دانلود مقاله اثربخشی درمان شناختی- رفتاری در بهبود کیفیت زندگی
خلاصه
معرفی
مواد و روش ها
بحث
نتیجه گیری
بیانیه مشارکت نویسنده CRediT
منابع مالی
تصدیق
منابع
Abstract
Introduction
Material and methods
Discussion
Conclusions
CRediT authorship contribution statement
Funding
Acknowledgment
References
چکیده
مبانی
درمان شناختی-رفتاری می تواند رفتار قمار و سایر علائم قمار پاتولوژیک را کاهش دهد.
هدف
ترکیب و تجزیه و تحلیل شواهد در مورد اثربخشی مداخلات شناختی- رفتاری برای بهبود کیفیت زندگی افراد مبتلا به قمار آسیب‌شناختی.
روش شناسی
مرور سیستماتیک با ترکیب روایی کارآزمایی‌های بالینی منتشر شده به زبان انگلیسی و اسپانیایی در Medline، Scopus، Web of Science، CINAHL، The Cochrane Library Plus، PsycoInfo و ProQuest مقالات تا ژانویه 2020 که این پدیده را تحلیل می‌کند. بیانیه PRISMA پیگیری شد و کیفیت مقالات با مقیاس جداد مورد تجزیه و تحلیل قرار گرفت.
نتایج
1233 مقاله یافت شد، از جمله نه مورد در بررسی. دو مطالعه اثربخشی مداخلات مبتنی بر درمان شناختی رفتاری را برای بهبود کیفیت زندگی در افراد مبتلا به قمار پاتولوژیک تایید کردند. علاوه بر این، این مداخلات باعث بهبود افسردگی، اضطراب، مقدار پول بازی شده و کاهش مصرف الکل و نمره تشخیص قمار شد که بر بهبود کیفیت زندگی تأثیر داشت. مداخلات رفتاری شناختی زمانی موثرتر بود که توسط یک کتابچه راهنمای پشتیبانی می شد یا زمانی که با جلسات ذهن آگاهی یا بازیکن ناشناس ترکیب می شد. داشتن نتایج بلند مدت بهتر در این موارد.
نتیجه گیری
مداخلات مبتنی بر رفتار شناختی می‌تواند کیفیت زندگی افراد مبتلا به قمار آسیب‌شناختی و سایر متغیرهای روان‌شناختی را بدون تأثیر فوری آن بهبود بخشد. تحقیقات آینده باید بررسی کنند که آیا آنها به صورت آنلاین یا حضوری، به صورت انفرادی یا گروهی کارآیی بیشتری دارند و تعداد جلسات مورد نیاز برای ماندگاری اثرات آنها در طول زمان.
Abstract
Fundamentals:
Cognitive-behavioral therapy can reduce gambling behavior and other symptoms of pathological gambling.
Aim:
To synthesize and analyze the evidence on the efficacy of cognitive-behavioral interventions to improve the quality of life of people with pathological gambling. Methodology: Systematic review with a narrative synthesis of clinical trials published in English and Spanish in Medline, Scopus, Web of Science, CINAHL, The Cochrane Library Plus, PsycoInfo, and ProQuest of articles until January 2020 that will analyze this phenomenon. The PRISMA Declaration was followed and the quality of the articles was analyzed with the Jadad scale.
Results:
1233 articles were found, including nine in the review. Two studies confirmed the efficacy of cognitive behavioral therapy-based interventions for improving the quality of life in people with pathological gambling. In addition, these interventions improved depression, anxiety, the amount of money played, and reduced alcohol consumption and the gambling diagnosis score, which had an impact on improving the quality of life. Cognitive behavioral interventions were more effective when it was supported by a manual or when were combined with Mindfulness or Player Anonymous sessions. Having better long-term results in these cases.
Conclusions:
Cognitive behavioral-based interventions can improve the quality of life of people with pathological gambling and other psychological variables without being its immediate effect. Future research should analyze whether they are more efficacy online or in person, individually, or in groups, and the number of sessions required for their effects to last over time.
Introduction
Gambling is a common activity in almost all cultures that is characterized by including an element of risk when trying to obtain a desired goal, for example, playing a game of chance for money. Gambling activities include a wide variety of activities, from informal games of chance such as sports betting to legal and formal games such as casinos, and can be practiced in various ways online, slot machines, bingo, casino, video games … Although most of the population considers gambling as an enjoyable social and recreational activity, for some people it can be a serious problem becoming pathological gambling or compulsive gambling (Custer, 1984; Salaberría et al., 1998).
Although most individuals participate in gambling as an enjoyable social activity, a small group of people become too seriously involved in terms of time invested and money wagered, and they continue to gamble despite substantial and negative personal, social, family, and financial effects.
Conclusions
Cognitive-behavioral therapy can improve the quality of life of people with gambling and other influencing factors, such as decreased stress levels, anxiety, depression, the habit of gambling, and money spent on people with gambling, being more effective the interventions that use a manual and those that combine cognitive-behavioral therapy with Mindfulness or with Gamblers Anonymous support group sessions.
The effects of cognitive-behavioral therapy are not immediate, but appear at three, six and 12 months. Despite the above, these conclusions should be taken into account with caution, due to the low quality of the studies analyzed. More studies are needed that exclusively analyze the quality of life and help to understand what are the best conditions to apply the interventions (optimal number of sessions, group or individual sessions, and online or face-to-face sessions).