Öz
Due to the increasing number of gambling disorders in recent years, various treatment methods have emerged by mental health professionals. Although various approaches address this problem, there are not many studies on the effectiveness of these approaches. The aim of this study is to investigate the effectiveness of cognitive behavioral therapy applied to gambling disorder in the literature. In this study using the PRISMA method, gambling disorder and cognitive behavioral therapy approaches were scanned in electronic databases and 10 studies were included in the systematic review. All studies used cognitive behavioral therapy (CBT) methods. There was no statistically significant difference between the CBT techniques used in the same study. All CBT approaches were found to be effective in the treatment of gambling, and were also effective in non-gambling secondary psychopathological problems. While the studies had a mean follow-up of 6 months, gambling shift behavior was generally observed in the first month of the therapy process. Even though all studies applied different methods, various solutions were provided to gambling disorder and secondary problems. The systematic reviews of studies on gambling disorder will provide more use of therapy methods especially in gambling disorder. In multidimensional examination and treatment of gambling disorder, not only psychopharmacological therapies but also eclectic approaches should be shaped with the addition of these approaches.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1. Stucki S, Rihs-Middel M. Prevalence of adult problem and pathological gambling between 2000 and 2005: An update. Journal of Gambling Studies 2007; 23: 245–257.
- 2. Meyer G, Hayer T, Griffiths M. Problem gambling in Europe: Challenges, prevention, and interventions. New York, NY: Springer, 2009.
- 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-III. Washington, DC, 1980.
- 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-IV. Washington, DC, 2000.
- 5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-V. Washington, DC, 2012.
- 6. Abbott MW, Volberg RA, Rönnberg S. Comparing the New Zealand and Swedish national surveys of gambling and problem gambling. Journal of Gambling Studies 2004; 20(3): 237–258.
- 7. Suurvali H, Hodgins D, Toneatto T, Cunningham J. Treatment seeking among Ontario problem gamblers: Results of a population survey. Psychiatric Services 2008; 59: 1343–1346.
- 8. Rizeanu S. Pathological gambling treatment-review. Procedia-Social and Behavioral Sciences 2015; 187: 613-618.
- 9. Petry NM. Pathological Gambling: Etiology, Comorbidity, and Treatment. Washington, DC: American Psychological Association, 2005.
- 10. Smith GJ, Hodgins D, Williams R. Research and Measurement Issues in Gambling Studies, 1st edn. Amsterdam/ Boston: Emerald Group Publishing Limited, 2007.
- 11. Ledgerwood DM, Petry NM. Current trends and future directions in the study of psychosocial treatments for pathological gambling. Current Directions in Psychological Science 2005; 14: 89–94.
- 12. Pallesen S, Mitsem M, Kvale G, Johnsen BH, Molde H. Outcome of psychological treatments of pathological gambling: a review and meta-analysis. Addiction 2005; 100, 1412–1422.
- 13. Toneatto T, Ladouceur R. Treatment of pathological gambling: a critical review of the literature. Psychology of Addictive Behaviors 2003; 17: 285–292.
- 14. Walker, M.B., 2005. Problems in measuring the effectiveness of cognitive therapy for pathological gambling. Journal of Gambling Studies, 21(1), pp.79-90.
- 15. Gooding P, Tarrier N. A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?. Behaviour Research and Therapy 2009; 47(2009): 592-607.
- 16. Tolchard B, Battersby MW. Cognitive behaviour therapy for problem gamblers: A clinical outcomes evaluation. Behaviour Change 2013; 30(1): p.12.
- 17. Hodgins DC, Peden N. Cognitive-behavioral treatment for impulse control disorders. Brazilian Journal of Psychiatry 2008; 30(Suppl. 1): 31-40.
- 18. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, ... Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS medicine 2009; 6(7): e1000100.
- 19. Aragay N, Jiménez-Murcia S, Granero R, Fernández-Aranda F, Ramos-Grille I, Cardona S, ... Vallès V. Pathological gambling: Understanding relapses and dropouts. Comprehensive Psychiatry 2015; 57: 58-64.
- 20. Carlbring P, Degerman N, Jonsson J, Andersson G. Internet-based treatment of pathological gambling with a three-year follow-up. Cognitive behaviour therapy 2012; 41(4): 321-334.
- 21. Carlbring P, Jonsson J, Josephson H,¬ Forsberg L. Motivational Interviewing Versus Cognitive Behavioral Group Therapy in the Treatment of Problem and Pathological Gambling: A Randomized Controlled Trial, Cognitive Behaviour Therapy 2010; 39(2): 92-103.
- 22. Grant JE, Donahue CB, Odlaug BL, Kim SW. A 6-month follow-up of imaginal desensitization plus motivational interviewing in the treatment of pathological gambling. Annals of clinical psychiatry: official journal of the American Academy of Clinical Psychiatrists 2011; 23(1): 3.
- 23. Guo S, Manning V, Thane KKW, Ng A, Abdin E, Wong KE. Predictors of treatment outcome among Asian pathological gamblers (PGs): clinical, behavioural, demographic, and treatment process factors. Journal of gambling studies 2014; 30(1): 89-103.
- 24. Jiménez-Murcia S, Granero R, Fernandez-Aranda F, Arcelus J, Aymamí MN, Gomez-Pena M, Fagundo AB. Predictors of outcome among pathological gamblers receiving cognitive behavioral group therapy. European addiction research 2015; 21(4): 169-178.
- 25. Marceaux JC, Melville CL. Twelve-step facilitated versus mapping-enhanced cognitive-behavioral therapy for pathological gambling: A controlled study. Journal of Gambling Studies 2011; 27(1); 171-190.
- 26. Myrseth H, Molde H, Støylen IJ, Johnsen BH, Holsten , Pallesen S. A pilot study of CBT versus escitalopram combined with CBT in the treatment of pathological gamblers. International gambling studies 2011; 11(01): 121-141.
- 27. Smith DP, Battersby MW, Harvey PW, Pols RG, Ladouceur R. Cognitive versus exposure therapy for problem gambling: Randomised controlled trial. Behaviour research and therapy 2015; 69: 100-110.
- 28. Tolchard B, Battersby M. Treatment completion in a cognitive behaviour therapy service for problem gamblers: Clinical outcome study. Journal of addiction research and therapy 2013, 4(5):1-7.
- 29. Tarrier N. (Ed.). Case formulation in cognitive behaviour therapy: The treatment of challenging and complex clinical cases. London: Routledge 2006.
- 30. Cowlishaw S, Merkouris S, Dowling N. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev 2012; 11: CD008937.
- 31. Yip SW, Potenza MN. Treatment of Gambling Disorders. Curr Treat Options Psychiatry 2014; 1(2):189–203.
Öz
Kumar oynama bozukluğunun son yıllarda giderek artması nedeniyle bu konuda ruh sağlığı çalışanları tarafından çeşitli tedavi yöntemleri ortaya çıkmaya başlamıştır. Her ne kadar çeşitli yaklaşımlar bu sorunu ele alıyor olsa da bu yaklaşımların etkinliğine dair çok fazla çalışma bulunmamaktadır. Bu çalışmanın amacı alanyazında kumar oynama bozukluğuna uygulanan bilişsel davranışçı terapi çalışmalarını derleyerek etkililiğini araştırmaktır. PRISMA yönteminin kullanıldığı bu çalışmada kumar oynama bozukluğu ve bilişsel davranışçı terapi yaklaşımları elektronik veri tabanlarında taranmış ve tam metnine ulaşılan 29 çalışmadan 10 çalışma sistematik derlemeye dahil edilmiştir. Derlenen tüm çalışmalar bilişsel davranışçı terapi (BDT) yöntemini kullanmıştır. Araştırmalarda farklı BDT yöntemleri aynı çalışmada kullananlar bu teknikler arasında istatistiksel olarak anlamlı bir farklılık olmadığnı tespit etmiştir. Tüm BDT yaklaşımlarının kumar tedavisinde etkin olduğu, bu yaklaşımların ayrıca kumar harici ikincil psikopatolojik sorunlarda da etkili olduğu görülmüştür. Çalışmaların ortalama 6 aylık bir takip sürecine sahip olduğu görülürken, kumara kayma davranışının genellikle terapi sürecinin ilk bir ayında yaşandığı çalışmalarda gözlemlenmiştir. Araştırmaya dahil edilen tüm çalışmalar farklı BDT teknikleri uygulasa da, bu çalışmalarda kumar oynama bozukluğu ve ikincil sorunlara çeşitli çözümler sunulmuştur. Kumar oynama bozukluğu ile ilgili yapılan çalışmaların bilimsel olarak derlenmesi, terapi yöntemlerinin özellikle kumar oynama bozukluğunda daha fazla kullanılmasını sağlayacaktır. Kumar oynama bozukluğunun çok boyutlu incelenmesi ve tedavisinde sadece psikofarmakolojik tedavilerin değil, bu yaklaşımların da eklenmesiyle eklektik bir bakış açısıyla tedavilerin şekillenmesi gerekmektedir.
Anahtar Kelimeler
Kumar Oynama Bozukluğu Bağımlılık Bilişsel Davranışçı Terapi
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Stucki S, Rihs-Middel M. Prevalence of adult problem and pathological gambling between 2000 and 2005: An update. Journal of Gambling Studies 2007; 23: 245–257.
- 2. Meyer G, Hayer T, Griffiths M. Problem gambling in Europe: Challenges, prevention, and interventions. New York, NY: Springer, 2009.
- 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-III. Washington, DC, 1980.
- 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-IV. Washington, DC, 2000.
- 5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-V. Washington, DC, 2012.
- 6. Abbott MW, Volberg RA, Rönnberg S. Comparing the New Zealand and Swedish national surveys of gambling and problem gambling. Journal of Gambling Studies 2004; 20(3): 237–258.
- 7. Suurvali H, Hodgins D, Toneatto T, Cunningham J. Treatment seeking among Ontario problem gamblers: Results of a population survey. Psychiatric Services 2008; 59: 1343–1346.
- 8. Rizeanu S. Pathological gambling treatment-review. Procedia-Social and Behavioral Sciences 2015; 187: 613-618.
- 9. Petry NM. Pathological Gambling: Etiology, Comorbidity, and Treatment. Washington, DC: American Psychological Association, 2005.
- 10. Smith GJ, Hodgins D, Williams R. Research and Measurement Issues in Gambling Studies, 1st edn. Amsterdam/ Boston: Emerald Group Publishing Limited, 2007.
- 11. Ledgerwood DM, Petry NM. Current trends and future directions in the study of psychosocial treatments for pathological gambling. Current Directions in Psychological Science 2005; 14: 89–94.
- 12. Pallesen S, Mitsem M, Kvale G, Johnsen BH, Molde H. Outcome of psychological treatments of pathological gambling: a review and meta-analysis. Addiction 2005; 100, 1412–1422.
- 13. Toneatto T, Ladouceur R. Treatment of pathological gambling: a critical review of the literature. Psychology of Addictive Behaviors 2003; 17: 285–292.
- 14. Walker, M.B., 2005. Problems in measuring the effectiveness of cognitive therapy for pathological gambling. Journal of Gambling Studies, 21(1), pp.79-90.
- 15. Gooding P, Tarrier N. A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?. Behaviour Research and Therapy 2009; 47(2009): 592-607.
- 16. Tolchard B, Battersby MW. Cognitive behaviour therapy for problem gamblers: A clinical outcomes evaluation. Behaviour Change 2013; 30(1): p.12.
- 17. Hodgins DC, Peden N. Cognitive-behavioral treatment for impulse control disorders. Brazilian Journal of Psychiatry 2008; 30(Suppl. 1): 31-40.
- 18. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, ... Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS medicine 2009; 6(7): e1000100.
- 19. Aragay N, Jiménez-Murcia S, Granero R, Fernández-Aranda F, Ramos-Grille I, Cardona S, ... Vallès V. Pathological gambling: Understanding relapses and dropouts. Comprehensive Psychiatry 2015; 57: 58-64.
- 20. Carlbring P, Degerman N, Jonsson J, Andersson G. Internet-based treatment of pathological gambling with a three-year follow-up. Cognitive behaviour therapy 2012; 41(4): 321-334.
- 21. Carlbring P, Jonsson J, Josephson H,¬ Forsberg L. Motivational Interviewing Versus Cognitive Behavioral Group Therapy in the Treatment of Problem and Pathological Gambling: A Randomized Controlled Trial, Cognitive Behaviour Therapy 2010; 39(2): 92-103.
- 22. Grant JE, Donahue CB, Odlaug BL, Kim SW. A 6-month follow-up of imaginal desensitization plus motivational interviewing in the treatment of pathological gambling. Annals of clinical psychiatry: official journal of the American Academy of Clinical Psychiatrists 2011; 23(1): 3.
- 23. Guo S, Manning V, Thane KKW, Ng A, Abdin E, Wong KE. Predictors of treatment outcome among Asian pathological gamblers (PGs): clinical, behavioural, demographic, and treatment process factors. Journal of gambling studies 2014; 30(1): 89-103.
- 24. Jiménez-Murcia S, Granero R, Fernandez-Aranda F, Arcelus J, Aymamí MN, Gomez-Pena M, Fagundo AB. Predictors of outcome among pathological gamblers receiving cognitive behavioral group therapy. European addiction research 2015; 21(4): 169-178.
- 25. Marceaux JC, Melville CL. Twelve-step facilitated versus mapping-enhanced cognitive-behavioral therapy for pathological gambling: A controlled study. Journal of Gambling Studies 2011; 27(1); 171-190.
- 26. Myrseth H, Molde H, Støylen IJ, Johnsen BH, Holsten , Pallesen S. A pilot study of CBT versus escitalopram combined with CBT in the treatment of pathological gamblers. International gambling studies 2011; 11(01): 121-141.
- 27. Smith DP, Battersby MW, Harvey PW, Pols RG, Ladouceur R. Cognitive versus exposure therapy for problem gambling: Randomised controlled trial. Behaviour research and therapy 2015; 69: 100-110.
- 28. Tolchard B, Battersby M. Treatment completion in a cognitive behaviour therapy service for problem gamblers: Clinical outcome study. Journal of addiction research and therapy 2013, 4(5):1-7.
- 29. Tarrier N. (Ed.). Case formulation in cognitive behaviour therapy: The treatment of challenging and complex clinical cases. London: Routledge 2006.
- 30. Cowlishaw S, Merkouris S, Dowling N. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev 2012; 11: CD008937.
- 31. Yip SW, Potenza MN. Treatment of Gambling Disorders. Curr Treat Options Psychiatry 2014; 1(2):189–203.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Psikolojide Davranış-Kişilik Değerlendirmesi |
| Bölüm | Derleme |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Haziran 2021 |
| Kabul Tarihi | 3 Şubat 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 22 Sayı: 2 |
Cited By
KUMAR BAĞIMLILIĞINA YÖNELİK KAMU SPOTLARININ JAKOBSON’UN İLETİŞİM İŞLEVLERİ BAĞLAMINDA ANALİZİ
Gümüşhane Üniversitesi İletişim Fakültesi Elektronik Dergisi
https://doi.org/10.19145/e-gifder.1284067
Bağımlılık Dergisi - Journal of Dependence