Self-change among gamblers and cigarette smokers

  • H. Klingemann
  • L. Sobell
  • J. Barker
  • J. Blomqvist
  • W. Cloud
  • T. Ellinstad
  • D. Finfgeld
  • R. Granfield
  • D. Hodgins
  • G. Hunt
  • C. Junker
  • F. Moggi
  • S. Peele
  • R. Smart
  • M. Sobell
  • J. Tucker


This chapter reviews studies of self-change among gamblers and cigarette smokers. As will be evident, the literature is much less advanced for these types of addictive behavior than are studies of self-change from abuse of alcohol and other drugs.


Smoking Cessation Gambling Problem Pathological Gambling Alcohol Problem Cessation Rate 
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  1. 1.
    Becona, E. (1996) Prevalence surveys of problem and pathological gambling in Europe: The cases of Germany, Holland and Spain. J Gambling Stud. 12, 179–192.CrossRefGoogle Scholar
  2. 2.
    Dickerson, M.G., Baron, E., Hong, S.-M. and Cottrell, D. (1996) Estimating the extent and degree of gambling related problems in the Australian Population: A national survey. J Gambling Stud. 12, 161–178.CrossRefGoogle Scholar
  3. 3.
    Shaffer, HJ., Hall, M.N. and Vander Bilt, K.J. (1999) Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. Am J Public Health 89, 1369–1376.PubMedCrossRefGoogle Scholar
  4. 4.
    Commission on the Review of the National Policy Towards Gambling. (1976) Gambling in America. Washington, DC.Google Scholar
  5. 5.
    Ladouceur, R. (1996) The prevalence of pathological gambling in Canada. J Gambling Stud. 12(2), 129–142.CrossRefGoogle Scholar
  6. 6.
    Lamberton, A. and Oei, T.P.S. (1997) Problem gambling in adults: An overview. Clin Psychol Rev. 4(2), 84–104.Google Scholar
  7. 7.
    Lesieur, H. and Rosenthal, R.J. (1991) Pathological gambling: A review of the literature (Prepared for the American Psychiatric Association Task Force on DSM-IV Committee on Disorders of Impulse Control, not elsewhere classified). J Gambling Stud. 7, 5–39.CrossRefGoogle Scholar
  8. 8.
    López Viets, V.C.L. (1998) Treating pathological gambling, in Treating Addictive Behaviors, 2nd edn (eds W.R. Miller and N. Heather), Plenum: New York, pp. 259–270.Google Scholar
  9. 9.
    National Gambling Impact Study Commission. (1999) Final Report. Government Printing Office: Washington, DC.Google Scholar
  10. 10.
    Petry, N.M. and Bickel, W.K. (1999) Therapeutic alliance and psychiatric severity as predictors of completion of treatment for opioid dependence. Psychiatr Serv. 50(2), 219–227.PubMedGoogle Scholar
  11. 11.
    Christiansen, E.M. (1999) The United States 1998 gross annual wager: Steady growth study. Int Gaming Wagering Business 20,17, 22–25.Google Scholar
  12. 12.
    Hodgins, D.C., Wynne, H. and Makarchuk, K. (1999) Pathways to recovery from gambling problems: Follow-up from a general population survey. J Gambling Stud. 15, 93–104.CrossRefGoogle Scholar
  13. 13.
    Sobell, M.B. and Sobell, L.C. (1993) Treatment for problem drinkers: A public health priority, in Addictive Behaviors Across the Lifespan: Prevention, Treatment, and Policy Issues (eds J.S. Baer, G.A. Marlatt and R.J. McMahon), Sage: Beverly Hills, CA, pp. 138–157.Google Scholar
  14. 14.
    American Psychiatric Association. (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
  15. 15.
    Crockford, D. and El-Guebaly, N. (1998) Psychiatric comorbidity in pathological gambling. A critical review. Can J Psychiatry 43, 43–50.PubMedGoogle Scholar
  16. 16.
    Petry, N.M. and Armentano, C. (1999) Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatr Serv. 50(8), 1021–1027.PubMedGoogle Scholar
  17. 17.
    Hodgins, D.C. and El-Guebaly, N. (2000) Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction 95, 777–789.PubMedCrossRefGoogle Scholar
  18. 18.
    Marotta, J.J. (1999) Recovery from gambling with and without treatment (Unpublished dissertation, University of Nevada).Google Scholar
  19. 19.
    Sobell, L.C., Ellingstad, T.P. and Sobell, M.B. (2000) Natural recovery from alcohol and drug problems: Methodological review of the research with suggestions for future directions. Addiction 95, 749–769.PubMedCrossRefGoogle Scholar
  20. 20.
    Lesieur, H. and Blume, S. (1987) The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. Am J Psychiatry 144, 1184–1188.PubMedGoogle Scholar
  21. 21.
    Klingemann, H. (1991) Coping and maintenance strategies of spontaneous remitters from problem use of alcohol and heroin in Switzerland, in Paper Presented at the 17th Annual Alcohol Epidemiological Symposium, Sigtuna, Sweden.Google Scholar
  22. 22.
    Sobell, L.C., Sobell, M.B., Toneatto, T. and Leo, G.I. (1993) What triggers the resolution of alcohol problems without treatment? Alcohol: Clin Exp Res. 17(2), 217–224.CrossRefGoogle Scholar
  23. 23.
    Toneatto, T., Sobell, L.C., Sobell, M.B. and Rubel, E. (1999) Natural recovery from cocaine dependence. Psychol Addict Behav. 13(4), 259–268.CrossRefGoogle Scholar
  24. 24.
    Tucker, J.A., Vuchinich, R.E. and Gladsjo, J.A. (1994) Environmental events surrounding natural recovery from alcohol-related problems. J Stud Alcohol 55, 401–411.PubMedGoogle Scholar
  25. 25.
    Humphreys, K., Moos, R.H. and Cohen, C. (1997) Social and community resources and long-term recovery from treated and untreated alcoholism. J Stud Alcohol 58(3), 231–238.PubMedGoogle Scholar
  26. 26.
    Sobell LC, Cunningham JA, Sobell MB. (1996) Recovery from alcohol problems with and without treatment: Prevalence in two population surveys. Am J Public Health 86(7), 966–972.PubMedCrossRefGoogle Scholar
  27. 27.
    Sobell, L.C., Klingemann, H., Toneatto, T., Sobell, M.B., Agrawal, S. and Leo, G.I. (2001) Alcohol and drug abusers’ perceived reasons for self-change in Canada and Switzerland: Computer assisted content analysis. Subst Use Misuse 34.Google Scholar
  28. 28.
    Cunningham, J.A., Sobell, L.C., Sobell, M.B., Agrawal, S. and Toneatto, T. (1993) Barriers to treatment: Why alcohol and drug abusers delay or never seek treatment. Addict Behav. 18, 347–353.PubMedCrossRefGoogle Scholar
  29. 29.
    Hingson, R., Mangione, T., Meyers, A. and Scotch, N. (1982) Seeking help for drinking problems: A study in the Boston metropolitan area. J Stud Alcohol 43, 273–288.PubMedGoogle Scholar
  30. 30.
    Thorn, B. (1986) Sex differences in help-seeking for alcohol problems. 1. The barriers to help-seeking. Br J Addict. 81, 777–788.CrossRefGoogle Scholar
  31. 31.
    Hodgins, D. (in press) Motivational enhancement and self-help treatments for problem gambling. J Consult Clin Psychol Google Scholar
  32. 32.
    Brady, K. (ed.) (1995) Prevalence, Consequences and Costs of Tobacco, Drug and Alcohol Use in the United States, Josiah Macy Jr. Foundation: New York.Google Scholar
  33. 33.
    US Department of Health and Human Services. (1988) The health consequences of smoking: nicotine addiction. A report of the Surgeon General. US Government Printing Office: Washington, DC.Google Scholar
  34. 34.
    US Department of Health and Human Services. (1990) The health benefits of smoking cessation. A report of the Surgeon General. US Government Printing Office: Washington, DC.Google Scholar
  35. 35.
    Substance Abuse and Mental Health Administration. (1997) National Household Survey on Drug Abuse: Main findings 1995. US Department of Health and Human Services: Rockville, MD.Google Scholar
  36. 36.
    Bondy, S.J., Rehm, J., Ashley, M.J., Walsh, G., Single, E. and Room, R. (1999) Low-risk drinking guidelines: The scientific evidence. Can J Public Health 90(4), 264–270.PubMedGoogle Scholar
  37. 37.
    Thakker, K.D. (1998) An overview of health risks and benefits of alcohol consumption. Alcohol: Clin Exp Res. 22(7), 285S–298S.CrossRefGoogle Scholar
  38. 38.
    Substance Abuse and Mental Health Administration. (1997) A guide to substance abuse services for primary care clinicians (Treatment Improvement Protocol Series, No. 24). US Department of Health and Human Services: Rockville, MD.Google Scholar
  39. 39.
    Substance Abuse and Mental Health Administration. (1997) National Household Survey on Drug Abuse: Population estimates 1996. US Department of Health and Human Services: Rockville, MD.Google Scholar
  40. 40.
    Substance Abuse and Mental Health Administration. (1998) National Household Survey on Drug Abuse: Main findingsl996. US Department of Health and Human Services: Rockville, MD.Google Scholar
  41. 41.
    Davis, A.L., Faust, R. and Ordentlich, M. (1984) Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association. Am J Public Health 74, 1212–1217.PubMedCrossRefGoogle Scholar
  42. 42.
    Fiore, M.C., Novotny, T.E., Pierce, J.P. et al. (1990) Methods used to quit smoking in the United States. JAMA. 263, 2760–2765.PubMedCrossRefGoogle Scholar
  43. 43.
    Garvey, A.J., Bliss, R.E., Hitchcock, J.L., Heinold, J.W. and Rosner, B. (1992) Predictors of smoking relapse among self-quitters: A report from the normative aging study. Addict Behav. 17, 367–377.PubMedCrossRefGoogle Scholar
  44. 44.
    Carey, M.P., Snel, D.L., Carey, K.B. and Richards, C.S. (1989) Self-initiated smoking cessation: A review of the empirical literature from a stress and coping perspective. Cognitive Ther Res. 13, 323–341.CrossRefGoogle Scholar
  45. 45.
    Ershoff, D.H., Quinn, V.P. and Mullen, P.D. (1995) Relapse prevention among women who stop smoking early in pregnancy: A randomized clinical trial of a self-help intervention. Am J Prev Med. 11, 178–184.PubMedGoogle Scholar
  46. 46.
    Hughes, J.R., Fiester, S., Goldstein, M. et al. (1996) Practice guidelines for the treatment of patients with nicotine dependence. Am J Psychiatry 153(10), 1–31.Google Scholar
  47. 47.
    Mariezcurrena, R. (1994) Recovery from addictions without treatment: Literature review. Scand J Behav Ther. 23, 131–154.CrossRefGoogle Scholar
  48. 48.
    Marlatt, G.A., Curry, S. and Gordon, J.R. (1988) A longitudinal analysis of unaided smoking cessation. J Consult Clin Psychol. 56, 715–720.PubMedCrossRefGoogle Scholar
  49. 49.
    Law, M. and Tang, J.L. (1995) An analysis of the effectiveness of interventions intended to help people stop smoking. Arch Intern Med. 155(18), 1933–1941.PubMedCrossRefGoogle Scholar
  50. 50.
    McClure, J.B., Skaar, K., Tsoh, J., Wetter, D.W., Cinciripini, P.M. and Gritz, E.R. (1997) Smoking cessation. 3. Needed health care policy changes. Behav Med. 23(1), 29–34.PubMedCrossRefGoogle Scholar
  51. 51.
    Hughes, J.R., Cummings, K.M. and Hyland, A. (1999) Ability of smokers to reduce their smoking and its association with future smoking cessation. Addiction 94(1), 109–114.PubMedCrossRefGoogle Scholar
  52. 52.
    Lando, H.A., Hellerstedt, W.L., Pirie, P.L. and McGovern, P.G. (1992) Brief supportive telephone outreach as a recruitment and intervention strategy for smoking cessation. Am J Public Health 82, 41–46.PubMedCrossRefGoogle Scholar
  53. 53.
    Orleans, CT., Schoenbach, V.J., Wagner, E.H. et al. (1991) Self-help quit smoking interventions: Effects of self-help materials, social support instructions, and telephone counseling. J Consult Clin Psychol 59, 439–448.PubMedCrossRefGoogle Scholar
  54. 54.
    Richmond, R.L. (1996) Retracing the steps of Marco Polo: From clinical trials to diffusion of interventions for smokers. Addict Behav. 21(6), 683–697.PubMedCrossRefGoogle Scholar
  55. 55.
    Rollnick, S., Butler, C.C. and Stott, N. (1997) Helping smokers make decisions: The enhancement of brief interventions for general medical practice. Patient Educ Couns. 31, 191–203.PubMedCrossRefGoogle Scholar
  56. 56.
    Skaar, K.L., Tsoh, J.Y., McClure, J.B. et al. (1997) Smoking cessation. 1. An overview of research. Behav Med. 23(1), 5–13.PubMedCrossRefGoogle Scholar
  57. 57.
    Foulds, J. (1996) Strategies for smoking cessation. Br Med Bull 52, 157–173.PubMedCrossRefGoogle Scholar
  58. 58.
    Giffen, C.A. (1991) Community intervention trial for smoking cessation (commit)-summary of design and intervention. J Natl Cancer Inst. 83, 1620–1628.CrossRefGoogle Scholar
  59. 59.
    Green, S.B., Corle, D.K., Gail, M.H. et al. (1995) Interplay between design and analysis for behavioral intervention trials with community as the unit of randomization. Am J Epidemiol 142(6), 587–593.PubMedGoogle Scholar
  60. 60.
    Fagerström, K.O., Kunze, M. and Schoberberger, R. (1996) Nicotine dependence versus smoking prevalence: Comparison among countries and categories of smokers. Tob Control 5, 52–56.PubMedCrossRefGoogle Scholar
  61. 61.
    Sobell, L.C., Sobell, M.B. and Toneatto, T. (eds). (1992) Recovery from alcohol problems without treatment, in Self-Control and the Addictive Behaviours (eds N. Heather, W.R. Miller and J. Greeley), Maxwell MacMillan: New York, pp. 198–242.Google Scholar
  62. 62.
    Wetter, D.W., Fiore, M.C., Gritz, E.R. et al. (1998) The agency for health care policy and research: Smoking cessation clinical practice guidelines: Findings and implications. American Psychologist 53, 657–669.PubMedCrossRefGoogle Scholar
  63. 63.
    Emery, S., Gilpin, E.A., Ake, C., Farkas, A.J. and Pierce, J.P. (2000) Characterizing and identifying ‘Hard-Core’ smokers: Implications for further reducing smoking prevalence. Am J Public Health 90, 387–394.PubMedCrossRefGoogle Scholar
  64. 64.
    Hurt, R.D., Offord, K.P., Croghan, I.T. et al. (1996) Mortality following inpatient addictions treatment: Role of tobacco use in a community-based cohort. JAMA. 275(14), 1097–1103.PubMedCrossRefGoogle Scholar
  65. 65.
    Hughes, J.R., Hatsukami, D.K., Mitchell, J.E. and Dahlgren, L.A. (1986) Prevalence of smoking among psychiatric outpatients. Am J Psychiatry 143, 993–997.PubMedGoogle Scholar
  66. 66.
    Viswesvaran, C. and Schmidt, F.L. (1992) A meta-analytic comparison of the effectiveness of smoking cessation methods. J Appl Psychol. 77, 554–561.PubMedCrossRefGoogle Scholar
  67. 67.
    Chen, K. and Kandel, D.B. (1995) The natural history of drug use from adolescence to the mid-thirties in a general population sample. Am J Public Health 85, 41–47.PubMedCrossRefGoogle Scholar
  68. 68.
    McWorther, W.P., Boyd, G.M. and Mattson, M.E. (1990) Predictors of quitting smoking: the NHANES I follow-up experience. J Clin Epidemiol 43, 1399–1405.CrossRefGoogle Scholar
  69. 69.
    Sorlie, P.D. and Kannel, W.B. (1990) A description of cigarette smoking cessation and resumption in the Framingham Study. Prev Med. 19, 335–345.PubMedCrossRefGoogle Scholar
  70. 70.
    Klingemann, H.K.H. (1994) Environmental influences which promote or impede change in substance behaviour, in Addiction: Processes of Change (eds G. Edwards and M. Lader), Oxford University Press, Oxford, pp. 131–161.Google Scholar
  71. 71.
    Curry, S.J., Grothaus, L. and McBride, C. (1997) Reasons for quitting: Intrinsic and extrinsic motivation for smoking cessation in a population-based sample of smokers. Addict Behav. 22(6), 727–739.PubMedCrossRefGoogle Scholar
  72. 72.
    Freund, K.M., Dagostino, R.B., Belanger, A.J., Kannel, W.B. and Stokes, J. (1992) Predictors of smoking cessation: The Framingham study. Am J Epidemiol 135, 957–964.PubMedGoogle Scholar
  73. 73.
    Ockene, J.K., Emmons, K.M., Mermelstein, R.J. et al. (2000) Relapse and maintenance issues for smoking cessation. Health Psychol 19, 17–31.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • H. Klingemann
    • 1
  • L. Sobell
    • 2
  • J. Barker
    • 3
  • J. Blomqvist
    • 4
  • W. Cloud
    • 5
  • T. Ellinstad
    • 6
  • D. Finfgeld
    • 7
  • R. Granfield
    • 8
  • D. Hodgins
    • 9
  • G. Hunt
    • 10
  • C. Junker
    • 11
  • F. Moggi
    • 12
  • S. Peele
    • 13
  • R. Smart
    • 14
  • M. Sobell
    • 15
  • J. Tucker
    • 16
  1. 1.School of Social WorkUniversity of Applied SciencesBernSwitzerland
  2. 2.Center for Psychological StudiesNova Southeastern UniversityFort LauderdaleUSA
  3. 3.Medical Anthropology ProgramUniversity of California San FranciscoSan FranciscoUSA
  4. 4.Research and Development (FoU)Social Services AdministrationStockholmSweden
  5. 5.Graduate School of Social WorkUniversity of DenverDenverUSA
  6. 6.Center for Psychological StudiesNova Southeastern UniversityFort LauderdaleUSA
  7. 7.Sinclair School of NursingUniversity of MissouriColumbiaUSA
  8. 8.Department of SociologyUniversity of DenverDenverUSA
  9. 9.Addiction CentreFoothills Medical CentreCalgaryCanada
  10. 10.Institute for Scientific AnalysisAlamedaUSA
  11. 11.Department of Social and Preventive MedicineUniversity of BernBernSwitzerland
  12. 12.Psychiatric ServicesUniversity of BernBernSwitzerland
  13. 13.MorristownUSA
  14. 14.Centre for Addiction and Mental HealthTorontoCanada
  15. 15.Center for Psychological StudiesNova Southeastern UniversityFort LauderdaleUSA
  16. 16.Department of Health BehaviorUniversity of Alabama, Birmingham School of Public HealthBirminghamUSA

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