Cognitive-Behavioral Treatment of Gambling - Full Text View

Sponsored by:	National Institute of Mental Health (NIMH)
Information provided by:	National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier:	NCT00118391

Purpose

This study will determine the effectiveness of cognitive behavior therapy (CBT) and contingency management (CM) in reducing gambling behaviors and other related problems in pathological gambling.

Study hypothesis: Participants who receive CBT and CM will attend more treatment sessions and show better outcomes than those who receive CBT alone.

Condition	Intervention	Phase
Gambling Mental Health	Behavioral: Cognitive behavior therapy Behavioral: Contingency management	Phase I

Study Type:	Interventional
Study Design:	Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title:	Enhanced Cognitive Behavior Therapy for the Treatment of Pathological Gambling

Resource links provided by NLM:

MedlinePlus related topics: Compulsive Gambling Mental Health

U.S. FDA Resources

Further study details as provided by National Institute of Mental Health (NIMH):

Primary Outcome Measures:

Addiction Severity Index (ASI) gambling severity scores
amount spent gambling per gambling episode
longest period of non-gambling
days until first gambling episode
percent of days gambling
proportion meeting diagnostic criteria
number of treatment sessions attended

Secondary Outcome Measures:

Psychosocial functioning

Estimated Enrollment:	120
Study Start Date:	November 2002
Study Completion Date:	October 2005
Primary Completion Date:	October 2005 (Final data collection date for primary outcome measure)

Intervention Details:

Receive 8 50-minute sessions of one-on-one cognitive behavioral therapy

Receive vouchers that can be spent on rewards for completing activities that support abstinence from gambling

Detailed Description:

Pathological gambling has become an increasingly problematic condition in the United States, often causing serious financial, psychological, and public health consequences. In an effort to treat this growing problem, researchers have evaluated numerous therapies; one such therapy is CBT. CBT has been shown to improve pathological gambling outcomes. However, evidence suggests that adding CM to CBT could result in even more improved outcomes. This study will compare the effectiveness of CBT and CM with that of CBT alone in reducing pathological gambling.

This study will last 12 months. Participants will be randomly assigned to receive either CBT and CM or CBT alone for 8 weeks. CBT will focus on reducing gambling urges and helping patients develop alternative behaviors to gambling. CM will focus on encouraging patients to avoid gambling. Participants in the CBT and CM group will receive voucher incentives for completing homework assignments and engaging in non-gambling social activities.

The vouchers will allow participants to take part in non-gambling activities of their choice. Changes in gambling activities and problems will be assessed with self-report scales and interviews at study start and at Weeks 10, 24, and 52.

Participants will be asked to identify at least one person who knows about their gambling and will have regular contact with them over the 12 months of the study. This person will be interviewed at study start and at Months 2, 6, and 12. Contact persons will be asked about participants' gambling behaviors, personal relationships, legal problems, use of health care and mental health services, and how the participant can be contacted if he or she moves.

For information on related studies, please follow these links:

http://clinicaltrials.gov/show/NCT00158314

http://clinicaltrials.gov/show/NCT00618462

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Diagnosis of pathological gambling
At least 1 gambling episode within 30 days prior to study entry
Able to read English at a 5th grade level
Willing and able to comply with all study requirements

Exclusion Criteria:

Uncontrolled psychiatric conditions

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00118391

Locations

United States, Connecticut
University of Connecticut Health Center
Farmington, Connecticut, United States, 06030

Sponsors and Collaborators

National Institute of Mental Health (NIMH)

Investigators

Principal Investigator:

Nancy M. Petry, PhD

University of Connecticut Health Center

More Information

Additional Information:

Click here for more information about the University of Connecticut Health Center Gambling Treatment and Research Center. This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	University of Connecticut Health Center ( Nancy Petry, PhD )
Study ID Numbers:	R01 MH060417-02
Study First Received:	July 6, 2005
Last Updated:	February 19, 2009
ClinicalTrials.gov Identifier:	NCT00118391 History of Changes
Health Authority:	United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):

Pathological Gambling
CBT
CM

Study placed in the following topic categories:

Impulse Control Disorders
Gambling
Mental Disorders

Additional relevant MeSH terms:

Impulse Control Disorders
Gambling
Mental Disorders

ClinicalTrials.gov processed this record on September 09, 2009