Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?
Jiménez Murcia, Susana (Hospital Universitari de Bellvitge)
Aymamí, Neus (Hospital Universitari de Bellvitge)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Santamaría, Juan José (Hospital Universitari de Bellvitge)
Alvarez-Moya, Eva M. (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Penelo Werner, Eva (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Bueno, Blanca (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Gunnard, Katarina (Hospital Universitari de Bellvitge)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)

Fecha:	2012
Descripción:	17 pàg.
Resumen:	Introduction. Cognitive-behavioural therapy (CBT) seems to offer effective treat- ment for pathological gambling (PG). However, it has not yet been established which techniques yield the best results, or whether exposure and response prevention (ERP) techniques are of additional use. Objectives. To evaluate clinical and socio-demographic characteristics of a PG sample at baseline, comparing cognitive-behavioural group intervention, with and without exposure, with response prevention (CBT + ERP vs. CBT), to compare the results of therapy and to assess pre-post changes in psychopathology between both groups. Design. We applied a quasi-experimental design comprising intervention on the independent variable, but without random assignment. Methods. The sample comprised 502 males with PG, consecutively admitted to a specialist unit, who received standardized outpatient CBT group therapy in 16 weekly sessions. Scores on the Symptom Checklist-Revised (SCL-90-R), the Temperament and Character Inventory-Revised (TCI-R), the South Oaks Gambling Screen (SOGS), and other clinical and psychopathological scales were recorded. Results. Pre-post changes did not differ between groups, except for SCL paranoid ideation, being greater in the CBT therapy group. The risk of relapse during treatment was similar in the CBT + ERP and CBT patients. However, compliance with treatment was poorer in the CBT + ERP group, who presented higher drop-out rates during treatment. Drop-out during therapy was associated with shorter disorder duration and higher scores on the TCI-R novelty seeking scale. Conclusions. Although the two CBT programs elicited similar therapy responses, patients receiving CBT alone showed higher adherence to therapy and lower drop-out rates.
Ayudas:	European Commission 215839 Agència de Gestió d'Ajuts Universitaris i de Recerca 2009/SGR-1554
Nota:	This study was conducted as part of the PhD of Mrs. Mónica Gómez-Peña (Program "Psicopatologia Infantil, Adolescents i Adults" at the Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona)
Nota:	Altres ajuts: Financial support was received from Fondo de Investigación Sanitaria-FIS (PI081573; PI081714)
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió acceptada per publicar
Materia:	Cognitive-behavioural therapy ; Pathological gambling ; Exposure and response prevention
Publicado en:	The British journal of clinical psychology, Vol. 51 (2012) , p. 54-71, ISSN 2044-8260

DOI: 10.1111/j.2044-8260.2011.02012.x

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