Treatment approaches for pathological gamblers.
Treatment approaches for pathological gamblers.
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病态赌徒的治疗方法。
DOI：
10.1016/s0272-7358(97)00031-7
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Miller,WR
中科院分区：
文献类型：
--
作者：
LopezViets,VC;Miller,WR
病理性赌博治疗的结果文献进行了审查，包括心理动力学，行为，认知，认知行为，多模式，药理学，和12步的方法。没有适当的对照研究已经进行了心理动力学或12步的方法，和药物治疗需要复制更大的样本，以确定其疗效。多模式方法最常在住院环境中进行测试，考虑到组合方法的范围，很难推断治疗组成部分的具体疗效。最大量的结果研究集中在行为，认知和结合认知行为治疗方法，对照和非对照试验的结果为这些方法的疗效提供了支持。总体而言，文献表明，病态赌博可以得到非常成功的治疗结果。需要进一步研究的考虑。
Outcome literature on the treatment of pathological gambling is reviewed, encompassing psychodynamic, behavioral, cognitive, cognitive-behavioral, multimodal, pharmacotherapeutic, and 12-step approaches. No properly controlled research has been conducted with psychodynamic or 12-step methods, and pharmacotherapies require replications with larger samples to determine their efficacy. Multimodal approaches have been tested most often in inpatient settings, and given the range of methods combined it is difficult to infer specific efficacy for treatment components. The largest volume of outcome research has focused on behavioral, cognitive, and combined cognitive-behavioral treatment methods, and findings from controlled and uncontrolled trials provide support for efficacy of these approaches. As a whole, the literature indicates that pathological gambling can be treated with highly successful outcomes. Needs for further research are considered.