Pathological Gambling, Co-occurring Disorders, Clinical Presentation, and Treatment Outcomes at a University-Based Counseling Clinic
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It is the intent of this study to examine the relationship between the number of co-occurring disorders in a sample of pathological gamblers and variables associated with clinical presentation and treatment outcomes. Participants were given screening tools for four common psychological disorders: the hands depression screen, the Mood Disorder Questionnaire, the Carroll-Davidson generalized anxiety disorder screen, and the Sprint-4 PTSD Screen. The number of co-occurring disorders, as indicated by the results of these screening instruments, was compared to severity of gambling problems at outset of treatment, as measured by the NORC diagnostic screen for gambling problems-self administered. The number of co-occurring disorders was also compared to psychosocial functioning at the outset of treatment, as well as level of improvement in psychosocial functioning through treatment. Psychosocial functioning was measured using the Outcome Questionnaire 45 (OQ-45). The number of co-occurring disorders was compared to participant satisfaction with the therapeutic relationship as measured by the working alliance inventory-short form. Results suggest that co-occurring disorders are commonplace among treatment seeking pathological gamblers. Over 86 % of the sample screened positively for at least one of the four targeted psychological disorders. Furthermore, the number of co-occurring disorders was found to be positively related to severity of gambling problems at outset of treatment and negatively related to level of psychosocial functioning at outset of treatment. However, the number of co-occurring disorders was not found to be significantly related to level of improvement in psychosocial functioning through treatment. Overall, those that attended at least six sessions reported significantly improved psychosocial functioning by the end of their sixth session. Finally, the number of co-occurring disorders was not found to be significantly related to participants’ reported level of satisfaction with the therapeutic relationship.
- Baer, L., Jacobs, D., Meszler-Reizes, J., Blais, M., Fava, M., Kessler, R., et al. (2000). Development of a brief screening instruments: The HANDS. Psychotherapy and Psychosomatics, 69(1), 35. CrossRef
- Brown, R. A., Evans, D. M., Miller, I. W., Burgess, E. S., & Mueller, T. I. (1997). Cognitive behavioral treatment for depression in alcoholism. Journal of Consulting and Clinical Psychology, 65, 715–726. CrossRef
- Busseri, M., & Tyler, J. (2003). Interchangeability of the working alliance inventory and working alliance inventory, short form. Psychological Assessment, 15(2), 193–197. CrossRef
- Caroll, B. J., & Davidson, J. R. T. (2000). Screening Scale for DSM-IV GAD. Copyright 2000.
- Ciarrocchi, J. W. (2002). Counseling problem gamblers. San Diego, CA: Academic Press.
- Connor, K. M., & Davidson, J. R. T. (2001). SPRINT: A brief global assessment of posttraumatic stress disorder. International Clinical Pharmacology, 16(5), 279–284.
- Crisp, B. R., Jackson, A. C., Thomas, S. A., Thomason, N., Smith, S., Borrell, J., et al. (2001). Is more better? The relationship between outcomes achieved by problem gamblers and the number of counselling sessions attended. Australian Social Work, 54, 83–92. CrossRef
- Dowling, N., Jackson, A. C., & Thomas, S. A. (2008). Behavioral interventions in the treatment of pathological gambling: A review of activity scheduling and desensitization. International Journal of Behavior Consultation and Therapy, 4, 172–187.
- Gerstein, D. R., Murphy, S. A., Toce, M. T., Hoffmann, J., Palmer, A., Johnson, R. A., et al. (1999). Gambling impact and behavior study: Report to the national gambling impact study commission. Chicago: National Opinion Research Center.
- Hirschfeld, R. (2010). The mood disorder questionnaire: Its impact on the field [corrected]. Depression and Anxiety, 27(7), 627–630. CrossRef
- Hirschfeld, R., Williams, J., Spitzer, R., Calabrese, J., Flynn, L., Keck, P., et al. (2000). Development and validation of a screening instrument for bipolar spectrum disorder: The mood disorder Questionnaire. American Journal of Psychiatry, 157, 1873–1875. CrossRef
- Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36(2), 223–233. CrossRef
- Jimenez-Murcia, S., Alvarez-Moya, E., Granero, R., Aymami, M. N., Gomez-Pena, M., Jaurrieta, N., et al. (2007). Cognitive behavioral group treatment for pathological gambling: Analysis of effectiveness and predictors of therapy outcome. Psychotherapy Research, 17(5), 544–552. CrossRef
- Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. CrossRef
- Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., et al. (2008). DSM-IV pathological gambling in the national comorbidity study replication. Psychological Medicine, 38(9), 1351–1360. CrossRef
- Kim, S. W., Grant, J. E., Eckert, E. D., Faris, P. L., & Hartman, B. K. (2006). Pathological gambling and mood disorders: Clinical associations and treatment implications. Journal of Affective Disorders, 92, 109–116. CrossRef
- Lambert, M. J., & Anderson, E. M. (1996). Assessment for the time-limited psychotherapies. In L. J. Dickstein, M. B. Riba, & J. M. Oldham (Eds.), Review of psychiatry (pp. 23–42). Washington, DC: American Psychiatric Press.
- Lambert, M. J., Burlingame, G. M., Umphress, V., Hansen, N. B., Vermeersch, D. A., Clouse, G. C., et al. (1996). The reliability and validity of the outcome Questionnaire. Clinical Psychology and Psychotherapy, 3(4), 249–258. CrossRef
- Leyton-Armakan, J., Lawrence, E., Deutsch, N., Willimas, J. L., & Henneberger, A. (2012). Effective youth mentors: The relationship between initial characteristics of college women mentors and mentee satisfaction and outcome. Journal of Community Psychology, 40(8), 906–920. CrossRef
- Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction, 106(3), 490–498. CrossRef
- Oei, T., Raylu, N., & Casey, L. (2010). Effectiveness of group and individual formats of a combined motivational interviewing and cognitive behavioral treatment program for problem gambling: A randomized controlled trial. Behavioural and Cognitive Psychotherapy, 38, 233–238. CrossRef
- Pallesen, S., Mitsem, M., Kvale, G., Johnsen, B. H., & Molde, H. (2005). Outcome of psychological treatments of pathological gambling: A review and meta-analysis. Addiction, 100(10), 1412–1422. CrossRef
- Schulte, S. J., Meier, P. S., & Stirling, J. (2011). Dual diagnosis clients’ treatment satisfaction—a systematic review. BMC Psychiatry, 11, 64–75. CrossRef
- Sylvain, C., Ladouceur, R., & Boisvert, J. M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65(5), 727–732. CrossRef
- Wickwire, E. M., Burke, R. S., Brown, S. A., Parker, J. D., & May, R. K. (2008). Psychometric evaluation of the national opinion research center DSM-IV screen for gambling problems (NODS). American Journal on Addictions, 17(5), 392–395. CrossRef
- Pathological Gambling, Co-occurring Disorders, Clinical Presentation, and Treatment Outcomes at a University-Based Counseling Clinic
Journal of Gambling Studies
Volume 30, Issue 1 , pp 61-69
- Cover Date
- Online ISSN
- Springer US
- Additional Links
- Pathological gambling
- Co-occurring disorders
- Treatment outcomes