12.2009
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 6/2009
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-009-9244-1

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