Pharmacotherapy and group cognitive behavioral therapy enhance follow-up treatment duration in gambling disorder patients

Choi, S.-W., Shin, Y.-C., Youn, H., Lim, S.-W., & Ha, J.

Background
Longer treatment duration is important for the successful treatment of gambling disorder (GD). This retrospective study investigated the factors and interventions that might enhance treatment duration in GD patients in South Korea.

Methods
A total of 758 outpatients with a primary diagnosis of GD, who were treated in a clinical practice from 2002 to 2011, were assessed by retrospective chart review. We compared the treatment duration according to pharmacotherapy and group cognitive behavioral therapy (CBT).

Results
Pharmacotherapy contributed to a longer duration of treatment maintenance, despite the patients’ gambling severity (p < 0.001). Participation in group CBT (p < 0.001) and antidepressants (p = 0.009) were associated with a longer treatment duration after adjusting for age, depression, and gambling severity. The treatment maintenance duration was the longest in those receiving combined antidepressant pharmacotherapy and group CBT (F = 35.79, p < 0.001).

Conclusions
Group CBT and antidepressants seem to enhance treatment follow-up duration in GD patients. Additional studies are needed to advance GD prevention and treatment strategies.

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A qualitative analysis of South Korean casino experiences: A perspective on the experience economy

This study aims to examine the casino experiences of South Koreans within the framework of the four realms suggested by Pine and Gilmore’s concept of the experience economy. Employing a qualitative research method, the current analysis focuses on how casinos are experienced and contextualized by contemporary South Koreans who imbue casinos with different meanings depending on how the individuals have experienced these places. The results reveal that the concept of the experience economy provides a new perspective for casino researchers to shift focus away from the rational behavior of casino visitors to focus more on their subjective and emotional experiences. The findings particularly show that South Korean casino visitors get easily absorbed in the casino environment, although they are unlikely to be completely immersed; at the same time, most of the visitors remain passive participants in gambling activities. Several salient practical implications are provided for casino researchers and marketers.

Source: Shim, C., Oh, E. J., & Jeong, C. (2015). A qualitative analysis of South Korean casino experiences: A perspective on the experience economy. Tourism and Hospitality Research.

House of Cards—An analysis of Macao’s resident support for tourism and casino development

Tourism contribution to Macao’s gross domestic product in 2013 was 86% positioning it as a global leader in terms of reliance on tourism revenues, to which casinos contribute over 90%. Most Macao residents are linked to tourism’s economic success yet this study shows the rapid development has created negative sentiment toward the industry and specifically casinos. While acknowledging economic benefits, this study showed residents were concerned more about traffic congestion, overcrowding, and living costs with a greater wish for improved public transportation and leisure offerings and less casino development emphasis. A tourism development strategy firmly focused on tourism diversification issues was urgently suggested.

Source: McCartney, G., & In, W. L. W. (2015). House of Cards—An analysis of Macao’s resident support for tourism and casino development. Tourism and Hospitality Research,