Evidence map›Paper›PMID 40111861›Full record

Trial reportPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2025

Betting on change: An analysis of cognitive motivational behavior therapy versus referral to gamblers anonymous for gambling disorder.

Edelgard Wulfert, Stephanie E Wemm, James D Broussard

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Edelgard WulfertDepartment of Psychology, University at Albany, State University of New York.ORCID 0000-0001-9754-7472
Stephanie E WemmDepartment of Psychiatry, Yale University Medical School.ORCID 0000-0001-8754-7479
James D BroussardDepartment of Psychology, Jackson State University.ORCID 0000-0003-0662-655X

Funding

Cognitive-Motivational Bahavior Therapy for GamblersR21MH064568 · NIMH · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WULFERT, EDELGARD · 2002 to 2004
$532k
National Institutes of Health; National Institute of Mental HealthNIMH NIH HHS R21 MH064568
6 · The paper itself

Abstract

objectiveMany existing treatments for gambling disorder grapple with the challenge of losing participants from treatment. Thus, treatments designed to increase adherence and retention would contribute significantly to the existing gambling treatment efficacy literature. Our study steps into the arena with an innovative approach.

methodWe tested the effectiveness of cognitive motivational behavior therapy (CMBT), a treatment for gambling disorder designed not only to address symptoms but also to anchor participants throughout the treatment journey. We enrolled 46 individuals seeking treatment for gambling problems, all meeting the criteria for gambling disorder, and randomly assigned them to undergo 12 sessions of CMBT or to attend at least 12 sessions of Gamblers Anonymous (GA) meetings.

resultsZero-inflated Poisson regression showed that individuals in CMBT had a 94% probability of completing treatment, with 95.7% attending all 12 treatment sessions and 91.3% completing the 6-month follow-up. Overall, individuals in CMBT gambled less money during follow-up periods relative to baseline than those in GA,

conclusionsCompared to GA, CMBT was more effective at retaining participants in treatment and reducing the amount of money gambled. For those who began treatment with low readiness to change, CMBT also decreased the severity of problem gambling, which was not the case for those referred to GA. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyGamblingReferral and ConsultationSelf-Help GroupsAdultFemaleHumansMaleMiddle AgedMotivationTreatment Outcome

Identifiers

PMID40111861
PMCPMC12140906

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.