scholarly journals People with gambling disorder and risky alcohol habits benefit more from motivational interviewing than from cognitive behavioral group therapy

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1899 ◽  
Author(s):  
Henrik Josephson ◽  
Per Carlbring ◽  
Lars Forsberg ◽  
Ingvar Rosendahl

Background. Effective psychological treatment, including cognitive behavioral therapy and motivational interviewing (MI), is available for people with problematic gambling behaviors. To advance the development of treatment for gambling disorder, it is critical to further investigate how comorbidity impacts different types of treatments. The purpose of this study was to investigate whether screening for risky alcohol habits can provide guidance on whether people with gambling disorder should be recommended cognitive behavioral group therapy (CBGT) or MI.Methods.The present study is a secondary analysis of a previous randomized controlled trial that compared the effects of CBGT, MI and a waitlist control group in the treatment of disordered gambling. Assessment and treatment was conducted at an outpatient dependency clinic in Stockholm, Sweden, where 53 trial participants with gambling disorder began treatment. A modified version of the National Opinion Research Centre DSM-IV Screen for gambling problems was used to assess gambling disorder. The Alcohol Use Disorders Identification Test (AUDIT) was used to screen for risky alcohol habits.Results.The interaction between treatment and alcohol habits was significant and suggests that patients with gambling disorder and risky alcohol habits were better helped by MI, while those without risky alcohol habits were better helped by CBGT.Conclusions.The results support a screening procedure including the AUDIT prior to starting treatment for gambling disorder because the result of the screening can provide guidance in the choice of treatment. Patients with gambling disorder and risky alcohol habits are likely to be best helped if they are referred to MI, while those without risky alcohol habits are likely to be best helped if they are referred to CBGT.

2010 ◽  
Vol 38 (3) ◽  
pp. 319-336 ◽  
Author(s):  
Elisabeth Meyer ◽  
Fernanda Souza ◽  
Elizeth Heldt ◽  
Paulo Knapp ◽  
Aristides Cordioli ◽  
...  

Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.


2020 ◽  
pp. 172-177

Background and Aims: Given the success of group psychotherapy as well as drug therapies to improve drug-dependent patients, it is increasingly necessary to compare different interventions to select the most effective way to reduce the problems of methadone maintenance therapists. This study aimed to compare the effectiveness of existential group therapy with cognitive-behavioral group therapy on increasing the life satisfaction of addicted people under methadone maintenance therapy. Materials and Methods: This semi-experimental study was conducted based on the pretest-posttest method with a control group. The study population included addicted males who underwent methadone maintenance treatment at Qazvin Addiction Treatment and Injury Clinics in 2019, Qazvin, Iran. The participants (n=90) were randomly selected and divided into experimental (existential and cognitive-behavioral therapy) and control groups. Subsequently, the experimental groups participated in 10 sessions of 120-min per week. The data were analyzed in SPSS software (version 22) through a repeated-measures ANOVA. Results: The results showed the improvement of life satisfaction in the existential and cognitive-behavioral therapy groups (P<0.001); however, the control group showed no significant difference in pretest, posttest, and follow-up. Furthermore, the results indicated no significant difference between cognitive-behavioral and existential therapy groups in terms of life satisfaction (P>0.05). Conclusion: It can be concluded that both cognitive-behavioral and existential therapies are effective in increasing the life satisfaction of addicted patients under methadone maintenance therapy; however, no significant difference was observed between the two experimental groups regarding the increasing level of satisfaction.


2022 ◽  
Vol 11 (1) ◽  
Author(s):  
Marjan Faramarzi ◽  
Javad Khalatbari ◽  
Shohreh Ghorban Shiroudi ◽  
Khadijeh Abolmaali

Background: It is essential to understand and support hepatitis B patients to minimize their challenges and limitations and provide them with appropriate treatment. Therefore, it is essential to incorporate training and consulting programs to prepare for and identify various aspects of the disease. Objectives: The present study aimed to investigate the effectiveness of mindfulness-integrated cognitive-behavioral group therapy (MiCBT) in the motivational structure of hepatitis B patients in Tehran, Iran. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The study sample consisted of 28 hepatitis B patients selected from all patients visiting specialist clinics in Tehran in 2020. Following the interviews and completion of the Personal Concerns Inventory, 14 patients were selected per group using simple random sampling and were randomly divided into intervention and control groups. A posttest was conducted after 12 sessions of MiCBT (one 90-min group session weekly for three months). Data were analyzed using the multivariate analysis of covariance in SPSS software. Results: The results revealed a significant increase in adaptive motivational structure (P < 0.001) and a significant decrease in maladaptive motivational structure (P = 0.012) in hepatitis B patients following the therapeutic intervention. Conclusions: The study indicated the MiCBT effectiveness in increasing adaptive motivational structure and decreasing maladaptive motivational structure in hepatitis B patients. As a therapeutic approach, MiCBT can make the motivational structure of hepatitis B patients more adaptive.


2010 ◽  
Vol 32 (1) ◽  
pp. 20-29 ◽  
Author(s):  
Elisabeth Meyer ◽  
Roseli G. Shavitt ◽  
Carl Leukefeld ◽  
Elizeth Heldt ◽  
Fernanda P. Souza ◽  
...  

OBJECTIVE: Recent factor-analytic studies of obsessive-compulsive disorder identified consistent symptom dimensions. This study was designed in order to observe which obsessive compulsive symptom dimensions could be changed by adding two individual sessions of motivational interviewing and thought mapping of cognitive-behavioral group therapy using a randomized clinical trial. METHOD: Forty outpatients with a primary diagnosis of obsessive-compulsive disorder were randomly assigned to receive cognitive-behavioral group therapy (control group) or motivational interviewing+thought mapping plus cognitive-behavioral group therapy. To evaluate changes in symptomdimensions, the Dimensional Yale-Brown Obsessive-Compulsive Scale was administered at baseline and after treatment. RESULTS: At post-treatment, there were statistically significant differences between cognitive-behavioral group therapy and motivational interviewing+thought mapping+cognitivebehavioral group therapy groups in the mean total Dimensional Yale-Brown Obsessive-Compulsive Scale score, and in the contamination and aggression dimension score. Hoarding showed a statistical trend towards improvement. CONCLUSION: These findings suggest that adding motivational interviewing+thought mapping to cognitive-behavioral group therapy can facilitate changes and bring about a decrease in the scores in different obsessive-compulsive disorder symptom dimensions, as measured by the Dimensional Yale-Brown Obsessive-Compulsive Scale. Nonetheless, additional trials are needed to confirm these results.


2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Sahar Khanjani Veshki ◽  
Elham Jalali Pour ◽  
Shima Pasha

Background: Marital life is based on effective reciprocal relations such as quality of communications with the spouse’s family. Objectives: The present study aimed to investigate the effectiveness of cognitive-behavioral group therapy on negative feelings of the women toward their husband’s family and marital conflicts. Methods: This is a quasi-experimental study with a pretest-posttest design and follow-up with a control group. The statistical population included all women referring to Rahgosha Consultation Center in the town of Tiran (due to marital conflicts) in 2018. Thirty samples were selected using a convenient sampling technique. Then, the samples were randomly divided into two groups of experimental (15 women) and control (15 women). Women’s negative feelings toward the husband’s family and marital conflicts questionnaires were used to collect data. The experimental group received seven ninety-minute sessions of cognitive-behavioral group therapy. Finally, a posttest was performed for both groups. Moreover, the follow-up stage was administered a month after the posttest on both groups. Mean and standard deviation were used to analyze the data at descriptive statistics, and MANCOVA was used at the inferential statistics level through SPSS21 software. Results: Cognitive-behavioral group therapy could effectively decrease both the women’s negative feelings toward their husband’s family and marital conflicts (P < 0.05). Conclusions: This study demonstrated that cognitive-behavioral group therapy can be applied to decrease negative feelings toward the husband’s family and to address marital conflicts.


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