Randomized Trial of Internet-Delivered Self-Help With Telephone Support for Pathological Gamblers
2008 (English)In: JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, ISSN 0022-006X , Vol. 76, no 6, 1090-1094 p.Article in journal (Refereed) Published
Although effective therapies for pathological gambling exist, their uptake is limited to 10% of the target population. To lower the barriers for help seeking, the authors tested all online alternative in a randomized trial (N = 66). The participants were pathological gamblers not presenting with severe comorbid depression. A wait-list control was compared with an 8-week Internet-based cognitive behavior therapy program with minimal therapist contact via e-mail and weekly telephone calls of less than 15 min. Average time spent on each participant, including phone conversations, e-mail, and administration. was 4 hr. The Internet-based intervention resulted in favorable changes in pathological gambling, anxiety. depression, and quality of life. Composite between-group effect size (Cohens d) at posttreatment was 0.83. Follow-ups carried out in the treatment group at 6, 18, and 36 months indicated that treatment effects were sustained (ds = 2.58, 1.96, and 1.98). This evidence is in support of Internet-delivered treatment for pathological gamblers. However, it is not clear how effective the treatment is for more severely depressed individuals.
Place, publisher, year, edition, pages
2008. Vol. 76, no 6, 1090-1094 p.
gambling, depression, anxiety, quality of life, Internet-based treatment
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-16164DOI: 10.1037/a0013603OAI: oai:DiVA.org:liu-16164DiVA: diva2:133254