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A comparison of cognitive motivational behaviour therapy and Gamblers Anonymous for treating gambling disorder

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Wulfert, Edelgard ; Wemm, Stephanie E. ; Broussard, James D.

Journal: Psychology of Addictive Behaviors

Year Published: 2025

Date Added: June 30, 2025

This study examined the effectiveness of cognitive motivational behaviour therapy (CMBT) in treating gambling disorder symptoms. The researchers recruited 46 patients seeking help for problem gambling at an outpatient treatment center in the United States. Participants were randomly assigned to receive 12 sessions of CMBT or 12 sessions of weekly Gamblers Anonymous meetings. The findings showed that participants in the CMBT group were more likely to complete treatment. They spent less money on gambling over the course of the study. Both the CMBT and GA groups gambled fewer days and reported fewer gambling disorder symptoms at the end of the study. The CMBT group reduced their gambling spending and frequency regardless of their level of motivation to change. But among the GA group, only those with moderate to high motivation to change attended more GA meetings and reduced their gambling behaviour.


Citation: Wulfert, E., Wemm, S. E., & Broussard, J. D. (2025). Betting on change: An analysis of cognitive motivational behavior therapy versus referral to Gamblers Anonymous for gambling disorder. Psychology of Addictive Behaviors, 39(4), 375–388. https://doi.org/10.1037/adb0001063

Article DOI: https://doi.org/10.1037/adb0001063

Keywords: Cognitive Behavioural Therapy (CBT) ; Gamblers Anonymous ; gambling disorder ; Motivational Interviewing (MI)

Topics: Information for Treatment Providers

Conceptual Framework Factors:   Gambling Resources ; Resources - Interventions

Study Design: Experimental: RCT (randomized controlled trial)

Geographic Coverage: United States of America

Study Population: Patients (18+ years) seeking help for gambling problems (n=46)

Sampling Procedure: Participants were recruited from patients seeking help for gambling problems at an outpatient treatment center in the United States.

Study Funding:

This study was supported by the National Institute of Mental Health, National Institutes of Health.

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