Home-Based Imaginal Desensitisation in Pathological Gambling: Short-Term Outcomes

Abstract

AbstractRandomised controlled outcome studies have demonstrated the efficacy of imaginal desensitisation in inpatient settings. The purpose of this study was to evaluate the effects of a prerecorded audiocassette version of the imaginal desensitisation procedure that was designed for home-based use in reducing gambling urges and behaviours on a sample of diagnosed pathological gamblers who sought treatment at a university teaching hospital at 2-month follow-up. Pretreatment to 2-month follow-up repeated measures revealed a significant reduction in visual analogue scale ratings of urge, preoccupation and perceived self-control over gambling; indices of actual gambling behaviour; and psychometric measures of anxiety, depression and impulsivity. A prerecorded audiocassette version of imaginal desensitisation for home use represents a cost-effective approach in the management of pathological gambling.