Are Treatment Outcomes Determined by Type of Gambling? A UK Study
One of the main difficulties faced in treating gambling disorder is compliance with psychological treatment. Gambling takes many forms and can differ greatly in its features such as speed of play and skill requirements. The type of gambling a pathological gambler opts for may play a key role in treatment compliance. The aim of the present study was to determine whether within treatment seeking sample of gambling disorder clients, gambling activity has any correlation with their resultant treatment outcomes. The study incorporated 524 treatment-seeking individuals who are clients of the National Problem Gambling Clinic in London. All of the clients were assessed prior to treatment and fulfilled the Problem Gambling Severity Index criteria for problem gambling. Data concerning clients’ gambling behavior over the previous year was gathered using self-reports. Subsequently, the data was fitted to a multinomial logistic regression model, with the treatment outcome (i.e. pre-treatment dropouts, during treatment dropouts, and completed treatment) as the dependent variable and gambling behavior as the independent variable, whilst controlling for socio-demographic factors. The use of gaming machines was a significant predictor of dropping out pre-treatment (p < 0.05, RRR 1.616), whilst betting on sports events was a significant predictor of dropping out during treatment (p < 0.01, RRR 2.435). Treatment outcomes have been found to significantly differ based on participation in certain gambling activities. Further research into the salient features of these gambling activities may help to further explain pre-treatment and during treatment dropouts within this population.
KeywordsGambling disorder Pathological gambling Type of gambling Treatment outcome Dropout
SR: study concept and design, interpretation of data, Drafting of manuscript; ES: analysis and interpretation of data; NS: Acquisition of data; AB: interpretation of data, manuscript reviewing; MC: study supervision; HBJ: interpretation of data, study supervision, critical revision.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Alvarez-Moya, E. M., Ochoa, C., Jiménez-Murcia, S., Neus Aymamí, M., Gómez-Peña, M., Fernández-Aranda, F., et al. (2011). Effect of executive functioning, decision-making and self-reported impulsivity on the treatment outcome of pathologic gambling. Journal of Psychiatry and Neuroscience, 36, 165–175.CrossRefPubMedGoogle Scholar
- Jimenez-Murcia, S., Aymamí, N., Gómez-Peña, M., Santamaría, J. J., Alvarez-Moya, E., Fernández-Aranda, F., et al. (2012). Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers? British Journal of Clinical Psychology, 51, 54–71.CrossRefPubMedGoogle Scholar
- Wardle, H., Sproston, K., Orford, J., Erens, B., Griffiths, M., Constantine, R., et al. (2011). British gambling prevalence survey 2010. London: The Stationery Office.Google Scholar