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Factors associated with treatment outcomes in a randomized clinical trial for gambling disorder

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View Open Access Article View Snapshot Back to Search Results

snapshot summaries


Author(s): Mäkelä, Niklas ; Isotalo, Jarkko ; Alho, Hannu ; Castrén, Sari

Journal: European Addiction Research

Year Published: 2026

Date Added: August 29, 2026

This study examined the background characteristics of participants in a previous clinical trial to identify factors influencing treatment outcomes. The clinical trial found no benefit of intranasal naloxone over placebo. This study found that participants who showed higher medication adherence and greater readiness to change experienced better treatment outcomes, including greater reductions in gambling symptoms and improvements in quality of life. Participants with greater depressive symptoms started treatment with more severe gambling symptoms, but they also showed greater improvements in gambling symptoms and quality of life following treatment.


Citation: Mäkelä, N., Isotalo, J., Alho, H., & Castrén, S. (2026). Factors influencing treatment outcomes in a randomized clinical trial for gambling disorder: A secondary analysis. European Addiction Research, 32(1), 15–27. https://doi.org/10.1159/000550527

Article DOI: https://doi.org/10.1159/000550527

Keywords: addiction ; gambling disorder ; pharmacotherapies ; treatment

Topics: Information for Treatment Providers

Conceptual Framework Factors:   Biological Factors ; Gambling Resources ; Resources - Interventions

Study Design: Secondary Data Analysis

Geographic Coverage: Finland

Study Population: Adults (aged 18 to 75 years) with moderate or severe gambling disorder according to the DSM-5 criteria and SOGS score greater than 5 at baseline (n=118)

Sampling Procedure: Data were drawn from a randomized, placebo-controlled clinical trial examining the effects of as-needed intranasal naloxone combined with psychosocial support.

Study Funding:

The Finnish Institute for Health and Welfare funded the trial. Opiant Pharmaceuticals in Santa Monica, CA, USA donated the investigational drug.

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