Evidence map›Paper›PMID 42519204›Full record

ArticleFrontiers in psychiatry2026

Mechanisms and durability of residential treatment for co-occurring gambling and substance use disorders: a mixed-methods eight-year follow-up study.

Jonah Im, Sylvia Silver, Fiona Donovan, Aiden Wong, Emma Le, Akul Goel, Ajay Tunikipati, Brad Ruderman, Timothy Fong

Abstract read
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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Jonah ImDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Sylvia SilverDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Fiona DonovanCollege of Letters and Science, University of California, Los Angeles, Los Angeles, CA, United States.
Aiden WongCollege of Letters and Science, University of California, Los Angeles, Los Angeles, CA, United States.
Emma LeCollege of Letters and Science, University of California, Los Angeles, Los Angeles, CA, United States.
Akul GoelDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Ajay TunikipatiDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Brad RudermanGambling Studies Program, University of California Los Angeles (UCLA), Los Angeles, Los Angeles, CA, United States.
Timothy FongGambling Studies Program, University of California Los Angeles (UCLA), Los Angeles, Los Angeles, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Gambling disorder is associated with substantial psychosocial harm, yet long-term outcome data for residential treatment programs remain limited. Methods: This mixed-methods study examined outcomes among 36 former residential treatment clients assessed between six months and eight years following discharge from a program treating co-occurring gambling and substance use disorders. Structured interviews evaluated gambling behavior, psychiatric symptoms, substance use, and functional outcomes, supplemented by qualitative thematic analysis. Results: Sixty-one percent reported gambling following discharge; however, participants demonstrated significant improvements in gambling craving strength, life satisfaction, gambling-related interference, and alcohol use. Employment increased from 25.0% to 66.7%. Treatment non-completion was associated with earlier return to gambling and higher odds of post-discharge gambling. Qualitative analysis identified environmental restructuring, urge-management skill development, structured routines, and post-discharge support as key recovery mechanisms. Discussion: Residential treatment may support durable improvements in functioning and gambling-related distress among individuals with severe gambling disorder, although causal conclusions are limited by the observational design.

Indexed as

gambling disorderlong-term outcomesmixed methodsre-abstinencerecoveryrecovery trajectoriesrelapseresidential treatment

Identifiers

PMID42519204
PMCPMC13383101

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