Self-directed interventions for gambling disorder : Current Opinion in Psychiatry (original) (raw)
ADDICTIVE DISORDERS: Edited by John B. Saunders and Linda B. Cottler
Faculty of Health and Environmental Sciences, National Institute for Public Health and Mental Health Research, Auckland University of Technology, Northcote, Auckland, New Zealand
Correspondence to Max W. Abbott, PhD, Pro Vice-Chancellor and Dean, Faculty of Health and Environmental Sciences, Co-director, National Institute for Public Health and Mental Health Research, Professor of Psychology and Public Health, Auckland University of Technology, AG141, North Shore Campus, Private Bag 92006, 90 Akoranga Drive, Northcote, Auckland 1020, New Zealand. Tel: +64 9 921 9894; fax: +64 9 921 9706; e-mail: [email protected]
Abstract
Purpose of review
To assess recent developments in self-directed interventions for gambling disorder and at-risk gambling.
Recent findings
Relevant reviews and meta-analyses were published during 2017 and 2018. These reviews assess the nature and efficacy of self-directed and largely self-directed interventions including self-change, assisted self-change and mutual aid support groups. Additional reviews cover government and industry strategies to reduce harm including gambling venue and site self-exclusion and a variety of responsible gambling and consumer protection measures. Further studies were published that advanced understanding of self-directed and related interventions and identified priorities for development and research.
Summary
There is variable support for the effectiveness of the foregoing interventions. Some appear to achieve outcomes comparable with professionally delivered therapies. Research is required using more robust designs, larger and more diverse samples and longer follow-up to demonstrate effectiveness and provide a basis for matching at-risk and problem gamblers to interventions of different types and intensity.
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