Minimal Treatment Approaches for Concerned Significant Others of Problem Gamblers: A Randomized Controlled Trial |
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Authors: | David C Hodgins Tony Toneatto Karyn Makarchuk Wayne Skinner Susan Vincent |
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Institution: | (1) Department of Psychology, University of Calgary, 2500 University Drive N.W., Calgary, AB, Canada, T2N1N4;(2) Center for Addiction and Mental Health, 1001 Queen Street West, Toronto, ON, Canada, M6J1H4;(3) The Ontario Problem Gambling Helpline (OPGH), Suite 200 685 Richmond Street, London, ON, Canada, N6A 5M1 |
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Abstract: | The goal of this study was to examine the efficacy of minimal treatment interventions for concerned significant others (CSOs)
of problem gamblers. One hundred and eighty-six participants (82% females, 56% spouses) were randomly assigned to one of three
groups: the first minimal intervention group received a self-help workbook based on behavioral principles, modified from
the Community Reinforcement and Family Therapy (CRAFT) model] and the second minimal intervention group received the workbook
plus telephone support. The control condition received a treatment resource information package. Overall, all participants
reported significant improvement in personal and relationship functioning and gambling behavior and consequences at the 3-
and 6-month follow-up. The data demonstrated differences in favor of the interventions in three areas: days gambling, satisfaction
with the program, and number who had their needs met. There was no difference in the number who had entered treatment. It
may be that CSOs require more guidance and follow-up support to achieve these goals using the CRAFT procedures and strategies. |
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Keywords: | Concerned significant others Gambling problems intervention Self-help workbook Community reinforcement and family training (CRAFT) Cognitive-behavioral treatment |
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