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      Jogo patológico e motivação para mudança de comportamento Translated title: Pathological gambling and motivation for behavior change

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          Abstract

          O Jogo Patológico é um transtorno com impacto significativo na sociedade, acarretando prejuízos sociais, financeiros e emocionais aos indivíduos. Neste artigo, realizou-se uma revisão sobre a patologia que envolve o hábito de jogar e as possibilidades terapêuticas envolvidas, principalmente o aspecto motivacional como fator essencial no tratamento. Considerando que a motivação para mudança é um importante aspecto a ser considerado na elaboração de estratégias e intervenções nesta patologia, a presente revisão relaciona o Jogo Patológico com o tema da motivação para mudança. Foram consultadas as bases de dados Pschynfo, Web of Science, Medline e Lilacs com os descritores pathological gambling, gamblers, treatment, stages of change, motivational interviewing e readiness to change, entre 1990 e 2008. Também foram analisados livros e artigos que não se encontravam nas referências das fontes indexadas. Da literatura científica pesquisada, observou-se que a maioria dos estudos sugere mais pesquisas com ensaios controlados para tratamento desta patologia e ressalta que a motivação do paciente parece ser fundamental como fator preditivo em qualquer modalidade terapêutica.

          Translated abstract

          Pathological Gambling is a disorder with a significant impact on society, causing social, financial and emotional injuries to individuals. In this paper, we conducted a review of scientific literature on Pathological Gambling, focusing on aspects related to this disorder, and its therapeutic possibilities, especially the motivational aspect as an essential factor to treatment. Considering motivation to change as an important issue to be considered in order to develop treatment strategies and interventions for this disorder, this review related Pathological Gambling to motivation to change. The following databases were consulted: Pschynfo, Web of Science, Medline and Lilacs; using the keywords pathological gambling, gamblers, treatment, stages of change, motivational interviewing and readiness to change, between 1990 and 2008. We also examined books and articles that were not in the references of the indexed sources. From the scientific literature searched, it was observed that most studies suggest the need for more research with controlled trials to treat this condition; and the motivation of the patient appears to be crucial as a predictive factor in any therapeutic modality.

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          Most cited references 53

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          DSM-IV: Manual diagnóstico e estatístico de transtornos mentais

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            The compulsive gambler's spiral of options and involvement.

             H Lesieur (1979)
            The material presented in this report is not intended as an explanation of compulsive gambling. I do not pretend to be refuting the psychoanalytic or the personality theorists. Rather, I describe the changes that take place in the career of the person turned compulsive gambler. Some of what is described here adds to the already existing knowledge of the compulsion.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                pc
                Psicologia Clínica
                Psicol. clin.
                Departamento de Psicologia da Pontifícia Universidade Católica do Rio de Janeiro (Rio de Janeiro )
                0103-5665
                2009
                : 21
                : 2
                : 345-361
                Affiliations
                [1 ] Pontifícia Universidade Católica do Rio Grande do Sul Brazil
                Article
                S0103-56652009000200007
                10.1590/S0103-56652009000200007
                Product
                Product Information: website

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