Mental Health Clinical Trial
Official title:
Enhanced Cognitive Behavior Therapy for the Treatment of Pathological Gambling
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.
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
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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