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A growing body of literature has identified the evolving features of online gambling and the individuals who engage in it. However, beyond understanding the individual characteristics of this subgroup, relatively less effort has been made to examine whether existing cognitive-behavioural therapy (CBT) approaches are still entirely relevant for online problem gamblers, or whether changes are needed to adapt according to gambling mode of access. To understand what kind of challenges online gambling poses to mental health professionals dealing with disordered gamblers, four focus groups comprising 28 Spanish participants were carried out. All the treatment providers had ongoing experience with online gamblers undergoing treatment, and included clinical psychologists, mental health social workers, and a medical doctor. The data were examined using thematic analysis. The analysis identified five main themes that characterised online gamblers: (1) being of younger age, (2) lack of conflicts at home and at work\/educational centre, rarely presenting violent or aggressive behaviour, (3) gambling disorder only being identified by overdue debt, (4) co-occurring conditions with technology-related abuse rather than other substance-related addictions, and (5) skill-based gambling. The study highlights mental health workers\u2019 perceived insecurities about how to best treat online gamblers, and discusses the specific characteristics that CBT for gambling disorder might need to incorporate to adjust for this particular group of gamblers.<\/jats:p>","DOI":"10.1007\/s10899-021-10064-9","type":"journal-article","created":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T19:20:10Z","timestamp":1634412010000},"page":"681-697","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Do Online Gambling Products Require Traditional Therapy for Gambling Disorder to Change? Evidence from Focus Group Interviews with Mental Health Professionals Treating Online Gamblers"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1249-2623","authenticated-orcid":false,"given":"Hibai","family":"Lopez-Gonzalez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3596-8033","authenticated-orcid":false,"given":"Susana","family":"Jimenez-Murcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Rius-Buitrago","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8880-6524","authenticated-orcid":false,"given":"Mark D.","family":"Griffiths","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,16]]},"reference":[{"key":"10064_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-020-00462-2","author":"M Auer","year":"2021","unstructured":"Auer, M., & Griffiths, M. 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This not-for-profit institution only set the general topic of the research (online gambling) and asked for a biopsychosocial approach to the research. UNAD did not interfere in the design of the study, the research questions, the analysis, or the publication of the results. These two authors are set to receive an honorarium for this work. Susana Jimenez-Murcia declares no competing interests. Mark D. Griffiths declares that he has received funding for a number of research projects in the area of gambling education for young people, social responsibility in gambling and gambling treatment from the Responsibility in Gambling Trust, a charitable body which funds its research program based on donations from the gambling industry. He also undertakes consultancy for various gaming companies in the area of social responsibility in gambling.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The design of this study was reviewed and approved by the ethics committee of the first author\u2019s institution (Ref: ETK-38\/18\u201319). All participants signed consent forms and were informed about the concept of the study and their rights to abandon at any time without any repercussions to their treatment. Also, they were reassured about the anonymity of their responses and inform about the research members that will have access to the recording. Participants were compensated for their time with a set of earphones (~\u2009\u20ac10). This study adheres to the guidelines of the EQUATOR Network to enhance the quality and transparency of health research. 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