Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review
Various therapeutic approaches are available for the treatment of gambling disorder (GD), especially cognitive behavioral therapy (CBT; the most widely used treatment). However, CBT has high dropout and relapse rates as well as non-compliance issues, which may be partly due to resistance to changing...
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Language: | English |
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Frontiers Media S.A.
2017-12-01
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Series: | Frontiers in Psychology |
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Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01961/full |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gaëlle Challet-Bouju Gaëlle Challet-Bouju Mélanie Bruneau IGNACE Group Caroline Victorri-Vigneau Caroline Victorri-Vigneau Marie Grall-Bronnec Marie Grall-Bronnec Marie Grall-Bronnec Gaëlle Challet-Bouju Caroline Victorri-Vigneau Jean-Benoit Hardouin Philippe Tessier Luke Clark Jean-Claude Dreher Ruud van den Bos Anneke Goudriaan Mélina Fatséas Joël Billieux Sophia Achab Susana Jimenez-Murcia Philip Gorwood Lucia Romo Isabelle Giroux Alex Blaszczynski |
spellingShingle |
Gaëlle Challet-Bouju Gaëlle Challet-Bouju Mélanie Bruneau IGNACE Group Caroline Victorri-Vigneau Caroline Victorri-Vigneau Marie Grall-Bronnec Marie Grall-Bronnec Marie Grall-Bronnec Gaëlle Challet-Bouju Caroline Victorri-Vigneau Jean-Benoit Hardouin Philippe Tessier Luke Clark Jean-Claude Dreher Ruud van den Bos Anneke Goudriaan Mélina Fatséas Joël Billieux Sophia Achab Susana Jimenez-Murcia Philip Gorwood Lucia Romo Isabelle Giroux Alex Blaszczynski Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review Frontiers in Psychology gambling cognitive remediation cognitive dysfunction cognitive bias modification therapy |
author_facet |
Gaëlle Challet-Bouju Gaëlle Challet-Bouju Mélanie Bruneau IGNACE Group Caroline Victorri-Vigneau Caroline Victorri-Vigneau Marie Grall-Bronnec Marie Grall-Bronnec Marie Grall-Bronnec Gaëlle Challet-Bouju Caroline Victorri-Vigneau Jean-Benoit Hardouin Philippe Tessier Luke Clark Jean-Claude Dreher Ruud van den Bos Anneke Goudriaan Mélina Fatséas Joël Billieux Sophia Achab Susana Jimenez-Murcia Philip Gorwood Lucia Romo Isabelle Giroux Alex Blaszczynski |
author_sort |
Gaëlle Challet-Bouju |
title |
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review |
title_short |
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review |
title_full |
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review |
title_fullStr |
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review |
title_full_unstemmed |
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review |
title_sort |
cognitive remediation interventions for gambling disorder: a systematic review |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2017-12-01 |
description |
Various therapeutic approaches are available for the treatment of gambling disorder (GD), especially cognitive behavioral therapy (CBT; the most widely used treatment). However, CBT has high dropout and relapse rates as well as non-compliance issues, which may be partly due to resistance to changing core characteristics, such as executive functioning, attention, and emotional regulation abnormalities. Finding new therapeutic approaches to treat GD is thus a key challenge. Cognitive remediation (CR) interventions represent a promising approach to GD management, which has recently been demonstrated to have efficacy for treating other addictive disorders. The objective of this review is to describe the possible benefits of CR interventions for GD management. Two systematic searches in MEDLINE and ScienceDirect databases were conducted up until January 2017. Potential neurocognitive targets of CR interventions for GD were reviewed, as is the use and efficacy of such interventions for GD. While there is evidence of several neurocognitive deficits in individuals with GD in terms of impulsive, reflective, and interoceptive processes, the literature on CR interventions is virtually absent. No clinical studies were found in the literature, apart from a trial of a very specific program using Playmancer, a serious videogame, which was tested in cases of bulimia nervosa and GD. However, neurocognitive impairments in individuals with addictive disorders are highly significant, not only affecting quality of life, but also making abstinence and recovery more difficult. Given that CR interventions represent a relatively novel therapeutic approach to addiction and that there is currently a scarcity of studies on clinical populations suffering from GD, further research is needed to examine the potential targets of such interventions and the effectiveness of different training approaches. So far, no consensus has been reached on the optimal parameters of CR interventions (duration, intensity, frequency, group vs. individual, pencil-and-paper vs. computerized delivery, etc.). Although no firm conclusions can be drawn, CR interventions represent a promising adjunct treatment for GD. Such a novel therapy could be associated with common interventions, such as CBT and educational and motivational interventions, in order to make therapies more effective and longer-lasting and to decrease the risk of relapse. |
topic |
gambling cognitive remediation cognitive dysfunction cognitive bias modification therapy |
url |
http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01961/full |
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doaj-4b88e716cc7a4359a885cbdff3ac7dc72020-11-24T23:07:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-12-01810.3389/fpsyg.2017.01961289780Cognitive Remediation Interventions for Gambling Disorder: A Systematic ReviewGaëlle Challet-Bouju0Gaëlle Challet-Bouju1Mélanie Bruneau2IGNACE GroupCaroline Victorri-Vigneau3Caroline Victorri-Vigneau4Marie Grall-Bronnec5Marie Grall-Bronnec6Marie Grall-BronnecGaëlle Challet-BoujuCaroline Victorri-VigneauJean-Benoit HardouinPhilippe TessierLuke ClarkJean-Claude DreherRuud van den BosAnneke GoudriaanMélina FatséasJoël BillieuxSophia AchabSusana Jimenez-MurciaPhilip GorwoodLucia RomoIsabelle GirouxAlex BlaszczynskiClinical Investigation Unit “Behavioral Addictions/Complex Affective Disorders”, Department of Addictology and Psychiatry, CHU Nantes, Nantes, FranceUniversité de Nantes, Université de Tours, Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1246 SHERE, Nantes, FranceClinical Investigation Unit “Behavioral Addictions/Complex Affective Disorders”, Department of Addictology and Psychiatry, CHU Nantes, Nantes, FranceUniversité de Nantes, Université de Tours, Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1246 SHERE, Nantes, FranceDepartment of Pharmacology, Center for Evaluation and Information on Pharmacodependence, CHU Nantes, Nantes, FranceClinical Investigation Unit “Behavioral Addictions/Complex Affective Disorders”, Department of Addictology and Psychiatry, CHU Nantes, Nantes, FranceUniversité de Nantes, Université de Tours, Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1246 SHERE, Nantes, FranceVarious therapeutic approaches are available for the treatment of gambling disorder (GD), especially cognitive behavioral therapy (CBT; the most widely used treatment). However, CBT has high dropout and relapse rates as well as non-compliance issues, which may be partly due to resistance to changing core characteristics, such as executive functioning, attention, and emotional regulation abnormalities. Finding new therapeutic approaches to treat GD is thus a key challenge. Cognitive remediation (CR) interventions represent a promising approach to GD management, which has recently been demonstrated to have efficacy for treating other addictive disorders. The objective of this review is to describe the possible benefits of CR interventions for GD management. Two systematic searches in MEDLINE and ScienceDirect databases were conducted up until January 2017. Potential neurocognitive targets of CR interventions for GD were reviewed, as is the use and efficacy of such interventions for GD. While there is evidence of several neurocognitive deficits in individuals with GD in terms of impulsive, reflective, and interoceptive processes, the literature on CR interventions is virtually absent. No clinical studies were found in the literature, apart from a trial of a very specific program using Playmancer, a serious videogame, which was tested in cases of bulimia nervosa and GD. However, neurocognitive impairments in individuals with addictive disorders are highly significant, not only affecting quality of life, but also making abstinence and recovery more difficult. Given that CR interventions represent a relatively novel therapeutic approach to addiction and that there is currently a scarcity of studies on clinical populations suffering from GD, further research is needed to examine the potential targets of such interventions and the effectiveness of different training approaches. So far, no consensus has been reached on the optimal parameters of CR interventions (duration, intensity, frequency, group vs. individual, pencil-and-paper vs. computerized delivery, etc.). Although no firm conclusions can be drawn, CR interventions represent a promising adjunct treatment for GD. Such a novel therapy could be associated with common interventions, such as CBT and educational and motivational interventions, in order to make therapies more effective and longer-lasting and to decrease the risk of relapse.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01961/fullgamblingcognitive remediationcognitive dysfunctioncognitive bias modificationtherapy |