Cochrane · systematic review · CD008937
Psychological therapies for pathological and problem gambling
Cowlishaw, S, Merkouris, S, Dowling, N, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 50%Low 6 · 50%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
CBT versus control for pathological and problem gambling
Population: patients with pathological and problem gambling
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gambling symptom severity ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced gambling symptom severity, and thus positive outcomes1 CBT vs control | no estimate extracted | 7 studies · 402 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Financial loss from gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced financial loss from gambling, and thus positive outcomes1 CBT vs control | no estimate extracted | 7 studies · 505 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Frequency of gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced severity of gambling, and thus positive outcomes1 CBT vs control | no estimate extracted | 7 studies · 505 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Diagnoses of pathological gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced rates of pathological gambling, and thus positive outcomes1 CBT vs control | RR 0.13 [0.05, 0.31] | 2 studies · 81 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Depression symptoms ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced depression symptoms, and thus positive outcomes1 CBT vs control | no estimate extracted | 4 studies · 276 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Anxiety symptoms ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced anxiety symptoms, and thus positive outcomes1 CBT vs control | no estimate extracted | 4 studies · 276 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
MI therapy versus control for pathological and problem gambling
Population: patients with pathological and problem gambling
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gambling symptom severity ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced gambling symptom severity, and thus positive outcomes1 MI therapy vs control | no estimate extracted | 2 studies · 163 participants | Very low Downgraded: inconsistency |
Financial loss from gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced financial loss from gambling, and thus positive outcomes1 MI therapy vs control | no estimate extracted | 3 studies · 244 participants | Very low Downgraded: inconsistency |
Frequency of gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced financial loss from gambling, and thus positive outcomes1 MI therapy vs control | no estimate extracted | 2 studies · 145 participants | Very low Downgraded: inconsistency |
Integrative therapy versus control for pathological and problem gambling
Population: patients with pathological and problem gambling
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gambling symptom severity ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced gambling symptom severity, and thus positive outcomes1 Integrative therapy vs control | no estimate extracted | 2 studies · 137 participants | Very low Downgraded: inconsistency |
Financial loss from gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced financial loss from gambling, and thus positive outcomes1 Integrative therapy vs control | no estimate extracted | 2 studies · 137 participants | Very low Downgraded: inconsistency |
Frequency of gambling ‐ comparisons at 0 to 3 months post‐treatment Lower scores indicate reduced financial loss from gambling, and thus positive outcomes1 Integrative therapy vs control | no estimate extracted | 1 study · 52 participants | Low Downgraded: inconsistency |