Psychological treatment dropout among pathological gamblers

Melville, Katherine M., Casey, Leanne M. and Kavanagh, David J. (2007) Psychological treatment dropout among pathological gamblers. Clinical Psychology Review, 27 8: 944-958. doi:10.1016/j.cpr.2007.02.004

Author Melville, Katherine M.
Casey, Leanne M.
Kavanagh, David J.
Title Psychological treatment dropout among pathological gamblers
Journal name Clinical Psychology Review   Check publisher's open access policy
ISSN 0272-7358
Publication date 2007-12
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.cpr.2007.02.004
Volume 27
Issue 8
Start page 944
End page 958
Total pages 15
Editor A. S. Bellack
M. Hersen
Place of publication Oxford, England
Publisher Pergamon-elsevier Science Ltd
Collection year 2008
Language eng
Subject C1
321021 Psychiatry
730211 Mental health
Abstract Premature dropout from treatments for pathological gambling is potentially of significant importance, if it occurs before substantial progress has been made in addressing the problem. A systematic review of current research on dropout from psychological treatments for pathological gambling identified 12 studies from five countries. Dropout ranged from 14% to 50%, with a median of dropout 26%. Overall, 31% of the participants dropped out of treatment. Few studies distinguish between dropouts at different stages of participation. The evidence on specific variables that predict dropout is limited or inconsistent, and is characterised by a lack of a coherent, gambling-specific model and by methodological problems. Two studies that attempted to apply motivational and compliance-enhancing techniques were found. Both showed promising effects on reduction of dropout and improvement of short-term impact of treatment, but inconsistent results on longer-term outcomes were obtained. The review highlighted a need for more rigorous investigation of the extent of dropout and of variables associated with dropout from pathological gambling treatment programs. Further research on interventions to enhance retention and reduce dropout from psychological treatment is also required. (c) 2007 Elsevier Ltd. All rights reserved.
Keyword Psychology, Clinical
Premature termination
Gambling treatment
Substance-abuse Treatment
Motivational Enhancement
Cognitive Therapy
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: 2008 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 38 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Feb 2008, 15:44:12 EST