Online Coping Skills Counseling for Problem Gambling and Trauma
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- Money spent gambling
研究概览
简要总结
This randomized controlled trial examines the efficacy of two behavioral therapies. Seeking Safety, which addresses co-occurring problem gambling (PG) and posttraumatic stress disorder (PTSD), is being compared to Cognitive-Behavioral Therapy for PG, which addresses only PG. Both models are delivered via telehealth.
详细描述
Our key study question is whether an integrated focus on PG and PTSD (Seeking Safety; SS) offers a useful new option for clinical care compared to a purely problem gambling approach (Cognitive-Behavioral Therapy for PG; CBT-PG). This question-the impact of integrated versus non-integrated treatment for co-occurring disorders-is one of the key issues in the field currently and has never been studied in relation to PG and PTSD.
Our aims are:
- To conduct an RCT of SS versus CBT-PG in a sample of 84 people with current PG and PTSD (full or subthreshold).
- To evaluate outcomes from baseline to end of treatment and 12 month followup on two primary variables (money lost gambling and number of gambling sessions) and several secondary variables.
Our hypotheses are: (a) SS will do no worse than CBT-PG on the primary PG outcomes as both treatments are designed to address addiction; i.e., both will show improvement from baseline to end of treatment and maintenance of gains through the followup. (b) SS will show superior results on trauma symptoms as SS is designed to address those, whereas CBT-PG is not.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 and over
- •Recruited from the province of Manitoba, Canada
- •Meets criteria for PTSD (full or subthreshold) on the Clinician-Administered PTSD Scale (CAPS)
- •Meets gambling disorder criteria per the DSM-5 Diagnostic Interview of Gambling Severity
排除标准
- •Current uncontrolled psychotic or bipolar I disorder
- •Suicidal or homicidal ideation with intent and/or plan
- •Currently engaging in or planning to engage in any manualized, formal, evidence-based PTSD therapy
结局指标
主要结局
Money spent gambling
时间窗: 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months
Change from baseline in amount of money spent gambling in the past month
Number of gambling sessions
时间窗: 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months
Change from baseline in number of days in the past month during which gambling occurred
次要结局
- PTSD Checklist (PCL) scores(6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months)
- Trauma Symptom Checklist 40(6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months)
- Brief Symptom Inventory-18 scores(6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months)
- Brief Addiction Monitor scores(6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months)
研究者
David Ledgerwood
Adjunct Assistant Professor
University of Windsor