170989 20260430151736.0 doi 10.1556/2006.2025.00487 sideral 149053 ART-2026-149053 eng Monreal-Bartolomé, Alicia Universidad de Zaragoza (orcid)0000-0003-2088-2007 Gambling in women: A systematic review of interventions and prevention approaches 2026 Background: Gambling disorder (GD) is a behavioral addiction with significant psychological, social, and economic consequences. Despite growing female participation and distinct gambling characteristics, research and interventions largely male-centered, overlooking women-specific factors. Objectives: This systematic review synthesizes evidence on prevention and treatment interventions for women with GD, assessing their effectiveness on gambling behaviors, cognitive and psychological outcomes, and identifying barriers related to access, adherence, and gender-sensitive design. Method: A systematic search in PubMed, PsycINFO, and Web of Science (up to September 2025) identified quantitative studies reporting female-specific outcomes in gambling prevention or treatment. Study quality was appraised using National Heart, Lung, and Blood Institute tools, and data on intervention characteristics, outcomes, and participant profiles were extracted. Results: Eighteen studies met the inclusion criteria (five prevention, thirteen treatment). Prevention programs, mostly universal and adolescentfocused, improved gambling knowledge, cognitive distortions, and short term gambling frequency; however, socioemotional effects were inconsistent. Only one study included follow-up assessment. Treatment studies, predominantly cognitive behavioral therapy (CBT)–based, reduced gambling severity and psychological distress, although dropout and relapse rates were higher among women with greater psychopathology or limited support. Person-centered approaches benefited of tailoring interventions to individual profiles. No studies systematically applied gender-sensitive frameworks or disaggregated outcomes by sex in prevention. Discussion and Conclusion: Prevention and treatment programs can benefit women, but standard interventions insufficiently address their unique needs. Gender-sensitive, individualized strategies, inclusion of socioemotional factors, and long-term evaluations are essential to enhance outcomes and inform inclusive public health policies. Access copy available to the general public Unrestricted info:eu-repo/grantAgreement/ES/DGA/B17-23R info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD24/0005/0004 info:eu-repo/semantics/openAccess by-nc https://creativecommons.org/licenses/by-nc/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Cabrera-Gil, Itxaso Universidad de Zaragoza Royuela-Colomer, Estíbaliz Mateo-Canedo, Corel Beltrán-Ruiz, María Universidad de Zaragoza (orcid)0000-0003-0786-535X Pérez-Aranda, Adrián Sanabria-Mazo, Juan P. López-del-Hoyo, Yolanda Universidad de Zaragoza (orcid)0000-0002-1690-4130 4009 730 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Básica 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 15, 1 (2026), 135-156 J. behav. addict. Journal of behavioral addictions 2062-5871 1238735 http://zaguan.unizar.es/record/170989/files/texto_completo.pdf Versión publicada 2204514 http://zaguan.unizar.es/record/170989/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:170989 articulos driver 2026-04-30-13:58:32 ARTICLE