Interference-based methods to mitigate gambling craving: a proof-of-principle pilot study

Cornil, Aurélien;Rothen, Stéphane;de Timary, Philippe;Billieux, Joël
(2021) International Gambling Studies — p. 1-24 (2021)

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Abstract
Craving is central in the prognosis of gambling disorder. The ela-borated intrusion theory (EIT) provides a sound framework to account for craving in addictive disorders, and interference meth-ods inspired from the EIT have substantiated their effectiveness in mitigating substance and food-related cravings. The principle of these methods is to recruit the cognitive resources underlying craving (e.g., visuospatial skills, mental imagery) for another com-petitive and cognitively demanding task, thus reducing the vivid-ness and overwhelming nature of craving. Here we conducted two experiments employing a between-subjects design to test the effi-cacy of interference methods for reducing laboratory-induced crav-ing. In these experiments, gamblers (n = 38 for both experiments) first followed a craving induction procedure. They then performed either a visuospatial interference task (making a mental and vivid image of a bunch of keys [experiment 1] or playing the video game Tetris [experiment 2]; experimental conditions) or another task supposed not to recruit visuospatial skills and mental imagery (exploding bubble pack [experiment 1] or counting backwards [experiment 2]; control conditions). Results show that all methods successively mitigated induced craving. Although previous research evidenced the superiority of visuospatial tasks to reduce substance- related craving, our findings question their superiority in the con-text of gambling craving.
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Cornil, A., Rothen, S., de Timary, P., & Billieux, J. (2021). Interference-based methods to mitigate gambling craving: a proof-of-principle pilot study. International Gambling Studies, 1-24. https://doi.org/10.1080/14459795.2021.1903063 (Original work published 2021)