Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_23B0AACAFB05
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review
Périodique
Frontiers in Psychology
Auteur⸱e⸱s
Challet-Bouju Gaëlle, Bruneau Mélanie, Victorri-Vigneau Caroline, Grall-Bronnec Marie
Collaborateur⸱rice⸱s
IGNACE GROUP
ISSN
1664-1078
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
8
Numéro
19
Pages
61
Langue
anglais
Notes
Members of the IGNACE consortium: Marie Grall-Bronnec, Gaëlle Challet-Bouju, Sophia Achab, Joël
Billieux, Alex Blaszczynski, Luke Clark, Jean-Claude Dreher, Mélina Fatseas, Isabelle Giroux, Philip Gorwood,
Anneke Goudriaan, Jean-Benoit Hardouin, Susana Jimenez-Murcia, Lucia Romo, Philippe Tessier, Ruud van
den Bos, Caroline Victorri-Vigneau.
Résumé
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.
Mots-clé
General Psychology
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/01/2020 10:30
Dernière modification de la notice
14/01/2020 19:08
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