Treatments for Gambling Disorder and Impulse Control Disorders

2015 ◽  
Author(s):  
Jon E. Grant ◽  
Brian L. Odlaug ◽  
Marc N. Potenza
Keyword(s):  
Pharmacological Treatment ◽  
Impulse Control ◽  
Gambling Disorder ◽  
Behavioral Therapy ◽  
Compulsive Buying ◽  
Short Term ◽  
Dsm 5 ◽  
Pharmacological Studies ◽  
Group Cbt

Specific behavioral (e.g., cognitive-behavioral therapy [CBT]) and pharmacological (e.g., naltrexone, nalmefene, lithium) treatments significantly reduce the symptoms of pathological gambling (now termed gambling disorder in DSM-5) in the short term compared with waitlist or placebo. The long-term benefits of pharmacological treatment for gambling disorder have not been adequately tested. Although several studies suggest that CBT is effective for trichotillomania, only two pharmacological treatment studies in adults (N-acetylcysteine, olanzapine) for this disorder have shown promise. Studies of group CBT have demonstrated benefit for compulsive buying. However, controlled pharmacological studies have shown mixed results.

Treatments for Pathological Gambling and Other Impulse Control Disorders

2007 ◽  
pp. 561-578 ◽  
Author(s):  
Jon E. Grant ◽  
Marc N. Potenza
Keyword(s):  
Pathological Gambling ◽  
Pharmacological Treatment ◽  
Impulse Control ◽  
Behavioral Therapy ◽  
Impulse Control Disorders ◽  
Long Term Effects ◽  
Drug Treatments

Several controlled outcome studies (Type 1 and Type 2) suggest that specific behavioral (e.g., cognitive-behavioral therapy [CBT]) and pharmacological (e.g., naltrexone, nalmefene, lithium) treatments significantly reduce the symptoms of pathological gambling in the short term compared with wait-list or placebo. Although long-term effects of manual-based CBT have been observed in several small studies, the long-term benefits of pharmacological treatment have not been adequately tested. No studies combining behavioral and pharmacological therapies have been published to date. Thus, the potential benefit of combining behavioral and drug treatments for pathological gambling remains to be investigated systematically. Although several studies (Type 1 and Type 2) suggest that CBT is effective for trichotillomania, pharmacological treatment studies for this disorder have shown mixed results. Similarly, controlled pharmacological studies (Type 1 and Type 2) of compulsive buying have demonstrated mixed results. Limited treatment studies exist for other impulse control disorders (kleptomania, intermittent explosive disorder), although various pharmacological and psychological treatments have shown promise in uncontrolled studies.

scholarly journals Development of Brazilian prototypes for short-term psychotherapies

2016 ◽  
Vol 38 (2) ◽  
pp. 71-79 ◽  
Author(s):  
Fernanda Barcellos Serralta ◽  
John Stuart Ablon
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Psychotherapy Process ◽  
Cognitive Behavioral ◽  
Factor Scores ◽  
Short Term ◽  
Initial Support ◽  
Type Factor ◽  
Expert Ratings

Abstract Introduction: The Psychotherapy Process Q-Set (PQS) prototype method is used to measure the extent to which ideal processes of different psychotherapies are present in real cases, allowing researchers to examine how adherence to these models relates to or predicts change. Results from studies of short-term psychotherapies suggest that the original psychodynamic prototype is more suitable for studying psychoanalysis and long-term psychodynamic psychotherapy than its time-limited counterparts. Furthermore, culture probably influences how therapies are typically conducted in a given country. Therefore, it seems appropriate to develop Brazilian prototypes on which to base studies of short-term psychodynamic and cognitive-behavioral processes in this country. Objective: To develop prototypes for studying processes of short-term psychotherapies and to examine the degree of adherence of two real psychotherapy cases to these models. Methods: Expert clinicians used the PQS to rate a hypothetical ideal session of either short-term psychodynamic psychotherapy (STPP) or cognitive-behavioral therapy (CBT). Ratings were submitted to Q-type factor analysis to confirm the two groups. Regressive factor scores were rank ordered to describe the prototypes. These ideal models were correlated with ratings of actual therapy processes in two complete psychotherapy cases, one STPP and the other CBT. Results: Agreement levels between expert ratings were high and the two ideal models were confirmed. As expected, the PQS ratings for actual STPP and CBT cases had significant correlations with their respective ideal models, but the STPP case also adhered to the CBT prototype. Conclusion: Overall, the findings reveal the adequacy of the prototypes for time-limited therapies, providing initial support of their validity.

scholarly journals Long-term effectiveness and prediction of treatment outcome in cognitive behavioral therapy and sertraline for late-life anxiety disorders

2009 ◽  
Vol 21 (6) ◽  
pp. 1148-1159 ◽  
Author(s):  
Josien Schuurmans ◽  
Hannie Comijs ◽  
Paul M. G. Emmelkamp ◽  
Ingrid J. C. Weijnen ◽  
Marcel van den Hout ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Anxiety Disorders ◽  
Behavioral Therapy ◽  
Late Life ◽  
Term Treatment ◽  
Short Term ◽  
Long Term Treatment ◽  
One Year

ABSTRACTBackground: Although anxiety disorders are prevalent in older adults, randomized controlled trials of treatment effectiveness for late-life anxiety are scarce and have focused primarily on the effectiveness of psychotherapeutic interventions. However, recent findings suggest that in some cases, pharmacological treatment may be more beneficial for late-life anxiety disorders. As yet, there have been no systematic studies investigating prognostic factors for the outcome of cognitive behavioral therapy (CBT) and pharmacotherapy for late-life anxiety. The objective of the present study was to study long-term treatment outcomes and to explore differential predictors for both short-term and long-term treatment outcomes of sertraline and CBT for late-life anxiety disorders.Methods: Participants of a randomized controlled trial (RCT) comparing sertraline and CBT for the treatment of late-life anxiety were contacted one year after completing their treatment, so that predictors for both short-term and long-term treatment outcome could be established.Results: Sertraline showed a greater reduction of symptoms than CBT on anxiety (Hamilton Anxiety Rating Scale; HARS) and worry (Worry Domain Questionnaire) ratings at one-year follow-up. The strongest predictor for short-term CBT outcome was poor perceived health, explaining 40% of the variance in post-treatment residual gain scores on the HARS. The strongest predictor for long-term CBT outcome was neuroticism, explaining 20% of the variance in residual gain scores at one-year follow-up. Analyses revealed no significant predictors for treatment outcome in sertraline participants.Conclusions: Our study suggests that long-term use of sertraline might be more beneficial for late-life anxiety than a 15-week CBT program. Poor perceived health and neuroticism are predictive of less improvement after CBT in anxious older adults. Implications of these findings are discussed.

Impulse-control and its disorders, including pathological gambling

2020 ◽  
pp. 1257-1264
Author(s):  
Donald W. Black
Keyword(s):  
Impulse Control ◽  
Gambling Disorder ◽  
Self Regulation ◽  
Conduct Disorders ◽  
Statistical Manual ◽  
Intermittent Explosive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Oppositional Defiant ◽  
Behavioural Addictions

Impulse-control disorders (ICDs) are conditions, the hallmark of which is difficulty with emotional and behavioural self-regulation. Acknowledged in Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III) as ‘disorders of impulse control not elsewhere classified’, the category was reorganized in DSM-5 as ‘disruptive, impulse-control, and conduct disorders’. This chapter discusses oppositional defiant disorder (ODD), intermittent explosive disorder, kleptomania, pyromania, and gambling disorder. Several non-DSM conditions are also included: compulsive shopping, Internet addiction, and compulsive sexual behaviour. The latter conditions are often referred to as behavioural addictions, a category for disorders that appear to share commonalities with traditional substance use disorders but are not associated with the use of drugs or alcohol.

scholarly journals The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: A 2-year longitudinal study

2019 ◽  
Vol 55 ◽  
pp. 67-73 ◽  
Author(s):  
Gemma Mestre-Bach ◽  
Trevor Steward ◽  
Roser Granero ◽  
Fernando Fernández-Aranda ◽  
Amparo del Pino-Gutiérrez ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Treatment Outcomes ◽  
Gambling Disorder ◽  
Behavioral Therapy ◽  
Term Treatment ◽  
Drop Out ◽  
Cognitive Behavioral ◽  
Dsm 5 ◽  
Severity Levels ◽  
The Impact

AbstractBackground:DSM-5 proposed a new operational system by using the number of fulfilled criteria as an indicator of gambling disorder severity. This method has proven to be controversial among researchers and clinicians alike, due to the lack of studies indicating whether severity, as measured by these criteria, is clinically relevant in terms of treatment outcome. Additionally, numerous studies have highlighted the associations between gambling disorder and impulsivity, though few have examined the impact of impulsivity on long-term treatment outcomes.Methods:In this study, we aimed to assess the predictive value of DSM-5 severity levels on response to cognitive-behavioral therapy (CBT) in a sample of male adults seeking treatment for gambling disorder (n = 398). Furthermore, we explored longitudinal predictors of CBT treatment response at a follow-up, considering UPPS-P impulsivity traits.Results:Our study failed to identify differences in treatment outcomes between patients categorized by DSM-5 severity levels. Higher baseline scores in negative urgency predicted relapse during CBT treatment, and higher levels of sensation seeking were predictive of drop-out from short-term treatment, as well as of drop-out at 24-months.Conclusions:These noteworthy findings raise questions regarding the clinical utility of DSM-5 severity categories and lend support to the implementation of dimensional approaches for gambling disorder.

scholarly journals Non-Pharmacological Treatment Options for Patients with Fibromyalgia

2018 ◽  
Vol 8 (3) ◽  
pp. 165-169
Author(s):  
Md Shahidur Rahman
Keyword(s):  
Pharmacological Treatment ◽  
Soft Tissues ◽  
Behavioral Therapy ◽  
Treatment Options ◽  
Pain Syndrome ◽  
Chronic Fatigue ◽  
Treatment Modalities ◽  
Pharmacological Interventions ◽  
Beneficial Effects

Fibromyalgia is a generalized chronic pain syndrome characterized by widespread pain and tenderness to palpation at multiple anatomically defined soft tissues and associated with depression, anxiety, insomnia, cognitive dysfunction, chronic fatigue, and autonomic dysfunction. In 2010, American College of Rheumatology modified classification criteria defined in 1990. This is one of the most common musculoskeletal complaints in physician’s chambers. For lack of specific pharmacological treatment options, non-pharmacological treatment modalities are found to have some immediate efficacy and a variable efficacy in the long term. We searched literatures and reviewed randomized controlled trials for possible predictors of outcome in fibromyalgia. The effects of non-pharmacological interventions are limited and positive outcomes largely disappear in the long term. However, within the various populations with fibromyalgia, treatment outcomes showed considerable individual variations. Subgroups of patients with high levels of psychological distress may benefit from non-pharmacological interventions. Some of the relevant published articles demonstrated the beneficial effects of non-pharmacological treatment options, specially exercise, cognitive behavioral therapy and alternative and complementary medicine, in the context of non-availability of specific pharmacotherapy.J Enam Med Col 2018; 8(3): 165-169

Biofeedback Treatment for Headaches

Biofeedback ◽  
2017 ◽  
Vol 45 (2) ◽  
pp. 34-35 ◽  
Author(s):  
Inna Khazan
Keyword(s):  
Behavioral Therapy ◽  
Sense Of Self ◽  
Medical Practitioner ◽  
Tension Headache ◽  
Self Control ◽  
Pharmacologic Treatment ◽  
Short Term ◽  
Biofeedback Treatment ◽  
Tension Type Headaches

Classic medical treatment of migraine and tension-type headaches is an ongoing struggle and challenge for the medical practitioner. Pharmacologic treatment does not cure these common conditions and offers only short-term palliation. Biofeedback treatment, on its own or in conjunction with cognitive behavioral therapy, offers long-term encouraging results. The methodology is noninvasive, easy to apply and efficacious. Furthermore, the migraine or tension headache sufferer acquires a sense of self-control and mastery over the short term and especially over the long term. Best results are achieved with continued practice of biofeedback skills over the long term.

scholarly journals Impulse control and related disorders in Parkinson’s disease

2018 ◽  
Vol 76 (6) ◽  
pp. 399-410 ◽  
Author(s):  
Antonio Pedro Vargas ◽  
Francisco Eduardo Costa Cardoso
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Impulse Control ◽  
Gambling Disorder ◽  
Clinical Characteristics ◽  
Compulsive Buying ◽  
Compulsive Sexual Behavior ◽  
Dopamine Dysregulation Syndrome ◽  
Dopaminergic Stimulation ◽  
Stimulation Of

ABSTRACT Neuropsychiatric disorders are common among patients with Parkinson’s disease and may appear in any stage of the disease. However, these disorders often go undiagnosed and receive insufficient treatment. Observations in recent years have revealed that dopamine replacement therapy may lead to the development or worsening of conditions, such as gambling disorder, compulsive sexual behavior, compulsive buying and binge eating, in addition to punding and dopamine dysregulation syndrome. The pathophysiology of these disorders seems to be related to abnormal dopaminergic stimulation of the basal regions of the basal ganglia, especially via nigro-mesolimbic pathways. The aim of the present study was to perform a literature review on impulsivity, impulse control disorders and related conditions among patients with Parkinson’s disease, with emphasis on their epidemiology, clinical characteristics and treatment.

Feeling better when buying more? Harmonious passion and obsessive passion in online food group buying

2017 ◽  
Vol 119 (6) ◽  
pp. 1263-1275 ◽  
Author(s):  
Yao-Chin Wang ◽  
Chen-Tsang Simon Tsai
Keyword(s):  
Compulsive Buying ◽  
Food Group ◽  
Impulse Buying ◽  
Short Term ◽  
Harmonious Passion ◽  
Content Type ◽  
Group Buying ◽  
Obsessive Passion ◽  
Positive Feelings

Purpose The purpose of this paper is to understand consumers’ passion types in online food group buying (OFGB) and the following outcomes in buying behavior and mental status. Design/methodology/approach The research setting of this study is a Facebook group specifically for food buying, with population of 2,387 members who are interested in OFGB. Among 2,387 members in the case group, there were 1,286 members clicked on the questionnaire, and 254 of them participated in the survey and returned valid responses. In total, 254 valid questionnaires were collected for 19.75 percent usable response rate (254 out of 1,286). Findings Results of this study proved that harmonious passion can improve both long-term intrinsic enjoyment and short-term positive feelings, while exert no effects on impulse buying. On the other hand, obsessive passion can significantly stimulate both impulse buying and compulsive buying, and strengthen short-term positive feelings as well. Originality/value It is interesting to find that buying more does not make consumers feel better based on the evidence that impulse buying and compulsive buying performed no positive influences to both short-term and long-term mental status.

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