Interventions for comorbid problem gambling and psychiatric disorders: Advancing a developing field of research

Addictive Behaviors
Nicki DowlingFelicity K Lorains

Abstract

Despite significant psychiatric comorbidity in problem gambling, there is little evidence on which to base treatment recommendations for subpopulations of problem gamblers with comorbid psychiatric disorders. This mini-review draws on two separate systematic searches to identify possible interventions for comorbid problem gambling and psychiatric disorders, highlight the gaps in the currently available evidence base, and stimulate further research in this area. In this mini-review, only 21 studies that have conducted post-hoc analyses to explore the influence of psychiatric disorders or problem gambling subtypes on gambling outcomes from different types of treatment were identified. The findings of these studies suggest that most gambling treatments are not contraindicated by psychiatric disorders. Moreover, only 6 randomized studies comparing the efficacy of interventions targeted towards specific comorbidity subgroups with a control/comparison group were identified. The results of these studies provide preliminary evidence for modified dialectical behavior therapy for comorbid substance use, the addition of naltrexone to cognitive-behavioral therapy (CBT) for comorbid alcohol use problems, and the addition of N-acetylcysteine...Continue Reading

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Citations

Jul 4, 2016·Clinical Psychology Review·S S MerkourisN A Dowling
Dec 21, 2018·Journal of Gambling Studies·Martina GoslarAnton-Rupert Laireiter
Sep 13, 2019·The American Journal on Addictions·Elena Gomis-VicentAlvaro Pascual-Leone
Jul 28, 2019·Nature Reviews. Disease Primers·Marc N PotenzaSarah W Yip
Oct 7, 2018·Addictive Behaviors·Joshua B GrubbsKathrine A Shepherd
Feb 11, 2021·Psychiatry Investigation·Kounseok LeeYoungHo Kim
Feb 28, 2021·Journal of Psychiatric Research·Roser GraneroSusana Jiménez-Murcia
May 4, 2020·Journal of Behavioral Addictions·Martina GoslarAnton-Rupert Laireiter

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