Problem Internet Gamblers’ Perspectives on Cognitive Behavioural Group Therapy

Abstract

Despite higher rates of problem gambling among Internet gamblers, little research has been conducted in the area of treating problem Internet gambling. The purpose of the present study was to qualitatively examine Internet problem gamblers’ perspectives on their problem gambling treatment experiences, especially in relation to decreasing Internet problem gambling behaviours. Following their engagement in cognitive behavioural group therapy for problem gambling, twenty-four self-identified problem Internet gamblers provided responses to open-ended questions designed to elicit narratives pertaining to their treatment experiences. Thematic analysis was used to identify themes in the data, and five themes were identified: Internet gambling accessibility as a means to problem gambling behaviour; a lack of alternative activities, stress, and the importance of behavioural activation in reducing Internet gambling behaviours; the importance of behavioural strategies in reducing Internet gambling behaviours; the importance of motivational interviewing and motivation for change early in treatment; and the importance of support from other group members. These findings shed light on some of the potential challenges faced in the treatment of problem Internet gambling, and identify some of the specific treatment components and therapeutic factors that are perceived as particularly helpful by this population.