Online Coping Skills Counseling for Problem Gambling and Trauma
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gambling Disorder
- Sponsor
- University of Windsor
- Enrollment
- 65
- Locations
- 1
- Primary Endpoint
- Money spent gambling
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed Description
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: 1. To conduct an RCT of SS versus CBT-PG in a sample of 84 people with current PG and PTSD (full or subthreshold). 2. 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.
Investigators
David Ledgerwood
Adjunct Assistant Professor
University of Windsor
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Money spent gambling
Time Frame: 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
Time Frame: 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
Secondary Outcomes
- 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)