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Cognitive Behavioral Therapy in Gambling Disorder: A Case Report

Year 2022, Volume: 4 Issue: 3, 549 - 567, 31.10.2022
https://doi.org/10.47793/hp.1120635

Abstract

In this case report, a 26-year-old male client with symptoms of gambling disorder according to DSM-5 diagnostic criteria was treated with cognitive behavioral therapy. The client stated that he had been gambling for many years and his life had been going incompletely due to his systematic gambling behavior. Although he resorted to many methods that he thought were logical and functional, he emphasized that he could not overcome this addiction. Realizing that these methods did not contribute to the healing process, the client reported that he had come to the point of losing his belief in himself and sought professional support. For this, the client was first given comprehensive information about the disease and psychoeducational techniques were applied to improve the person's coping skills, self-control and self-responsibility skills. With the interventions made in the behavioral dimension after the intellectual dimension, the intermediary behaviors that reveal the gambling behavior were emphasised. As a result of the interventions, the therapy process resulted in only a few behavioral changes. More studies are needed on interventions specific to this pathology in Cognitive Behavioral Therapy. In this way, guiding and well-being-enhancing gains will be achieved in interventions for gambling disorder with Cognitive Behavioral Therapy.

References

  • Abbott, M. W., Volberg, R. A., & Rönnberg, S. (2004). Comparing the New Zealand and Swedish National Surveys of Gambling and Problem Gambling. Journal of Gambling Studies, 20(3), 237–258. https://doi.org/10.1023/b:jogs.0000040278.08853.c0
  • American Psikiyatri Birliği. (2012). Ruhsal Bozukluklarının Tanısal ve Sayımsal El Kitabı (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
  • American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders, DSM-III. American Psychiatric Association.
  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, DSM-IV. American Psychiatric Association.
  • Buran, A. (2021). Kumar oynama bozukluğunda bilişsel davranışçı terapinin etkinliği üzerine sistematik bir derleme. Bağımlılık Dergisi, 22(2), 180-186. https://doi.org/10.51982/bagimli.841844
  • Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). Journal of Behavioral Addictions, 5(4), 592-613. https://doi.org/ 10.1556/2006.5.2016.073
  • Chretien, M., Giroux, I., Goulet, A., Jacques, C., & Bouchard, S. (2017). Cognitive restructuring of gambling-related thoughts: A systematic review. Addictive Behaviors, 75, 108-121. https://doi.org/10.1016/j.addbeh.2017.07.001
  • Cowlishaw, S., Merkouris, S., Dowling, N., Anderson, C., Jackson, A., & Thomas, S. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd008937.pub2
  • Çakıcı, M., Çakıcı, E., Karaaziz, M., & Babayiğit, A. (2019). KKTC'de kumar yaygınlığı, risk etkenleri ve kültür tutumları ile ilişkisi: 2007-2014. Anatolian Journal of Psychiatry, 0, 1. https://doi.org/10.5455/apd.7939
  • Geniş B., & Aksu, H. (2020). İntihar girişimi ile acil servise başvuran kumar bağımlılığı olgusu. Bağımlılık Dergisi, 21(1), 92-98.
  • Gooding, P., & Tarrier, N.A. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?. Behaviour Research and Therapy, 47(7), 592-607. https://doi.org/10.1016/j.brat.2009.04.002
  • Hodgins, D.C., & Peden, N. (2008). Cognitive-behavioral treatment for impulse control disorders. Brazilian Journal of Psychiatry, 30(1), 31-40. https://doi.org/10.1590/S1516-44462006005000055
  • Holden, C. (2010). Behavioral addictions debut in proposed DSM-V. Science, 327(5968), 935. https://doi.org/10.1126/science.327.5968.935
  • Karahan, T.F. & Sardoğan, M. E. (2015). Rasyonel-emotif terapi. Ondokuz Mayis University Journal of Education Faculty, 9(0), 110-135.
  • Karim, R., & Chaudhri, P. (2012). Behavioral addictions: An overview. Journal of Psychoactive Drugs, 44(1), 5-17. https://doi.org/10.1080/02791072.2012.662859
  • Kraus, S. W., Etuk, R., & Potenza, M. N. (2020). Current pharmacotherapy for gambling disorder: a systematic review. Expert Opinion on Pharmacotherapy, 21(3), 287-296. https://doi.org/10.1080/14656566.2019.1702969
  • Ledgerwood, D.M., & Petry, N.M. (2005). Current trends and future directions in the study of psychosocial treatments for pathological gambling. Current Directions in Psychological Science, 14(2), 89–94. https://doi.org/10.1111/j.0963-7214.2005.00341.x
  • Menchon, J. M., Mestre-Bach, G., Steward, T., Fernández-Aranda, F., & Jiménez-Murcia, S. (2018). An overview of gambling disorder: from treatment approaches to risk factors. F1000Research, 7(434). https://doi.org/10.12688%2Ff1000research.12784.1
  • Meyer, G., Hayer, T., & Griffiths, M. (Eds.). (2009). Problem gambling in Europe: Challenges, prevention, and interventions. Springer Science & Business Media.
  • Miller, N.V., & Currie, S.R. A. (2008). Canadian population level analysis of the roles of irrational gambling cognitions and risky gambling practices as correlates of gambling intensity and pathological gambling. Journal of Gambling Studies. 24, 257–274. https://doi.org/10.1007/s10899-008-9089-5
  • Pallesen, S., Mitsem, M., Kvale, G., Johnsen, B. H., & Molde, H. (2005). Outcome of psychological treatments of pathological gambling: A review and meta‐analysis. Addiction, 100(10), 1412-1422. https://doi.org/10.1111/j.1360-0443.2005.01204.x
  • Petry, N. M. (2005). Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers. Journal of Gambling Studies, 21(1), 27–33. https://doi.org/10.1007/s10899-004-1919-5
  • Petry, N. M., Ammerman, Y., Bohl, J., Doersch, A., Gay, H., Kadden, R., Molina, C. & Steinberg, K. (2006). Cognitive-behavioral therapy for pathological gamblers. Journal of consulting and clinical psychology, 74(3), 555-567. https://psycnet.apa.org/doi/10.1037/0022-006X.74.3.555
  • Ribeiro, E. O., Afonso, N. H., & Morgado, P. (2021). Non-pharmacological treatment of gambling disorder: A systematic review of randomized controlled trials. BMC Psychiatry, 21(105), 1-15. https://doi.org/10.1186/s12888-021-03097-2
  • Rizeanu, S. (2015). Pathological gambling treatment-review. Procedia -Social Behavioral Sciences, 187, 613-618. https://doi.org/10.1016/j.sbspro.2015.03.114
  • Sargın, M., & Sargın, A.E., (2015). “Yaşamaya Değer Bir Hayat” için: Diyalektik davranışçı terapinin gelişimi ve temel ilkeleri. Türkiye Klinikleri J Psychiatry-Special Topics, 8(2), 64-70.
  • Smith, G., Hodgins, D., & Williams, R. (2007). Research and Measurement Issues in Gambling Studies (1st ed.). Emerald Publishing.
  • Stucki, S., & Rihs-Middel, M. (2007). Prevalence of adult problem and pathological gambling between 2000 and 2005: An update. Journal of Gambling Studies, 23(3): 245–257. https://doi.org/10.1007/s10899-006-9031-7
  • Suurvali, H., Hodgins, D., Toneatto, T., & Cunningham, J. (2008). Treatment seeking among Ontario problem gamblers: Results of a population survey. Psychiatric Services, 59(11), 1343–1346. https://doi.org/10.1176/ps.2008.59.11.1343
  • Swan, J.L., & Hodgins, D.C. (2015). Brief interventions for disordered gambling. Canadian Journal of Addiction, 6(2), 29-36. http://dx.doi.org/10.1097/02024458-201509000-00005
  • Tolchard, B., & Battersby, M.W. (2013). Cognitive behaviour therapy for problem gamblers: A clinical outcomes evaluation. Behaviour Change, 30(1), 12-23. http://doi:10.1017/bec.2013.2
  • Tolin, D.F. (2010). Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review. Clinical Psychology Review, 30(6), 710-720. https://doi.org/10.1016/j.cpr.2010.05.003
  • Toneatto, T., & Gunaratne, M. (2009). Does the treatment of cognitive distortions improve clinical outcomes for problem gambling? Journal of Contemporary Psychotherapy, 39, 221-229. https://doi.org/10.1007/s10879-009-9119-3
  • Uğurlu, T.T.,Şengül, C. B., & Şengül, C. (2012). Bağımlılık psikofarmakolojisi. Psikiyatride Güncel Yaklaşımlar, 4(1), 37-50. https://doi.org/10.5455/cap.20120403
  • Vayısoğlu, S. K., Öncü, E., & Güven, Y. (2019). Üniversite öğrencilerinde kumar oynama sıklığı ve heyecan arama davranışı ile ilişkisi. Addicta: The Turkish Journal of Addictons, 6(1), 69-90. https://doi.org/10.15805/addicta.2019.6.1.0041
  • Walker, M.B. (2005). Problems in measuring the effectiveness of cognitive therapy for pathological gambling. Journal of Gambling Studies, 21(1), 79-90. https://doi.org/10.1007/s10899-004-1927-5

Kumar Oynama Bozukluğunda Bilişsel Davranışçı Terapi: Bir Olgu Sunumu

Year 2022, Volume: 4 Issue: 3, 549 - 567, 31.10.2022
https://doi.org/10.47793/hp.1120635

Abstract

Bu olgu sunumunda, DSM-5 tanı kriterlerine göre kumar oynama bozukluğu belirtileri gösteren 26 yaşında erkek bir danışana bilişsel davranışçı terapi yöntemiyle tedavi süreci uygulanmıştır. Danışan uzun yıllardır kumar oynadığını, sistematik bir hal alan kumar oynama davranışı sebebiyle yaşamının kötü yönde seyrettiğini beliritmiştir. Her ne kadar kendince mantıklı ve işlevsel nitelikte olduğunu düşündüğü birçok yönteme başvursa da, bu bağımlılığını yenemediğini vurgulamıştır. Bu yöntemlerin iyileşme sürecine bir katkı sağlamadığını fark eden danışan kendine olan inancını yitirme noktasına geldiğini ve profesyonel bir desteğe başvurduğunu bildirmiştir. Bunun için danışana ilk olarak hastalıkla ilgili kapsamlı bilgi verilmiş ve kişinin baş etme becerileri, özdenetim, kendi sorumluluğunu alma becerilerini geliştirmesi için psikoeğitim teknikleri uygulanmıştır. Düşünsel boyutun ardından davranışsal boyutta yapılan müdahalelerle kumar oynama davranışını ortaya çıkaran aracı davranışlara vurgular yapılmıştır. Yapılan müdahaleler sonucunda terapi süreci ancak birkaç davranışsal değişiklikle sonuçlanmıştır. Bilişsel Davranışçı Terapi’de bu patoloji özelinde müdahaleler ile ilgili daha fazla çalışmaya ihtiyaç duyulmaktadır. Bu sayede Bilişsel Davranışçı Terapi ile kumar oynama bozukluğuna yapılan müdahalelerde yönlendirici ve iyilik halini artırıcı nitelikte kazanımlar sağlanabilecektir.

References

  • Abbott, M. W., Volberg, R. A., & Rönnberg, S. (2004). Comparing the New Zealand and Swedish National Surveys of Gambling and Problem Gambling. Journal of Gambling Studies, 20(3), 237–258. https://doi.org/10.1023/b:jogs.0000040278.08853.c0
  • American Psikiyatri Birliği. (2012). Ruhsal Bozukluklarının Tanısal ve Sayımsal El Kitabı (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
  • American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders, DSM-III. American Psychiatric Association.
  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, DSM-IV. American Psychiatric Association.
  • Buran, A. (2021). Kumar oynama bozukluğunda bilişsel davranışçı terapinin etkinliği üzerine sistematik bir derleme. Bağımlılık Dergisi, 22(2), 180-186. https://doi.org/10.51982/bagimli.841844
  • Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). Journal of Behavioral Addictions, 5(4), 592-613. https://doi.org/ 10.1556/2006.5.2016.073
  • Chretien, M., Giroux, I., Goulet, A., Jacques, C., & Bouchard, S. (2017). Cognitive restructuring of gambling-related thoughts: A systematic review. Addictive Behaviors, 75, 108-121. https://doi.org/10.1016/j.addbeh.2017.07.001
  • Cowlishaw, S., Merkouris, S., Dowling, N., Anderson, C., Jackson, A., & Thomas, S. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd008937.pub2
  • Çakıcı, M., Çakıcı, E., Karaaziz, M., & Babayiğit, A. (2019). KKTC'de kumar yaygınlığı, risk etkenleri ve kültür tutumları ile ilişkisi: 2007-2014. Anatolian Journal of Psychiatry, 0, 1. https://doi.org/10.5455/apd.7939
  • Geniş B., & Aksu, H. (2020). İntihar girişimi ile acil servise başvuran kumar bağımlılığı olgusu. Bağımlılık Dergisi, 21(1), 92-98.
  • Gooding, P., & Tarrier, N.A. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?. Behaviour Research and Therapy, 47(7), 592-607. https://doi.org/10.1016/j.brat.2009.04.002
  • Hodgins, D.C., & Peden, N. (2008). Cognitive-behavioral treatment for impulse control disorders. Brazilian Journal of Psychiatry, 30(1), 31-40. https://doi.org/10.1590/S1516-44462006005000055
  • Holden, C. (2010). Behavioral addictions debut in proposed DSM-V. Science, 327(5968), 935. https://doi.org/10.1126/science.327.5968.935
  • Karahan, T.F. & Sardoğan, M. E. (2015). Rasyonel-emotif terapi. Ondokuz Mayis University Journal of Education Faculty, 9(0), 110-135.
  • Karim, R., & Chaudhri, P. (2012). Behavioral addictions: An overview. Journal of Psychoactive Drugs, 44(1), 5-17. https://doi.org/10.1080/02791072.2012.662859
  • Kraus, S. W., Etuk, R., & Potenza, M. N. (2020). Current pharmacotherapy for gambling disorder: a systematic review. Expert Opinion on Pharmacotherapy, 21(3), 287-296. https://doi.org/10.1080/14656566.2019.1702969
  • Ledgerwood, D.M., & Petry, N.M. (2005). Current trends and future directions in the study of psychosocial treatments for pathological gambling. Current Directions in Psychological Science, 14(2), 89–94. https://doi.org/10.1111/j.0963-7214.2005.00341.x
  • Menchon, J. M., Mestre-Bach, G., Steward, T., Fernández-Aranda, F., & Jiménez-Murcia, S. (2018). An overview of gambling disorder: from treatment approaches to risk factors. F1000Research, 7(434). https://doi.org/10.12688%2Ff1000research.12784.1
  • Meyer, G., Hayer, T., & Griffiths, M. (Eds.). (2009). Problem gambling in Europe: Challenges, prevention, and interventions. Springer Science & Business Media.
  • Miller, N.V., & Currie, S.R. A. (2008). Canadian population level analysis of the roles of irrational gambling cognitions and risky gambling practices as correlates of gambling intensity and pathological gambling. Journal of Gambling Studies. 24, 257–274. https://doi.org/10.1007/s10899-008-9089-5
  • Pallesen, S., Mitsem, M., Kvale, G., Johnsen, B. H., & Molde, H. (2005). Outcome of psychological treatments of pathological gambling: A review and meta‐analysis. Addiction, 100(10), 1412-1422. https://doi.org/10.1111/j.1360-0443.2005.01204.x
  • Petry, N. M. (2005). Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers. Journal of Gambling Studies, 21(1), 27–33. https://doi.org/10.1007/s10899-004-1919-5
  • Petry, N. M., Ammerman, Y., Bohl, J., Doersch, A., Gay, H., Kadden, R., Molina, C. & Steinberg, K. (2006). Cognitive-behavioral therapy for pathological gamblers. Journal of consulting and clinical psychology, 74(3), 555-567. https://psycnet.apa.org/doi/10.1037/0022-006X.74.3.555
  • Ribeiro, E. O., Afonso, N. H., & Morgado, P. (2021). Non-pharmacological treatment of gambling disorder: A systematic review of randomized controlled trials. BMC Psychiatry, 21(105), 1-15. https://doi.org/10.1186/s12888-021-03097-2
  • Rizeanu, S. (2015). Pathological gambling treatment-review. Procedia -Social Behavioral Sciences, 187, 613-618. https://doi.org/10.1016/j.sbspro.2015.03.114
  • Sargın, M., & Sargın, A.E., (2015). “Yaşamaya Değer Bir Hayat” için: Diyalektik davranışçı terapinin gelişimi ve temel ilkeleri. Türkiye Klinikleri J Psychiatry-Special Topics, 8(2), 64-70.
  • Smith, G., Hodgins, D., & Williams, R. (2007). Research and Measurement Issues in Gambling Studies (1st ed.). Emerald Publishing.
  • Stucki, S., & Rihs-Middel, M. (2007). Prevalence of adult problem and pathological gambling between 2000 and 2005: An update. Journal of Gambling Studies, 23(3): 245–257. https://doi.org/10.1007/s10899-006-9031-7
  • Suurvali, H., Hodgins, D., Toneatto, T., & Cunningham, J. (2008). Treatment seeking among Ontario problem gamblers: Results of a population survey. Psychiatric Services, 59(11), 1343–1346. https://doi.org/10.1176/ps.2008.59.11.1343
  • Swan, J.L., & Hodgins, D.C. (2015). Brief interventions for disordered gambling. Canadian Journal of Addiction, 6(2), 29-36. http://dx.doi.org/10.1097/02024458-201509000-00005
  • Tolchard, B., & Battersby, M.W. (2013). Cognitive behaviour therapy for problem gamblers: A clinical outcomes evaluation. Behaviour Change, 30(1), 12-23. http://doi:10.1017/bec.2013.2
  • Tolin, D.F. (2010). Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review. Clinical Psychology Review, 30(6), 710-720. https://doi.org/10.1016/j.cpr.2010.05.003
  • Toneatto, T., & Gunaratne, M. (2009). Does the treatment of cognitive distortions improve clinical outcomes for problem gambling? Journal of Contemporary Psychotherapy, 39, 221-229. https://doi.org/10.1007/s10879-009-9119-3
  • Uğurlu, T.T.,Şengül, C. B., & Şengül, C. (2012). Bağımlılık psikofarmakolojisi. Psikiyatride Güncel Yaklaşımlar, 4(1), 37-50. https://doi.org/10.5455/cap.20120403
  • Vayısoğlu, S. K., Öncü, E., & Güven, Y. (2019). Üniversite öğrencilerinde kumar oynama sıklığı ve heyecan arama davranışı ile ilişkisi. Addicta: The Turkish Journal of Addictons, 6(1), 69-90. https://doi.org/10.15805/addicta.2019.6.1.0041
  • Walker, M.B. (2005). Problems in measuring the effectiveness of cognitive therapy for pathological gambling. Journal of Gambling Studies, 21(1), 79-90. https://doi.org/10.1007/s10899-004-1927-5
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology
Journal Section Case Report
Authors

Zeynep Çebi 0000-0001-5778-9098

Meryem Karaaziz 0000-0002-0085-612X

Early Pub Date October 20, 2022
Publication Date October 31, 2022
Submission Date May 25, 2022
Published in Issue Year 2022 Volume: 4 Issue: 3

Cite

APA Çebi, Z., & Karaaziz, M. (2022). Kumar Oynama Bozukluğunda Bilişsel Davranışçı Terapi: Bir Olgu Sunumu. Humanistic Perspective, 4(3), 549-567. https://doi.org/10.47793/hp.1120635

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Humanistic Perspective - 2019

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