The aim of this paper was to test the comparative effectiveness of three therapeutic modalities: a) individual stimulus control and exposure with response prevention; b) group cognitive restructuring; and c) a+b in the treatment of pathological gambling with slot machines. An additional waiting-list group was used to evaluate the spontaneous evolution of the non-treated gamblers. The sample consisted of 64 patients selected according to DSM-III-R criteria. A multigroup experimental design with repeated measures (pretreatment, posttreatment and 1, 3, 6 and 12-month follow-up) was used. Most treated patients gave up gambling as well as improved, albeit more slowly, in family/social and psychological functioning. The success rate was higher in the individual treatment compared both to group and combined treatment. There was also an improvement in gambling in the control group between the pretreatment and the 6–month follow-up and there was no difference between the combined treatment and control group. Individual stimulus control and exposure with response prevention appears to be a cost-effective therapy for pathological gambling. Implications of this study for clinical practice and future research in this field are discussed.

A striking increase in the use of new information and communication technology has come about in recent years. This study analysed the characteristics and habits of Internet use in a sample of pre-adolescents between 10 and 13 years of age, enrolled in the 6th grade of primary school in Navarra (Spain). Likewise, the existence of differential patterns in Internet use by sex was analysed, and risk behaviours were detected. The sample was composed of 364 students (206 boys and 158 girls) who were evaluated at their schools. Information about socio-demographic characteristics, Internet use habits, and online behaviours was collected using a data-gathering tool specifically designed for the study. The results demonstrated high Internet use by the adolescents studied. Girls used the Internet more for social relationships, whereas boys tended to use it differently, including accessing online games. Moreover, some risky behaviours were found, including interactions with strangers, giving out personal information, and sending photos and videos. Likewise, behaviours associated with «cyber-bullying» were detected. These results indicate the necessity of establishing prevention programs for safe and responsible Internet use. En los últimos años se ha producido un aumento espectacular del uso de las nuevas tecnologías de la información y de la comunicación. En este estudio se analizaron las características y el patrón del uso de Internet en una muestra de preadolescentes de entre 10 y 13 años, que cursan 6º curso de Educación Primaria en Navarra (España). Asimismo, se analizó la existencia de un perfil diferencial en el uso de Internet en función del sexo y se detectó la existencia de conductas de riesgo. La muestra estaba compuesta por 364 estudiantes (206 chicos y 158 chicas), que fueron evaluados en sus centros educativos. Se recogió información sobre las características sociodemográficas, los hábitos de uso de Internet y los comportamientos desarrollados en la Red a través de un instrumento de recogida de datos diseñado específicamente para la investigación. Los resultados mostraron un uso elevado de Internet por parte de los adolescentes estudiados. Las chicas usaban más Internet para las relaciones sociales, mientras que los chicos tendían a darle otro tipo de usos, como el acceso a juegos online. Además, se encontraron algunas conductas de riesgo, como quedar con desconocidos, dar datos personales o enviar fotos y vídeos. Asimismo, se encontraron comportamientos relacionados con el «ciberbullying». Estos resultados indican la necesidad de establecer programas de prevención para el uso seguro y responsable de Internet.

The aim of this paper was to determine the features of pathological gamblers who dropped out of the treatment or relapsed within a one year follow-up period. The sample consisted of 69 patients selected according to DSM-IV criteria. Results indicated that the only difference between the patients who dropped out of treatment and the ones who completed was the level of state-anxiety. The former were more anxious than the latter. Predictive variables for the therapeutic failure were the dissatisfaction with the treatment, the high level of alcohol consumption, and the neuroticism as a personality variable. Implications of the study for clinical practice and future research in this field are commented upon.

The aims of this study is to carry out a long-term follow-up evaluation of a well-established therapeutic community treatment for addictions in Navarre (Spain) and to make a comparison between the program completers and the dropouts, as well as between relapsing and nonrelapsing patients, on a broad set of variables. A long-term follow-up design (mean of 6 years after leaving treatment) was used to analyze the outcomes of the therapeutic program. The sample consisted of 155 subjects (113 completers and 42 dropouts). A personal interview was carried out with each one of the located subjects. The interviews took place between September 2000 and September 2004. Treatment "dropouts" manifested a higher and earlier rate both of relapses, and of new treatments for their drug addiction than the completion group. The program was also effective in reducing criminal behavior and improving the state of health. Significant differences were found across outcome variables when comparison was made between treatment completers and "dropouts." All subjects improved on outcome variables after receiving the treatment. When relapsing and nonrelapsing patients were compared, significant outcome differences were also found between groups. The study's limitations are noted and future needed research is suggested.