{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:08:32Z","timestamp":1784264912144,"version":"3.55.0"},"reference-count":83,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>There is evidence that cognitive behavioral therapy (CBT) is effective for treating problem gambling (PG). Some research points to the possible benefits of involving concerned significant others (CSOs) in treatment. This study compared the efficacy of behavioral couples therapy (BCT) and CBT for both the gambler and the CSO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Two parallel\u2010group randomized controlled study comparing two different internet\u2010based treatments for PG. Follow\u2010up measures were conducted at treatment finish, and at 3\u2010, 6\u2010 and 12\u2010month post\u2010treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Stockholm, Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 136 problem gamblers and 136 CSOs were included in the study: 68 gamblers and 68 CSOs for each treatment condition. The gamblers were on average 35.6\u00a0years old and 18.4% were female. CSOs were on average 45.3\u00a0years old and 75.7% were women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>A treatment based on BCT was compared with a CBT intervention. Both treatments were internet\u2010based, with 10 therapist\u2010guided self\u2010help modules accompanied by weekly telephone and e\u2010mail support from a therapist. CSOs were given treatment in the BCT condition, but not in the CBT condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The primary outcome measures were time\u2010line follow\u2010back for gambling (TLFB\u2010G) and the NORC Diagnostic Screen for Gambling Problems (NODS) for problem gamblers, corresponding to DSM\u2010IV criteria for pathological gambling. Secondary outcomes measures were the Patient Health Questionnaire\u20109 (PHQ\u20109), the Generalized Anxiety Disorder seven\u2010item scale (GAD\u20107), the Relation Assessment Scale Generic (RAS\u2010G), the Alcohol Use Disorders Identification Test (AUDIT), the Inventory of Consequences of Gambling for the Gambler and CSO (ICS) and adherence to treatment for both the problem gambler and the CSO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      The outcomes of both gambler groups improved, and differences between the groups were not statistically significant: TLFB\u2010G: multiplicative effect\u00a0=\u00a01.13, 95% confidence interval (CI)\u00a0=\u00a00.30;4.31); NODS: multiplicative effect\u00a0=\u00a00.80, 95%, 95% CI\u00a0=\u00a00.24;2.36. BCT gamblers began treatment to a higher proportion than CBT gamblers:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.002.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Differences in the efficacy of internet\u2010based behavioral couples therapy and cognitive behavioral therapy for treatment of problem gambling were not significant, but more gamblers commenced treatment in the behavioral couples therapy group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.14900","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T04:42:02Z","timestamp":1574224922000},"page":"1330-1342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0982-8483","authenticated-orcid":false,"given":"Anders","family":"Nilsson","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience Stockholm Center for Psychiatry Research and Education, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristoffer","family":"Magnusson","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Stockholm Center for Psychiatry Research and Education, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Carlbring","sequence":"additional","affiliation":[{"name":"Department of Psychology Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Stockholm Center for Psychiatry Research and Education, Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Behavioral Sciences and Learning Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Hellner","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Stockholm Center for Psychiatry Research and Education, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"The Population Prevalence Of Problem Gambling: Methodological Influences, Standardized Rates, Jurisdictional Differences, and Worldwide Trends","author":"Williams R. 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