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https://hdl.handle.net/2440/71880
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Type: | Journal article |
Title: | The influence of depression and other co-occurring conditions on treatment outcomes for problem gamblers: a cohort study |
Author: | Smith, D. Battersby, M. Harvey, P. Pols, R. Baigent, M. Oakes, J. |
Citation: | Medical Journal of Australia, 2011; 195(3):s56-S59 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2011 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | David P. Smith, Malcolm W. Battersby, Peter W. Harvey, Rene G. Pols, Michael F. Baigent and Jane E. Oakes |
Abstract: | OBJECTIVE: To examine the influence of co occurring conditions on gambling treatment outcomes. DESIGN, SETTING AND PARTICIPANTS: Prospective cohort study of problem gamblers. Participants were recruited from consecutive referrals to a gambling therapy service in 2008. Inclusion criteria were: (i) assessed as a problem gambler based on a screening interview including DSM-IV criteria for pathological gambling, and (ii) suitable for admission to a treatment program. Cognitive-behavioural therapy was based on graded exposure-to-gambling urge. One-to-one treatment was conducted with 1-hour sessions weekly for up to 12 weeks. MAIN OUTCOME MEASURES: Problem gambling screening and co-occurring conditions including depression, anxiety and alcohol use. RESULTS: Of 127 problem gamblers, 69 were males (54%), mean age was 43.09 years, and 65 (51%) reported a duration of problem gambling greater than 5 years. Median time for participants’ enrolment in the study was 8.9 months. Results from mixed effects logistic regression analysis indicated that individuals with higher depression levels had a greater likelihood (13% increase in odds [95% CI, 1%–25%]) of problem gambling during treatment and at follow-up. CONCLUSIONS: Addressing depression may be associated with improved treatment outcomes in problem gambling; conversely, treatment of problem gambling improves affective instability. We therefore recommend a dual approach that treats both depression and problem gambling. |
Keywords: | Humans Alcoholism Treatment Outcome Logistic Models Prospective Studies Depression Gambling Anxiety Adult Australia Female Male Cognitive Behavioral Therapy |
Rights: | Copyright status unknown |
DOI: | 10.5694/j.1326-5377.2011.tb03267.x |
Description (link): | https://www.mja.com.au/journal/2011/195/3/influence-depression-and-other-co-occurring-conditions-treatment-outcomes-problem?0=ip_login_no_cache%3D0b57eeaaac86728690536c55c350f823 |
Published version: | http://dx.doi.org/10.5694/j.1326-5377.2011.tb03267.x |
Appears in Collections: | Aurora harvest Medicine publications |
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