Treatments for PTSD and Pathological Gambling: What Do Patients Want? |
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Authors: | Lisa M Najavits |
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Institution: | (1) Harvard Medical School, Treatment Innovations, 28 Westbourne Road, Newton Centre, MA 02459, USA |
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Abstract: | This study explored the treatment preferences of 106 people with posttraumatic stress disorder (PTSD), pathological gambling
(PG), or both. It is the first know study of its type for this comorbidity. Sixteen different treatment types were rated,
with a broad array of modalities including manualized psychotherapies, medication, self-help, alternative therapies, coaching,
and self-guided treatments (use of books and computerized therapy). A consistent finding was that PTSD treatments were rated
more highly than PG treatments, even among those with both disorders. Further, of the sixteen treatment types, the sample
expressed numerous preferences for some over others. For example, among PG treatments, self-help was the highest-rated. Among
PTSD treatments, psychotherapies were the highest-rated; and individual therapy was rated higher than group therapy. For both
PG and PTSD, medications were rated lower than other treatment types. Non-standard treatments (i.e., computerized treatment,
books, coaching, family therapy, alternative therapies) were generally rated lower than other types. Discussion includes implications
for the design of treatments, as well as methodological limitations. |
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