Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 6/2016

Open Access 01-12-2016 | Original Article

Group Treatment for Women Gamblers Using Web, Teleconference and Workbook: Effectiveness Pilot

Authors: Roberta R. Boughton, Farah Jindani, Nigel E. Turner

Published in: International Journal of Mental Health and Addiction | Issue 6/2016

Login to get access

Abstract

While the past decades have seen a dramatic increase in the number of women who gamble and develop consequent problems, treatment services are being underutilized in Ontario. This pilot study explores the feasibility of using web- and phone-based group interventions to expand services available for women who might not otherwise seek or be able to access treatment. Distinct treatment considerations for working with women, such as the value of a women’s group, advantages of phone counselling, and the implementation of modern web-based services, were reviewed. The study involved a clinician-facilitated group that used teleconferencing and webinar technology (Adobe Connect) for support and discussion, and a Tutorial Workbook (TW) developed specifically to address the issues and treatment needs of women who gamble at a problematic level. A mixed method analysis used to evaluate the results suggested that the group-based teleconference/webinar approach provided a much-needed means of treatment support for women. Participants reported that the program helped them to understand their gambling triggers, to improve their awareness, to feel better about themselves, to modify their mood and anxiety levels, to feel less isolated, to address their relationships, and to feel more hopeful for the future. The Tutorial Workbook, which was used to supplement the educational component of the group interaction, was highly rated.
Literature
go back to reference Benson, A. (2008). To buy or not to buy: Why we overshop and how to stop. Boston: Trumpeter. Benson, A. (2008). To buy or not to buy: Why we overshop and how to stop. Boston: Trumpeter.
go back to reference Boughton, R. (2015). Workbook: Women’s Gambling [Unpublished Workbook distributed to the clients]. Toronto. Boughton, R. (2015). Workbook: Women’s Gambling [Unpublished Workbook distributed to the clients]. Toronto.
go back to reference Boughton, R., & Brewster, J. (2002). Voices of women who gamble in Ontario: A survey of women’s gambling, barriers to treatment and treatment service needs: Ontario Ministry of Health and Long Term Care. Boughton, R., & Brewster, J. (2002). Voices of women who gamble in Ontario: A survey of women’s gambling, barriers to treatment and treatment service needs: Ontario Ministry of Health and Long Term Care.
go back to reference Boughton, R., Jindani, F., & Turner, N. E. (2016). Closing a treatment gap in Ontario: Pilot of a tutorial workbook for women gamblers. Unpublished manuscript currently under review for publication. Boughton, R., Jindani, F., & Turner, N. E. (2016). Closing a treatment gap in Ontario: Pilot of a tutorial workbook for women gamblers. Unpublished manuscript currently under review for publication.
go back to reference Braun, V., & Clarke, V. (2012). Thematic analysis. In H. Cooper (Ed.), The APA handbook of research methods in psychology, Research designs (Vol. 2, pp. 57–91). Washington, DC: American Psychological Association. Braun, V., & Clarke, V. (2012). Thematic analysis. In H. Cooper (Ed.), The APA handbook of research methods in psychology, Research designs (Vol. 2, pp. 57–91). Washington, DC: American Psychological Association.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386–396. doi:10.2307/2136404.CrossRef Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386–396. doi:10.​2307/​2136404.CrossRef
go back to reference Cooper, G. (2001a). Internet-aided assistance for problem gamblers. In R. Murray (Ed.), Helping the problem gambler (pp. 21–30). Toronto: Centre for Addiction and Mental Health. Cooper, G. (2001a). Internet-aided assistance for problem gamblers. In R. Murray (Ed.), Helping the problem gambler (pp. 21–30). Toronto: Centre for Addiction and Mental Health.
go back to reference Creswell, J. W., & Maietta, R. C. (2002). Qualitative research. In D. C. Miller & N. J. Salkind (Eds.), Handbook of research design and social measurement (Vol. 6, pp. 143–184). Thousand Oaks: SAGE. Creswell, J. W., & Maietta, R. C. (2002). Qualitative research. In D. C. Miller & N. J. Salkind (Eds.), Handbook of research design and social measurement (Vol. 6, pp. 143–184). Thousand Oaks: SAGE.
go back to reference Crisp, B., Thomas, S., Jackson, A., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10(2), 229–242. Crisp, B., Thomas, S., Jackson, A., Thomason, N., Smith, S., Borrell, J., et al. (2000). Sex differences in the treatment needs and outcomes of problem gamblers. Research on Social Work Practice, 10(2), 229–242.
go back to reference Cunningham, J., Gulliver, A., Farrer, L., Bennett, K., & Caron-Arthur, B. (2014). Internet interventions for mental health and addictions: current findings and future directions. Current Psychiatry Reports, 16, 521. doi:10.1007/s11920-014-0521-5.CrossRefPubMed Cunningham, J., Gulliver, A., Farrer, L., Bennett, K., & Caron-Arthur, B. (2014). Internet interventions for mental health and addictions: current findings and future directions. Current Psychiatry Reports, 16, 521. doi:10.​1007/​s11920-014-0521-5.CrossRefPubMed
go back to reference Griffiths, M. (2009). Internet help and therapy for addictive behavior. Journal of CyberTherapy and Rehabilitation, 2(1), 43–52. Griffiths, M. (2009). Internet help and therapy for addictive behavior. Journal of CyberTherapy and Rehabilitation, 2(1), 43–52.
go back to reference Ibáñez, A., Blanco, C., Moreryra, P., & Saiz-Ruiz, J. (2003). Gender differences in pathological gambling. Journal of Clinical Psychiatry, 64(3), 295–301.CrossRefPubMed Ibáñez, A., Blanco, C., Moreryra, P., & Saiz-Ruiz, J. (2003). Gender differences in pathological gambling. Journal of Clinical Psychiatry, 64(3), 295–301.CrossRefPubMed
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety & stress scales (2nd ed.). Sydney: Psychology Foundation. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety & stress scales (2nd ed.). Sydney: Psychology Foundation.
go back to reference Piquette-Tomei, N., Dwyer, S. C., Norman, E., McCaslin, E., & Burnet, J. (2007). Women problem gamblers want more. Canadian Centre for Policy Alternatives--Saskatchewan Notes, 6, 1–4. Piquette-Tomei, N., Dwyer, S. C., Norman, E., McCaslin, E., & Burnet, J. (2007). Women problem gamblers want more. Canadian Centre for Policy Alternatives--Saskatchewan Notes, 6, 1–4.
go back to reference Potenza, M., Steinberg, M., McLaughlin, S., Wu, R., Rounsaville, B., & O’Malley, S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. The American Journal of Psychiatry, 158(9), 1500–1505. doi:10.1176/appi.ajp.158.9.1500.CrossRefPubMed Potenza, M., Steinberg, M., McLaughlin, S., Wu, R., Rounsaville, B., & O’Malley, S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. The American Journal of Psychiatry, 158(9), 1500–1505. doi:10.​1176/​appi.​ajp.​158.​9.​1500.CrossRefPubMed
go back to reference Prochaska, J., Norcross, J., & DiClemente, C. (1994). Changing for good. New York: William Morrow & Co.. Prochaska, J., Norcross, J., & DiClemente, C. (1994). Changing for good. New York: William Morrow & Co..
go back to reference QSR International (2012). NVivo qualitative data analysis, Version 10, [Software]. Melbourne: QSR International Pty Ltd.. QSR International (2012). NVivo qualitative data analysis, Version 10, [Software]. Melbourne: QSR International Pty Ltd..
go back to reference Rochlen, A., Zack, J., & Speyer, C. (2004). Online therapy: review of relevant definitions, debates and current empirical data. Journal of Clinical Psychology, 60(3), 269–283.CrossRefPubMed Rochlen, A., Zack, J., & Speyer, C. (2004). Online therapy: review of relevant definitions, debates and current empirical data. Journal of Clinical Psychology, 60(3), 269–283.CrossRefPubMed
go back to reference Slutske, W. S., Zhu, G., Meier, M. H., & Martin, N. G. (2011). Disordered gambling as defined by the diagnostic and statistical manual of mental disorders and the south oaks gambling screen: evidence for a common etiologic structure. Journal of Abnormal Psychology, 120(3), 743–751. doi:10.1037/a0022879.CrossRefPubMedPubMedCentral Slutske, W. S., Zhu, G., Meier, M. H., & Martin, N. G. (2011). Disordered gambling as defined by the diagnostic and statistical manual of mental disorders and the south oaks gambling screen: evidence for a common etiologic structure. Journal of Abnormal Psychology, 120(3), 743–751. doi:10.​1037/​a0022879.CrossRefPubMedPubMedCentral
go back to reference Thomas, A., & Moore, S. (2003). The interactive effects of avoidance coping and dysphoric mood on problem gambling for female and male gamblers. Journal of Gambling Issues, 8(May). doi:10.4309/jgi.2003.8.16. Thomas, A., & Moore, S. (2003). The interactive effects of avoidance coping and dysphoric mood on problem gambling for female and male gamblers. Journal of Gambling Issues, 8(May). doi:10.​4309/​jgi.​2003.​8.​16.
go back to reference Tse, S., Campbell, L., Rossen, F., Chong-Wen, W., Jull, A., & Jackson, A. (2013). Face-to face telephone counseling for problem gambling: a pragmatic multisite randomized study. Research on Social Work Practice, 23(1), 57–65.CrossRef Tse, S., Campbell, L., Rossen, F., Chong-Wen, W., Jull, A., & Jackson, A. (2013). Face-to face telephone counseling for problem gambling: a pragmatic multisite randomized study. Research on Social Work Practice, 23(1), 57–65.CrossRef
go back to reference Turner, N. E., Stinchfield, R., McCready, J., McAvoy, S., & Ferentzy, P. (2016). Endorsement of criminal behavior amongst offenders: implications for DSM-5 gambling disorder. Journal of Gambling Studies, 32(1), 35–45. doi:10.1007/s10899-015-9540-3.CrossRefPubMed Turner, N. E., Stinchfield, R., McCready, J., McAvoy, S., & Ferentzy, P. (2016). Endorsement of criminal behavior amongst offenders: implications for DSM-5 gambling disorder. Journal of Gambling Studies, 32(1), 35–45. doi:10.​1007/​s10899-015-9540-3.CrossRefPubMed
go back to reference Underhill, B. L. (1986). Issues relevant to aftercare programs for women. Alcohol Health and Research World, 11(1), 46–47 73. Underhill, B. L. (1986). Issues relevant to aftercare programs for women. Alcohol Health and Research World, 11(1), 46–47 73.
go back to reference Wilke, D. (1994). Women and alcoholism: how a male-as-norm bias affects research, assessment and treatment. Health & Social Work, 19(1), 29–35. doi:10.1093/hsw/19.1.29. Wilke, D. (1994). Women and alcoholism: how a male-as-norm bias affects research, assessment and treatment. Health & Social Work, 19(1), 29–35. doi:10.​1093/​hsw/​19.​1.​29.
go back to reference Wood, R. T. (2008). An exploratory investigation of the effectiveness of UK online support forums for helping problem gamblers and their partners, relatives and friends Retrieved from http://www.rigt.org.uk. Wood, R. T. (2008). An exploratory investigation of the effectiveness of UK online support forums for helping problem gamblers and their partners, relatives and friends Retrieved from http://​www.​rigt.​org.​uk.
go back to reference Yalom, I. (1985). The theory and practice of group psychotherapy (Third ed.). New York: Basic Books Inc.. Yalom, I. (1985). The theory and practice of group psychotherapy (Third ed.). New York: Basic Books Inc..
Metadata
Title
Group Treatment for Women Gamblers Using Web, Teleconference and Workbook: Effectiveness Pilot
Authors
Roberta R. Boughton
Farah Jindani
Nigel E. Turner
Publication date
01-12-2016
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 6/2016
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-016-9700-4

Other articles of this Issue 6/2016

International Journal of Mental Health and Addiction 6/2016 Go to the issue