Journal
CURRENT OPINION IN PSYCHIATRY
Volume 34, Issue 5, Pages 508-513Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/YCO.0000000000000728
Keywords
cognitive-behavioral therapy; gambling disorder; motivational interviewing; psychotherapy; treatment
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Treatment of gambling disorder is mainly focused on psychological interventions, particularly cognitive-behavioral therapy/methods and/or motivational interviewing. Other interventions with promising results include various self-help interventions and mindfulness. Interventions like couples therapy and support groups may have positive effects on therapeutic adherence and retention.
Purpose of review Despite a significant body of literature related to the treatment of gambling disorder, there are still an insufficient number of evaluation studies regarding their effectiveness or firm conclusions on specific treatment elements that contribute to it. The aim of this article was to provide a review of scientific results regarding the treatment of gambling disorder, to present the most commonly applied modalities of treatment and to explore the elements of the most successful therapeutic interventions. Recent findings A substantial body of literature has shown that the most successful therapeutic protocols are psychological interventions, especially based on cognitive-behavioral therapy/methods and/or motivational interviewing. Other interventions with promising results include different self-help interventions and mindfulness. Interventions such as couples therapy and support groups, may have positive effects in terms of increasing therapeutic adherence and retention, while pharmacotherapy is especially useful in patients with comorbidities. Gambling disorder is a complex mental health problem caused by a wide spectrum of different biological, psychological, and social risk factors. Treatment options for gambling disorder need to be wide, flexible, accessible, and economically justified, providing early inclusion, retention, and sustainability of long-term effects of the treatment, that is, abstinence and higher quality of psychosocial functioning.
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