Web-based Evidence on the Treatment of Behavioral Addictions in United States Model Treatment Centers

Abstract

Behavioral addictions are highly comorbid with substance use disorders, presenting in as many as 54% of service users receiving substance use treatment. Few studies have examined whether treatment centers are attentive to such other addictions, which may undermine treatment. This study examined the mention and treatment of behavioral addictions on United States treatment center websites. The 2021 Newsweek America’s Best Addiction Treatment Centers website was utilized to examine the mention and treatment of behavioral addictions in 300 leading treatment centers across 25 states in the United States. Of 289 active websites, only 61 (21.1%) treatment centers mentioned anything about behavioral addictions. The highest prevalence was for gambling (n = 38), sex (n = 22), food/eating (n = 21), and internet gaming (n = 12). A total of 49 treatment centers reported treating those addictions. The most prevalent treatments involved 12-step programming (n = 18), cognitive behavioral therapy (CBT; n = 16), individual counseling (n = 16), and group therapy (n = 15). Little formalized importance via websites was provided regarding the mention or treatment of behavioral addictions at treatment centers. A greater emphasis on concurrent and substitute behavioral addictions is needed to improve the quality of life and lower the possibility of relapse among those persons in addictions treatment.

Keywords

web-based evidence addiction care service delivery behavioral addiction

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References

Agarwal

A. K.

Guntuku

S. C.

Meisel

Z. F.

Pelullo

Kinkle

Merchant

R. M.

(2022). Analyzing online reviews of substance use disorder treatment facilities in the USA using machine learning. Journal of General Internal Medicine, 37(4), 977–980. https://doi.org/10.1007/s11606-021-06618-7

Alderson

K.G.

(2020). Addictions counseling today: Substance and addictive behaviors. SAGE Publications, Inc.

American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author.

Blume

S. B.

(1994). Pathological gambling and switching addictions: Report of a case. Journal of Gambling Studies, 10(1), 87–96. https://doi.org/10.1007/BF02109781

Carnes

P. J.

Murray

R. E.

Charpentier

(2005). Bargains with chaos: Sex addicts and addiction interaction disorder. Sexual Addiction & Compulsivity, 12(2–3), 79–120. https://doi.org/10.1080/10720160500201371

Chiauzzi

E. J.

(1991). Preventing relapse in the addictions: A biopsychosocial approach. Pergamon Press.

Cowlishaw

Merkouris

Chapman

Radermacher

(2014). Pathological and problem gambling in substance use treatment: A systematic review and meta-analysis. Journal of Substance abuse Treatment, 46(2), 98–105. http://doi.org/10.1016/j.jsat.2013.08.019

Fleiss

J. L.

(1971). Measuring nominal scale agreement among many raters. Psychological Bulletin, 76(5), 378–382. https://psycnet.apa.org/doi/10.1037/h0031619

Freimuth

Waddell

Stannard

Kelley

Kipper

Richardson

Szuromi

(2008). Expanding the scope of dual diagnosis and co-addictions: Behavioral addictions. Journal of Groups in Addiction & Recovery, 3(3–4), 137–160. http://doi.org/10.1080/15560350802424944

10.

Grant

J. E.

Chamberlain

S. R.

(2020). Gambling and substance use: Comorbidity and treatment implications. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 99, 109852. https://doi.org/10.1016/j.pnpbp.2019.109852

11.

Horvath

A. T.

(2004). Sex, drugs, gambling, and chocolate: A workbook for overcoming addictions. Impact Publishers.

12.

Keen

Sathiparsad

Taylor

(2015). Prevalence of multiple addictions and current treatment by drug treatment centres in Durban, South Africa. Social Work, 51(2), 244–261. https://doi.org/10.15270/51-2-446

13.

Kim

H. S.

Hodgins

D. C.

(2018). Component model of addiction treatment: A pragmatic transdiagnostic treatment model of behavioral and substance addictions. Frontiers in Psychiatry, 9, 406. https://doi.org/10.3389/fpsyt.2018.00406

14.

Kim

H. S.

Hodgins

D. C.

(2021). The transdiagnostic mechanisms of behavioral addictions and their treatment In: Textbook of addiction treatment (pp. 911–927). Springer.

15.

Konkolÿ Thege

Hodgins

D. C.

Wild

T. C.

(2016). Co-occurring substance-related and behavioral addiction problems: A person-centered, lay epidemiology approach. Journal of Behavioral Addictions, 5(4), 614–622. https://doi.org/10.1556/2006.5.2016.079

16.

Kuusisto

Evilampi

Ekqvist

Juhila

(2021). Discourses of behavioural addiction, normalisation and techniques of governmentality in inpatient substance abuse treatment. Nordic Social Work Research, 1–14. https://doi.org/10.1080/2156857X.2021.1950038

17.

Leavens

Marotta

Weinstock

(2014). Disordered gambling in residential substance use treatment centers: An unmet need. Journal of Addictive Diseases, 33(2), 163–173. https://doi.org/10.1080/10550887.2014.909697

18.

McHugh

M. L.

(2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276–282. https://doi.org/10.11613/BM.2012.031

19.

Miller

K. A.

Piombo

S. E.

Cho

Higgins

Wysong

Sussman

Cockburn

M. G.

Leventhal

A. M.

(2018). Prevalence of tanning addiction and behavioral health conditions among ethnically and racially diverse adolescents. Journal of Investigative Dermatology, 138(7), 1511–1517. https://doi.org/10.1016/j.jid.2018.02.018

20.

Najavits

Lung

Froias

Paull

Bailey

(2014). A study of multiple behavioral addictions in a substance abuse sample. Substance Use & Misuse, 49(4), 479–484. https://doi.org/10.3109/10826084.2013.858168

21.

Newsweek (2022). America's best addiction treatment centers 2021. Newsweek. https://www.newsweek.com/americas-best-addiction-treatment-centers-2021

22.

NIDA (2020). Principles of effective treatment. A research-based guide (Third Edition). https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment

23.

Peters

E. N.

Hughes

J. R.

(2010). Daily marijuana users with past alcohol problems increase alcohol consumption during marijuana abstinence. Drug and Alcohol Dependence, 106(2–3), 111–118. https://doi.org/10.1016/j.drugalcdep.2009.07.027

24.

Petry

N. M.

Zajac

Ginley

M. K.

(2018). Behavioral addictions as mental disorders: To be or not to be? Annual Review of Clinical Psychology, 14(1), 399–423. https://doi.org/10.1146/annurev-clinpsy-032816-045120

25.

Rodriguez-Monguio

Errea

Volberg

(2017). Comorbid pathological gambling, mental health, and substance use disorders: Health-care services provision by clinician specialty. Journal of Behavioral Addictions, 6(3), 406–415. https://doi.org/10.1556/2006.6.2017.054

26.

Rosenberg

K. P.

Feder

L. C.

(2014). An introduction to behavioral addictions. In: Behavioral addictions: Criteria, evidence, and treatment: 1–17. Academic Press.

27.

Sanders

(2011). Slipping through the cracks: Intervention strategies for clients with multiple addictions and disorders. Health Communications.

28.

Shaffer

H.J.

Gray

H.M.

Slabczynski

J.M.

Lee

T.G.

LaPlante

D.A.

(2022). Stakeholder definitions of responsible drinking: A call to define an ambiguous construct. Addiction Research & Theory, 1–7. https://doi.org/10.1080/16066359.2022.2081839

29.

Sinclair

D. L.

Sussman

De Schryver

Samyn

Adams

Florence

Savahl

Vanderplasschen

(2021). Substitute behaviors following residential substance use treatment in the Western Cape, South Africa. International Journal of Environmental Research and Public Health, 18(23), 12815. https://doi.org/10.3390/ijerph182312815

30.

Sinclair

D. L.

Sussman

Savahl

Florence

Adams

Vanderplasschen

(2021). Substitute addictions in persons with substance use disorders: A scoping review. Substance Use & Misuse, 56(5), 683–696. https://doi.org/10.1080/10826084.2021.1892136

31.

Sinclair

D. L.

Vanderplasschen

Savahl

Florence

Best

Sussman

(2021). Substitute addictions in the context of the COVID-19 pandemic. Journal of Behavioral Addictions, 9(4), 1098–1102. https://doi.org/10.1556/2006.2020.00091

32.

Statista (2021). America’s best addiction treatment centers 2021 – methodology. https://d.newsweek.com/en/file/461498/best-addiction-treatment-centers-2021-methodology.pdf

33.

Substance Abuse and Mental Health Services Administration (2020). National Survey of Substance Abuse Treatment Services (N-SSATS): 2019. Data on substance abuse treatment facilities. Rockville, MD. https://www.samhsa.gov/data/sites/default/files/reports/rpt29389/2019_NSSATS/2019-NSSATS-R.pdf

34.

Sussman

(2017). Substance and behavioral addictions: Concepts, causes, and cures. Cambridge University Press.

35.

Sussman

(Ed.) (2020). The Cambridge handbook of substance and behavioral addictions. Cambridge University Press.

36.

Sussman

(in press). Behavioral addictions and quality of life. In Florence

De Maeyer

Vanderplasschen

(Eds), Addiction, recovery and quality of life: Cross- cutting perspectives from around the globe (1st ed). Springer.

37.

Sussman

Black

D. S.

(2008). Substitute addiction: A concern for researchers and practitioners. Journal of Drug Education, 38(2), 167–180. https://doi.org/10.2190/DE.38.2.e

38.

Sussman

Lisha

Griffiths

(2011). Prevalence of the addictions: A problem of the majority or the minority? Evaluation & the Health Professions, 34(1), 3–56. https://doi.org/10.1177/0163278710380124

39.

Sussman

A. N.

(2011). Considering the definition of addiction. International Journal of Environmental Research and Public Health, 8(10), 4025–4038. https://doi.org/10.3390/ijerph8104025