Psychological treatment dropout among pathological gamblers

Melville, Katherine M., Casey, Leanne M., & Kavanagh, David J. (2007) Psychological treatment dropout among pathological gamblers. Clinical Psychology Review, 27(8), pp. 944-958.

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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.

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51 citations in Scopus
45 citations in Web of Science®
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ID Code: 28655
Item Type: Journal Article
Refereed: Yes
Keywords: Dropout, Attrition, Premature termination, Gambling, Gambling treatment
DOI: 10.1016/j.cpr.2007.02.004
ISSN: 0272-7358
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 Elsevier
Deposited On: 18 Nov 2009 02:26
Last Modified: 27 Jun 2017 14:40

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