Measuring treatment outcomes in gambling disorders: a systematic review.
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TLDR
In research on gambling disorders, the incorporation of broader outcome domains that extend beyond disorder‐specific symptoms and behaviours suggests a multi‐dimensional conceptualization of recovery.Abstract:
Background and Aims
Considerable variation of outcome variables used to measure recovery in the gambling treatment literature has precluded effective cross-study evaluations and hindered the development of best-practice treatment methodologies. The aim of this systematic review was to describe current diffuse concepts of recovery in the gambling field by mapping the range of outcomes and measurement strategies used to evaluate treatments, and to identify more commonly accepted indices of recovery.
Methods
A systematic search of six academic databases for studies evaluating treatments (psychological and pharmacological) for gambling disorders with a minimum 6-month follow-up. Data from eligible studies were tabulated and analysis conducted using a narrative approach. Guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were adhered to.
Results
Thirty-four studies were reviewed systematically (RCTs = 17, comparative designs = 17). Sixty-three different outcome measures were identified: 25 (39.7%) assessed gambling-specific constructs, 36 (57.1%) assessed non-gambling specific constructs, and two instruments were used across both categories (3.2%). Self-report instruments ranged from psychometrically validated to ad-hoc author-designed questionnaires. Units of measurement were inconsistent, particularly in the assessment of gambling behaviour. All studies assessed indices of gambling behaviour and/or symptoms of gambling disorder. Almost all studies (n = 30; 88.2%) included secondary measures relating to psychiatric comorbidities, psychological processes linked to treatment approach, or global functioning and wellbeing.
Conclusions
In research on gambling disorders, the incorporation of broader outcome domains that extend beyond disorder-specific symptoms and behaviours suggests a multi-dimensional conceptualization of recovery. Development of a single comprehensive scale to measure all aspects of gambling recovery could help to facilitate uniform reporting practices across the field.read more
Citations
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Examining personalized feedback interventions for gambling disorders: A systematic review.
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Pharmacological and Psychosocial Treatment of Adults With Gambling Disorder: A Meta-Review.
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TL;DR: In this paper, a systematic review of the literature on the pharmacological and psychosocial treatment of adults with Gambling Disorder (GD), and to identify possible agreed-upon standards of care was conducted.
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Current pharmacotherapy for gambling disorder: a systematic review.
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Pharmacological Treatments for Disordered Gambling: A Meta-analysis
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What does it mean to recover from a gambling disorder? Perspectives of gambling help service users
TL;DR: In this article, there is no consensus on how to best define recovery in gambling disorder, which minimizes clinicians' abilities to apply optimal treatment goals and contributes to inconsistency in the treatment of gambling disorder.
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