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FrancoAngeli Journals

Saggi, Studi e Ricerche

No. 70 (2025)

Cognitive-Behavioral Group Psychotherapy integrated with mindfulness and dialectical-behavioral techniques in the treatment of Gambling Disorder: Description of a Modular Program-Alea, at the Palestrina Ser.D.

DOI
https://doi.org/10.3280/mis70-2025oa20254
Submitted
maggio 25, 2025
Published
2025-07-31

Abstract

Alea is a modular group psychotherapy program designed for the psychological treatment of Gambling Disorder, which takes into account the results of the latest meta-analytical scientific research. Based on the principles of the cognitive-behavioral treatment model, it has been integrated with strategies and tools from mindfulness and dialectical-behavioral frameworks. It includes 7 sessions organized into 14 treatment modules and 3 follow-up sessions, aimed at deconditioning and reducing pathological gambling behavior, improving emotional self-regulation skills and craving management, and promoting alternative adaptive behaviors that foster a new lifestyle. In the initial sessions of the program, patients are guided to increase their level of “insight,” develop genuine motivation and a “need for care,” work on ambivalences and resistances regarding the cessation of pathological behavior, and adopt protective behaviors (turning off the tap). In the central treatment sessions, patients are trained to self-monitor their gambling behavior, understand its “meaning” and purpose, measure their personal experience of craving and the different triggers that activate (or amplify) it, work on the main cognitive distortions present, recognize risk situations, and adopt emotional, cognitive, and behavioral management strategies. The final treatment sessions aim to promote and enhance social skills and problemsolving abilities, and work on relapse prevention.
The treatment presented was proposed in the year 2024 to 12 patients diagnosed with Gambling Addiction at the SerD of Palestrina. Of the 12 patients, 10 remained abstinent after 1 year. The patients who did not benefit from the treatment abandoned it during the therapeutic process.

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