This study evaluated the effectiveness of a cognitive-behavioral treatment for adolescent pathological gamblers. Perception of control and severity of the problem served as dependent variables. Four adolescent pathological gamblers meeting DSM-III-R criteria were treated in a multiple baseline design across individuals. Results showed clinically significant changes for all subjects; they remained abstinent at 1-, 4-, and 6-month follow-ups. The clinical implications of these results are discussed.
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References
1.
Abbott, M. , & Volberg, R. (1991). Gambling and problem gambling in New Zealand: A report on phase one of the national survey. Wellington, New Zealand: Research Unit, Department of Internal Affairs.
2.
Abt, V. A. , Smith, J. F., & Christiansen, E. M. (1985). The business of risk: Commercial gambling in mainstream America. Lawrence: University Press of Kansas.
3.
Acuri, A. F. , Lester, D., & Smith, F. 0. (1985). Shaping adolescent gambling behaviour. Adolescence, 20, 935-938.
4.
American Psychiatric Association . (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
5.
American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
6.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
7.
Blaszczynski, A. (in press). Pathological gambling: Atreatment review. Revista intercontinental de Psicologia y Educacion.
8.
Blaszczynski, A. , McConaghy, N., & Francova, A. (1991). Control versus abstinence in the treatment of pathological gambling: A two to nine year follow-up. British Journal of Addiction, 86, 299-306.
9.
Bujold, A., Ladouceur, R., Sylvain, C., & Boisvert, J.-M. (1993). Cognitive-behavioral treatment of pathological gamblers. Manuscript submitted for publication.
10.
Custer, R. L. (1982). An overview of compulsing gambling. In P. A. Carone, S. F. Yolles, S. N. Kieffer, & L. W. Krinsky (Eds.), Addictive disorders update (pp. 107-124). New York: Human Sciences Press.
11.
Dell, L. J. , Ruzicka, M. E., & Palisi, A. T. (1981). Personality and other factors associated with gambling addiction. The International Journal of Addiction, 16, 149-156.
12.
D'Zurilla, T. J. (1986). Problem-solving therapy: A social competence approach to clinical interventions. New York: Springer.
13.
Gaboury, A. , & Ladouceur, R. (1989). Erroneous perceptions and gambling. Journal of Social Behavior and Personality, 4, 411-420.
14.
Gaboury, A. , Ladouceur, R., Beauvais, G., Marchand, L., & Martineau, Y. (1988). Dimensions cognitives et comportementales entre les joueurs regulier et occasionnels de blackjack [Cognitive-behavioral dimensions of regular and occasional blackjack players]. International Journal of Psychology, 23, 283-291.
15.
Gambino, B. , & Cummings, T. (1989). Treatment for compulsive gambling: Where are we now? In H. J. Shaffer, S. A. Stein, B. Gambino, & T. N. Cummings (Eds.), Compulsive gambling: Theory, research and practice (pp. 315-335). Lexington, MA: Lexington Books.
16.
Goldstein, A. P. (1988). Problem-solving training. In F. H. Kanfer(Ed.), The prepare curriculum: Teaching prosocial competencies (pp. 11-65). Illinois: Research Press.
17.
Griffiths, M. D. (1989). Gambling in children and adolescents. Journal of Gambling Behavior, 5, 66-83.
18.
Griffiths, M. D. (1993). Fruit machine gambling: The importance of structural characteristics. Journal of Gambling Studies, 9, 101-120.
19.
Hersen, M. , & Barlow, D. H. (1976). Single case experimental designs: Strategies for studying behavior change. New York: Pergamon.
20.
Ide-Smith, S. G. , & Lea, S.E.G. (1988). Gambling in young adolescents. Journal of Gambling Behavior, 4, 110-118.
21.
Jacobs, D. F. (1989). Illegal and undocumented: A review of teenage gambling and the plight of children of problem gamblers in America. In H. J. Shaffer, S. A. Stein, B. Gambino, & T. N. Cummings (Eds.), Compulsive gambling: Theory, research and practice (pp. 249-292). Lexington, MA: Lexington Books.
22.
Kallick, M. , Suits, D., Dielman, T., & Hybels, J. (1979). A survey ofAmerican gambling attitudes and behaviour. Ann Arbor, MI: Institute for Social Research, University of Michigan.
23.
Ladouceur, R. (1991). Le jeu pathologique [Pathological gambling]. Dependances, 3, 5-14.
24.
Ladouceur, R. (1993). Fundamental and clinical aspects of the psychology of gambling. Revista Intercontinental de Psicologia y Educacion, 1, 361-374.
25.
Ladouceur, R. , Gaboury, A., & Duval, C. (1988). Modification des verbalisations irrationnelles pendant le jeu de roulette am6ricaine et prise de risque mon6taire [Modification of irrational verbalizations while playing American roulette and monetary risk taking]. Science et Comportement, 18, 58-68.
26.
Ladouceur, R. , & Mercier, P. (1984). Awareness: A neglected factor in behavior therapies. Psychological Reports, 54, 159-178.
27.
Ladouceur, R. , & Mireault, C. (1988). Gambling behavior among high school students in the Quebec area. Journal of Gambling Behavior, 4, 3-12.
28.
Lesieur, H. R. , & Klein, R. (1987). Pathological gambling among high school students. Addictive Behaviors, 12, 129-135.
29.
Lesieur, H. R. , & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature. Journal of Gambling Studies, 7, 5-39.
30.
Livingston, J. (1974). Compulsive gamblers: Observation on action and abstinence. New York: Harper & Row.
31.
Marlatt, G. A. , & Gordon, J. R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford.
32.
Skolnick, J. H. (1979, July). The social risk of casino gambling. Psychology Today, pp. 22-27.
33.
Sylvain, C. , & Ladouceur, R. (1992). Correction cognitive et habitudes de jeu chez les joueurs de poker video [Cognitive corrections and gambling behaviors among videopoker players]. Canadian Journal of Behavioral Science, 24, 479-489.
34.
Taber, J. I. , McCormick, R. A., Russo, A. M., Adkins, B. J., & Ramirez, L. F. (1987). Follow-up of pathological gamblers after treatment. American Journal of Psychiatry, 144, 757-761.
35.
Volberg, R. A. , & Steadman, H. J. (1988). Refining prevalence estimates of pathological gambling. American Journal of Psychiatry, 145, 502-505.
36.
Volberg, R. A. , & Steadman, H. J. (1989). Prevalence estimates of pathological gambling in New Jersey and Maryland. American Journal of Psychiatry, 146, 1618-1619.
37.
Walker, M. B. (1992). The psychology of gambling. New York: Pergamon.