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International Journal of Mental Health and Addiction

Erschienen in:

01.12.2011

Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

verfasst von: Nicki A. Dowling, Sanja Cosic

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 6/2011

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Abstract

Previous research examining the factors associated with problem gambling treatment outcomes has examined client factors and to date, treatment characteristics, therapist factors, and client-therapist interactions have essentially remained unexplored. This study aimed to investigate how client engagement variables (client-rated therapeutic alliance, therapist-rated therapeutic alliance, number of sessions attended, and client commitment) relate to treatment outcomes (gambling and general functioning) in a sample of 475 treatment-seeking problem gambling clients using a series of hierarchical regression analyses. Client-rated therapeutic alliance predicted both gambling and general functioning outcomes, but therapist-rated therapeutic alliance only predicted general functioning outcomes. There was no significant relationship between number of sessions and outcomes, but client commitment predicted gambling outcomes. Client satisfaction only mediated the relationships between therapeutic alliance and treatment outcomes. Taken together, the findings indicate that client engagement characteristics, in particular the therapeutic relationship, are active agents of change in psychological interventions for problem gambling.

Connors, G. J., Carroll, K. M., DiClemente, C. C., Longabaugh, R., & Donovan, D. M. (1997). The therapeutic alliance and its relationship to alcoholism treatment participation and outcome. Journal of Consulting and Clinical Psychology, 65(4), 588–598.PubMedCrossRef

Connors, G. J., DiClemente, C. C., Dermen, K. H., Kadden, R., Carroll, K. M., & Frone, M. R. (2000). Predicting the therapeutic alliance in alcoholism treatment. Journal of Studies on Alcohol, 61, 139–149.PubMed

Crisp, B. R., Jackson, A. C., Thomas, S. A., Thomason, N., Smith, S., Borrell, J., et al. (2001a). Is more better? The relationship between outcomes achieved by problem gamblers and the number of counselling sessions attended. Australian Social Work, 54(3), 83–92.CrossRef

Crisp, B. R., Thomas, S. A., Jackson, A. C., & Thomason, N. (2001b). The influence of demographic, behavioural and treatment characteristics on problem gambling counselling outcomes. Australian Journal of Primary Health, 7(2), 32–36.CrossRef

Dearing, R. L., Barrick, C., Derman, K. H., & Walitzer, K. S. (2005). Indicators of client engagement: influences on alcohol treatment satisfaction and outcomes. Psychology of Addictive Behaviors, 19(1), 71–78.PubMedCrossRef

Dowling, N. (2009). Client characteristics associated with treatment attrition and outcome in female pathological gambling. Addiction Research and Theory, 17(2)

Echeburua, E., Fernandez-Montalvo, J., & Baez, C. (2001). Predictors of therapeutic failure in slot-machine pathological gamblers following behavioural treatment. Behavioural and Cognitive Psychotherapy, 29, 379–393.CrossRef

Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J., et al. (2000). CORE: Clinical Outcomes in Routine Evaluation. Journal of Mental Health, 9(3), 247–255.CrossRef

Hansen, N. B., Lambert, M. J., & Forman, E. M. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 9(3), 329–343.CrossRef

Hawthorne, G., & Elliot, P. (2005). Imputing cross-sectional missing data: comparison of common techniques. Australian and New Zealand Journal of Psychiatry, 39, 583–590.PubMedCrossRef

Heppner, P. P., Cooper, C., Mulholland, A., & Wei, M. (2001). A brief, multidimensional, problem-solving psychotherapy outcome measure. Journal of Counseling Psychology, 48(3), 330–343.CrossRef

Horvath, A. O., & Greenberg, L. S. (1989). The development and validation of a working alliance inventory. Journal of Counseling Psychology, 36(2), 223–233.CrossRef

Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: a meta-analysis. Journal of Counselling Psychology, 38(2), 139–149.CrossRef

Ilgen, M., Tiet, Q., Finney, J., & Moos, R. H. (2006). Self-efficacy, therapeutic alliance, and alcohol-use disorder treatment outcomes. Journal of Studies on Alcohol, 67, 465–472.PubMed

Jackson, A. C., Thomas, S. A., Thomason, N., Borrell, J., Crisp, B. R., Ho, W., et al. (2002). Longitudinal evaluation of the effectiveness of problem gambling counselling services, community education strategies and information products—Volume 2: Counselling interventions. Melbourne: Victorian Department of Human Services.

Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38(4), 357–361.CrossRef

Lambert, M. J., Burlingame, G. M., Umphress, V., Hansen, N. B., Vermeersch, D. A., Clouse, G. C., et al. (1996). The reliability and validity of the outcome questionnaire. Clinical Psychology and Psychotherapy, 3(4), 249–258.CrossRef

Larsen, D. L., Attkinson, C. C., Hargraves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning, 2, 197–207.PubMedCrossRef

Lopez Viets, V. C., & Miller, R. W. (1997). Treatment approaches for pathological gamblers. Clinical Psychology Review, 17, 689–702.PubMedCrossRef

Luborsky, L., Barber, J. P., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., et al. (1996). The revised Helping Alliance Questionnaire (HAI-II). Journal of Psychotherapy Practice and Research, 5(3), 260–270.

Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438–450.PubMedCrossRef

McCormick, R. A., & Taber, J. I. (1988). Attributional style in pathological gamblers in treatment. Journal of Abnormal Psychology, 97, 368–370.PubMedCrossRef

McCormick, R. A., & Taber, J. I. (1991). Follow-up of male pathological gamblers after treatment: the relationship of intellectual variables to relapse. Journal of Gambling Studies, 7, 99–108.CrossRef

Meier, P. S., Barrowclough, C., & Donmall, M. C. (2005). The role of the therapeutic alliance in the treatment of substance misuse: a critical review of the literature. Addiction, 100, 304–316.PubMedCrossRef

Miller, S., Duncan, B., Johnson, L., & Hubbell, M. (2000). Toward an outcome informed therapeutic practice. Psychotherapy in Australia, 6(2), 30–36.

Milton, S., Crino, R., Hunt, C., & Prosser, E. (2002). The effect of compliance-improving interventions on the cognitive-behavioural treatment of pathological gambling. Journal of Gambling Studies, 18, 207–229.PubMedCrossRef

Najavits, L. M., & Weiss, R. D. (1994). Variations in therapist effectiveness in the treatment of patients with substance use disorders: an empirical review. Addiction, 89, 679–688.PubMedCrossRef

Neighbors, C., Lostutter, T. W., Larimer, M. E., & Takushi, R. Y. (2002). Measuring gambling outcomes among college students. Journal of Gambling Studies, 18(4), 339–360.PubMedCrossRef

Orlinksy, D. E., Grawe, K., & Parks, B. K. (1994). Process and outcome in psychotherapy: Noch einmal. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behaviour change (4th ed., pp. 270–376). New York: Wiley.

Raylu, N., & Oei, T. P. S. (2007). Factors that predict treatment outcomes in a community treatment agency for problem gamblers. International Journal of Mental Health and Addiction, 5, 165–176.CrossRef

Smith, S., Thomas, S. A., & Jackson, A. C. (2004). An exploration of the therapeutic relationship and counselling outcomes in a problem gambling counselling service. Journal of Social Work Practice, 18(1), 99–112.CrossRef

Tabachnick, B. G., & Fidell, L. S. (Eds.). (2005). Using multivariate statistics (5th ed.). New York: Harper Collins.

Titel: Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes
verfasst von: Nicki A. Dowling
Sanja Cosic
Publikationsdatum: 01.12.2011
Verlag: Springer-Verlag
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 6/2011
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-010-9298-x

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Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

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