Disordered gamblers do not typically seek treatment (Slutske, 2006). Therefore, it is important to test brief interventions because these strategies might attract more treatment-seeking gamblers than more extensive treatment. Previous WAGERs (see WAGER 13(5) and 11(9)) have reviewed some of these interventions. This week the WAGER reviews a study examining the efficacy of three types of brief interventions for disordered gamblers (Petry, Weinstock, Ledgerwood, & Morasco, 2008).
- Retention across assessments ranged from 83.7-87.5%.
- All groups, including the control group, experienced decreases in gambling.
- At 9 months, the only significant difference between pairs of groups was between the best performing group, Brief Advice, and the worst, Assessment Only Control; there were no significant differences among the other groups (See Figure 1).
*Recovered and Improved defined as < 3 SOGS items and/or > 30% decrease in dollars wagered. MET- Motivational Enhancement Therapy. CBT- Cognitive-Behavioral Therapy.
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- This study used self report.
- Recruitment advertisements were located mostly in inner-city clinics making these results difficult to generalize for all populations.
This study indicates that brief interventions can have a positive impact on gambling problems. Surprisingly, the most successful brief intervention was the most brief (e.g., the Brief Advice group). More research about the efficacy and impact of brief interventions for disordered gambling is needed. Brief advice interventions have an advantage over the others because they are cost-efficient and require less investment of therapists’ time.
What do you think? Comments can be addressed to Tasha Chandler.
Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144(9), 1184-1188.
Petry, N. M., Weinstock, J., Ledgerwood, D. M., & Morasco, B. (2008). A randomized trial of brief interventions for problem and pathological gamblers. Journal of Consulting and Clinical Psychology, 76(2), 318-328.
Slutske, W. S. (2006). Natural recovery and treatment-seeking in pathological gambling: Results of two U.S. national surveys. American Journal of Psychiatry, 163(2), 297-302.