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首页> 外文期刊>Psychology of addictive behaviors >Dropout From Face-to-Face, Multi-Session Psychological Treatments for Problem and Disordered Gambling: A Systematic Review and Meta-Analysis
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Dropout From Face-to-Face, Multi-Session Psychological Treatments for Problem and Disordered Gambling: A Systematic Review and Meta-Analysis

机译：从面对面的辍学生,Multi-Session心理治疗的问题,无序赌博:系统回顾和荟萃分析

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Public Health Significance Statement This review suggests that a significant proportion of individuals drop out of psychological treatments for problem gambling and gambling disorder. This review also recommends that the field adopt symptom-based dropout definitions to determine the adequate dosage of psychological treatment for problem gambling and gambling disorder. Objective: The aims of this systematic review and meta-analysis were to examine the overall prevalence of dropout from psychological treatments for problem gambling and gambling disorder and to examine how study, client, and treatment variables influenced dropout rates. Method: A systematic search was conducted to identify studies of cognitive and/or behavioral therapies and motivational interventions for problem gambling and gambling disorder. Meta-analysis was used to calculate an overall weighted dropout rate. Random effect meta-regressions were used to examine covariates of dropout rates. Mixed-effect subgroup analyses were used to examine moderators of dropout rates. Results: The systematic search identified 24 studies (31 dropout rates) comprising 2,791 participants. Using a random-effects model, the overall weighted dropout rate was 39.1%, 95% CI [33.0%, 45.6%]. Increases in the percentage of married participants were significantly associated with lower dropout rates. Dropout rates were significantly higher when dropout was defined as attending all sessions of a treatment protocol compared to when defined as attending a prespecified number of sessions different from the total in the protocol and when defined as study therapists judging participants to be dropouts. Insufficient reporting of some gambling-related variables and other psychological symptom variables prevented a thorough examination of covariates and moderators. Conclusions: A large proportion of individuals drop out of treatment for problem gambling and gambling disorder. Future research should examine the reasons for dropout across marital statuses and should adopt dropout definitions that consider session-by-session symptom change.
机译：公共卫生意义声明这篇评论表明,很大比例的个人退学的心理治疗方法对问题赌博和博彩障碍。报告也建议采用症状辍学定义来确定心理治疗的足够的剂量对问题赌博和博彩障碍。目的:系统综述的目的荟萃分析是检查从心理的辍学生治疗问题赌博和赌博障碍和考察研究中,客户,和处理变量影响辍学率。方法:进行系统的搜索识别认知和/或行为的研究治疗和动机干预问题赌博和博彩障碍。荟萃分析是用来计算一个整体加权辍学率。多元回归是用来检查协变量的辍学率。被用来检查版主的辍学率。结果:系统搜索确定24研究2791(31辍学率)组成参与者。CI整体加权辍学率为39.1%,95%(33.0%, 45.6%)。结婚参与者明显降低辍学率。率明显高于时辍学定义为参加所有会话的治疗协议相比,当定义为参加指定不同的会话数总在协议和定义为研究专家判断参与者辍学。相关变量和其他心理症状变量阻止了协变量的彻底检查版主。个人退出治疗的问题赌博和博彩障碍。辍学的原因应该检查过吗婚姻状态和应该采取辍学定义,考虑session-by-session症状变化。

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