Comparison of Imaginal Desensitisation with other Behavioural Treatments of Pathological Gambling a Two- to Nine-Year Follow-up

Nathaniel McConaghy · Alex P. Blaszczynski · Anna Frankova

128 citations0/0 files storedThe British Journal of Psychiatry

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Gambling Behavior and Treatments Substance Abuse Treatment and Outcomes Obsessive-Compulsive Spectrum Disorders

Abstract

Of 120 pathological gamblers randomly allocated to imaginal desensitisation (ID) or to other behavioural procedures (60 to each group, all procedures administered over one week) 63 subjects were contacted two to nine years later. Twenty-six of the 33 who received ID reported control or cessation of gambling compared with 16 of 30 who received other behavioural procedures. This difference was significant, indicating ID had a specific effect additional to that of the other behavioural procedures. It is suggested the other procedures could be regarded as placebos. As the response at a mean of over five years to one week of ID is comparable with that reported to more intensive therapies, after briefer follow-up, it is suggested ID is a cost-effective therapy for pathological gambling, and is worth considering when resources are limited.

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References

1961An Inventory for Measuring Depression 1970Manual for the state-trait anxiety inventory (form Y) : "self-evaluation questionnaire"1965Desensitization, suggestibility, and pseudotherapy.1983Controlled Comparison of Aversive Therapy and Imaginal Desensitization in Compulsive Gambling 1987Follow-up of pathological gamblers after treatment 1990International Handbook of Behavior Modification and Therapy

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