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Acceptance and commitment therapy for gambling disorder and PTSD in veterans

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Author(s): Hitch, Catherine ; Leightley, Daniel ; Murphy, Dominic ; Trompeter, Nora ; Dymond, Simon

Journal: European Journal of Psychotraumatology

Year Published: 2023

Date Added: May 18, 2023

Post-traumatic Stress Disorder (PTSD) and Gambling Disorder (GD) frequently co-occur. It has been suggested that people with PTSD use gambling as a form of ‘escape’ from the negative memories of trauma. One population at a high risk for PTSD are military personnel. The researchers reviewed current research on the use of Acceptance and Commitment Therapy (ACT) to treat people with PTSD and/or GD in the military. The authors found 14 studies that met their review criteria. Only one study addressed GD, and no studies looked at both GD and PTSD. The findings of the studies suggest that ACT may be an appropriate and effective method for reducing both PTSD and GD symptoms. This review highlights the importance of conducting more studies on ACT as a treatment for veterans and active military personnel with PTSD and/or GD.


Citation: Hitch, C., Leightley, D., Murphy, D., Trompeter, N., & Dymond, S. (2023). Acceptance and commitment therapy for co-occurring gambling disorder and posttraumatic stress disorder in veterans: A narrative review. European Journal of Psychotraumatology, 14(1), 2178203. https://doi.org/10.1080/20008066.2023.2178203

Article DOI: https://doi.org/10.1080/20008066.2023.2178203

Keywords: comorbidities ; gambling disorder ; military veterans ; Post-Traumatic Stress Disorder (PTSD) ; therapy ; veterans

Topics: Comorbidities ; Family and Friends ; Gambling and the Brain ; Gambling Resources ; Information for Treatment Providers ; Priority Populations ; Veterans

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Social - Social Demographics ; Social Factors ; Gambling Resources ; Resources - Interventions

Study Design: Other Review

Study Funding:

This study was funded by a grant from the Research Wales Innovation Fund (RWIF) Collaboration Booster – External Engagement Fund.

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    • Prevention and Education Review: Gambling-Related Harm
    • Research to Inform Action Evidence Hub
    • Safer Gambling Evaluation Evidence Hub
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