How Well are We Helping Problem Gamblers? An Update to the Evidence Base Supporting Problem Gambling Treatment

How Well are We Helping Problem Gamblers? An Update to the Evidence Base Supporting Problem Gambling Treatment
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我们对问题赌徒的帮助效果如何?

DOI:
10.1007/s11469-007-9072-x
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发表时间:
2008
影响因子:
8
通讯作者:
J. Westphal
J. Westphal
中科院分区:
医学4区
文献类型:
--
作者:
J. Westphal

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循证医学的发展是为了将临床实践和政策决策与证据联系起来,以便最大限度地提高有效治疗,最大限度地减少无效治疗。目的是评估问题赌博治疗证据库的现状。研究方法是对2003年至2006年发表的问题赌博治疗文章进行文献综述。赌博治疗的证据基础仍然有限。没有任何治疗,无论是社会心理还是药理学,符合目前的疗效标准。在此期间发表的文章为认知行为治疗和使用阿片类拮抗剂的疗效和有效性提供了更多支持。目前的证据基础不足以支持社区循证治疗的目标。需要进行三种类型的研究:由独立研究者对可能有效的治疗方法进行重复研究,对社区人群和临床医生进行可能有效的治疗方法的有效性研究,以及作为基准的社区治疗方案的结果研究。
Evidence based medicine developed to link clinical practice and policy decisions to evidence, so that effective treatments are maximized and ineffective treatments minimized. The objective was to evaluate current status of problem gambling treatment evidence base. The method was literature review of problem gambling treatment articles published from 2003 through 2006. The evidence base for gambling treatment remains limited. No treatment, either psychosocial or pharmacologic fulfills the current standards for efficacy. Articles published in this time period provide more support for the efficacy and effectiveness of cognitive behavioral treatment and use of opioid antagonists. The current evidence base is not sufficient to support the goal of community evidence based treatment. Three types of studies are needed: replication studies of the possibly efficacious treatments by independent investigators, effectiveness studies of the possibly efficacious treatments with community populations and clinicians, and outcome studies of community treatment programs to serve as benchmarks.
DOI: 10.1016/s0740-5472(97)00313-9
发表时间: 1998
影响因子: 3.9
作者:
Pitre,U;Dansereau,DF;Newbern,D;Simpson,DD
通讯作者: Simpson,DD
DOI: 10.1016/s0272-7358(97)00031-7
发表时间: 1997
期刊: Clinical psychology review.
影响因子: --
作者:
LopezViets,VC;Miller,WR
通讯作者: Miller,WR