OBJECTIVE Individuals who experience gambling harms report that sustained recovery involves changing both gambling behaviors and psychological symptoms, as well as building a meaningful life. However, there is limited understanding about the effect of cognitive behavioral (CB) techniques on psychological symptoms and quality of life. The purpose of the present study was to examine the effect of CB techniques for gambling-related harms on broader recovery outcomes such as psychological symptoms and quality of life. METHOD A systematic article search was conducted to identify randomized controlled trials of CB techniques with nonactive and minimal treatment control groups that assessed psychological symptoms or quality of life as outcomes. Random-effects meta-analysis was used to examine the effect of CB techniques relative to nonactive and minimal treatment control groups. RESULTS A total of nine studies representing 658 participants were included. Eight studies reported outcomes on depression and anxiety, three on substance use, and six on quality of life. CB techniques significantly reduced anxiety (g = -0.44) and depression (g = -0.35) at posttreatment, but not substance use. CB techniques also significantly increased quality of life at posttreatment (g = 0.40). There was a large amount of heterogeneity suggesting the magnitude of effects could vary significantly in future randomized trials. CONCLUSIONS Future studies should examine the longitudinal associations between gambling harms, psychological symptoms, and quality of life and to assess whether changes in gambling harms throughout treatment precede or are a consequence of changes in psychological symptoms and quality of life. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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赌博认知行为技术对由赌博、心理功能和生活质量定义的恢复的影响：系统评价和荟萃分析。

目标 遭受赌博伤害的个人表示，持续康复需要改变赌博行为和心理症状，以及建立有意义的生活。然而，人们对认知行为（CB）技术对心理症状和生活质量的影响的了解有限。本研究的目的是检验针对赌博相关危害的 CB 技术对更广泛的康复结果（如心理症状和生活质量）的影响。方法 通过系统性文章检索来确定 CB 技术的随机对照试验，其中采用非主动治疗和最低限度治疗对照组，评估心理症状或生活质量作为结果。随机效应荟萃分析用于检查 CB 技术相对于非活性和最低治疗对照组的效果。结果 总共包含 9 项研究，代表 658 名参与者。八项研究报告了抑郁和焦虑的结果，三项研究报告了药物使用的结果，六项研究报告了生活质量的结果。CB 技术显着减少了治疗后的焦虑 (g = -0.44) 和抑郁 (g = -0.35)，但没有减少药物使用。CB 技术还显着提高了治疗后的生活质量 (g = 0.40)。大量的异质性表明，在未来的随机试验中，影响的程度可能会有很大差异。结论 未来的研究应该考察赌博危害、心理症状和生活质量之间的纵向关联，并评估治疗过程中赌博危害的变化是否先于心理症状和生活质量的变化，或者是心理症状和生活质量变化的结果。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。