Nuevos Retos en el Tratamiento del Juego Patológico

  1. Enrique Echeburúa
  2. Karmele Salaberría
  3. Marisol Cruz-Sáez
Journal:
Terapia psicológica

ISSN: 0716-6184,  0718-4808

Year of publication: 2014

Volume: 32

Issue: 1

Pages: 31-40

Type: Article

DOI: 10.4067/S0718-48082014000100003 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Terapia psicológica

Abstract

This paper deals with the new developments in the treatment of disordered gambling, as well as with the challenges for further research. Abstinence versus moderated gambling is an issue that raises many concerns and that needs to be addressed. Current treatment for disordered gambling involves a number of different options, including inpatient treatments, individual and group cognitive-behavioral options, Gamblers Anonymous and pharmacotherapy, as well as an intervention in relapse prevention. Cognitive-behavioral therapy may have asuccess rate ranging from 50% to 80% of treated patients in a long-term follow-up. Psychopharmacological therapy may have incremental benefit when patients have comorbid depression or high impulsivity. Responsible gambling may be a therapeutic option for young gamblers or people without a severe dependence. Further information is required about treatment for online gambling addictions and for dealing with specific populations (women and young people). Unanswered questions for future research in this field are commented upon.

Bibliographic References

  • (2013). Diagnostic and statistical manual of mental disorders. Washington, Dc.
  • Becoña, E. (1999). Epidemiología del juego patológico en España. Anuario de Psicología. 30. 7-19
  • Blaszczynski, A, Ladouceur, R, Shaffer, H. H. (2004). A science-based framework for responsable gambling: The Reno model. Journal of Gambling Studies. 20. 301-317
  • Carlbring, P, Smith, F. (2008). Randomized trial of Internet-delivered self-help with telephone support for pathological gamblers. Journal of Consulting and Clinical Psychology. 76. 1090-1094
  • Derevensky, J. L, Gupta, R. (2007). Research and Measurement Issues in Gambling Studies. Elsevier. Amsterdam. 437-463
  • Echeburúa, E, Corral, P. (2008). Juego responsable: ¿una alternativa para la prevención y el tratamiento de la ludopatía?. Adicciones. 20. 321-326
  • Echeburúa, E, Báez, C, Fernández-Montalvo, J. (1996). Comparative effectiveness of three therapeutic modalities in the psychological treatment of pathological gambling: long-term outcome. Behavioural and Cognitive Psychotherapy. 24. 51-72
  • Echeburúa, E, Fernández-Montalvo, J, Báez, C. (2000). Relapse prevention in the treatment of pathological gambling: long-term outcome. Behavior Therapy. 37. 351-364
  • Echeburúa, E, Fernández-Montalvo, J, Báez, C. (2001). Predictors of therapeutic failure in pathological gamblers following behavioural treatment. Behavioural and Cognitive Psychotherapy. 29. 369-373
  • Echeburúa, E, Gómez, M, Freixa, M. (2011). Cognitive-behavioural treatment of pathological gambling in individuals with chronic schizophrenia: A pilot study. Behaviour Research and Therapy. 49. 808-814
  • Echeburúa, E, González-Ortega, I, Corral, P, Polo-López, R. (2011). Clinical gender differences among adult pathological gamblers seeking treatment. Journal of Gambling Studies. 27. 215-227
  • Echeburúa, E, González-Ortega, I, Corral, P, Polo-López, R. (2013). Pathological gamblers and a non-psychiatric control group taking gender differences into account. Spanish Journal of Psychology. 16. 1-9
  • El-Guebaly, N, Mudry, T, Zohar, J, Tavares, H, Potenza, M. N. (2012). Compulsive features in behavioural addictions: the case of pathological gambling. Addiction. 107. 1726-1734
  • Fernández-Montalvo, J, Echeburúa, E. (1997). Manual del juego patológico: Ayuda para el paciente y guía para el terapeuta. Pirámide. Madrid.
  • González-Ortega, I, Echeburúa, E, Corral, P, Polo-López, R, Alberich, S. (2013). Predictors of pathological gambling severity taking gender differences into account. European Addiction Research. 19. 146-154
  • Gooding, P, Tarrier, N. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedgings our bets?. Behaviour Research and Therapy. 47. 592-607
  • Grant, J. E, Odlaug, B. L. (2012). Psychosocial Interventions for Gambling Disorders: Increasing the Odds. What Clinicians Need to Know About Gambling Disorders. National Center for Responsible Gaming. Washington, DC. 7. 38-51
  • Grant, J. E, Odlaug, B. L, Schreiber, L. N. (2012). Pharmacological Treatments in Pathological Gambling. British Journal of Clinical Pharmacology.
  • Grant, J. E, Donahue, C. B, Odlaug, B. L, Kim, S.W, Miller, M. J, Petry, N. M. (2009). Imaginal desensitization plus motivational interviewing gor pathological gambling: randomized controlled trial. British Journal of Psychiatry. 195. 266-267
  • Griffiths, M. D, Barnes, A. (2008). Internet gambling: An online empirical study among student gamblers. International Journal of Mental Health and Addiction. 6. 194-204
  • Hodgings, D. C, Holub, A. (2007). Research and Measurement Issues in Gambling Studies. Elsevier. Amsterdam. 372-397
  • 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
  • Hodgins, D. C, Currie, S. R, Currie, G, Fick, G.H. (2009). Randomized trial of brief motivational treatments for pathological gamblers: More is not necessary better. Journal of Consulting and Clinical Psychology. 77. 950-960
  • Hodgings, D. C, Toneatto, T, Makarchuk, K, Skinner, W, Vincent, S. (2007). Minimal treatment approaches for concerned significant others of problem gamblers: A randomized controlled trial. Journal of Gambling Studies. 23. 215-230
  • Hollander, E, Sood, E, Pallanti, S, Baldini-Rossi, N, Baker, B. (2005). Pharmacological treatment of pathological gamblers. Journal of Gambling Studies. 21. 101-110
  • Jiménez-Murcia, S, Aymaní, N, Gómez-Peña, M, Santamaría, J. J. (2012). Does exposure and response prevention improve the results of group CBT for male slot machine pathological gamblers?. British Journal of Psychiatry. 51. 54-71
  • Ladouceur, R. (2005). Controlled gambling for pathological gamblers. Journal of Gambling Studies. 21. 49-57
  • Ladouceur, R, Lachance, S, Fournier, P. M. (2009). Is control a viable goal in the treatment of pathological gambling?. Behaviour Research and Therapy. 47. 189-197
  • Ladouceur, R, Sylvain, C, Boutin, C, Lachance, S, Doucet, C, Leblond, J. (2003). Group therapy for pathological gamblers: A cognitive approach. Behaviour Research and Therapy. 41. 587-596
  • Ladouceur, R, Sylvain, C, Boutin, C, Lachance, S, Doucet, C, Leblond, J, Jacques, C. (2001). Cognitive treatment of pathological gambling. Journal of Nervous and Mental Disease. 189. 774-780
  • Laplante, D. A, Braverman, J. (2010). El juego patológico: Avances en la clínica y en el tratamiento. Pirámide. Madrid. 323-358
  • Lorains, F. K, Cowlishaw, S, Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys. Addiction. 106. 490-498
  • Marlatt, G. A, Gordon, J.R. (2005). Relapse prevention: Maintenance strategies in addictive behavior change. 2nd. Guilford press. New York.
  • McConaghy, N, Blaszczynski, A, Frankova, A. (1991). Comparison of imaginaldesensitisation with other behavioural treatments of pathological gambling: A two-to nine-year follow-up. British Journal of Psychiatry. 159. 390-393
  • Melville, C. L, Davis, C. S, Matzenbacher, D. L, Clayborne, J. (2004). Node-link-mapping-enhanced group treatment for pathological gambling. Addictive Behaviors. 29. 73-87
  • McCormick, R. A, Ramírez, L. F. (1988). Modern perspectives in psychosocial pathology. Brunner/Mazel Inc. New York. 45-57
  • Nelson, S. E, Kleschinsky, J. H, LaBrie, R. A, Kaplan, S, Shaffer, H. J. (2010). One decade of self exclusion: Missouri casino self-excluders four to ten years after enrolment. Journal of Gambling Studies. 26. 129-144
  • Oei, T. P. S, Raylu, N, Casey, L. (2010). The effectiveness of group versus individual CBT programs for problem gamblers: A randomized clinical trial. Behavioural and Cognitive Psychotherapy. 38. 233-238
  • Pallesen, S, Mitsem, M, Kvale, G, Johnsen, B. H, Molde, H. (2005). Outcome of psychological treatments of pathological gambling: A review and meta-analysis. Addiction. 100. 1412-1422
  • Petry, N. M, Ammerman, Y, Bohl, J, Doersch, A, Gay, H. (2006). Cognitive-behavioral therapy for pathological gamblers. Journal of Consulting and Clinical Psychology. 74. 555-567
  • Potenza, M. N. (2012). Pharmacological Approaches to Treating Pathological Gambling: Increasing the Odds (vol 7). What Clinicians Need to Know About Gambling Disorders. National Center for Responsible Gaming. Washington DC. 7. 52-60
  • Rychtarik, R. G, McGillicuddy, N. B. (2006). Preliminary evaluation of a coping skills training program for those with a pathological-gambling partner. Journal of Gambling Studies. 22. 165-178
  • Stewart, R. M, Brown, R. (1988). An outcome study of Gamblers Anonymous. British Journal of Psychiatry. 152. 284-288
  • Toneatto, T, Dragonetti, R. (2008). Effectiveness of community-based treatment for problem gambling: A quasi-experimental evaluation of cognitive-behavioral vs. twelve-step therapy. American Journal on Addictions. 17. 298-303
  • Toneatto, T, Ladouceur, R. (2003). Treatment of pathological gambling: a critical review of the literature. Psychology of Addictive Behaviors. 17. 284-292
  • Wulfert, E, Blanchard, E. B, Freidenberg, B. M, Martell, R. S. (2006). Retaining pathological gamblers in CBT through motivational enhancement: a pilot study. Behavior Modification. 30. 315-340
Data source: Dialnet