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Cognitive Behavioral Therapy for Pathological Gambling

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
University of Minnesota - Clinical and Translational Science Institute
ClinicalTrials.gov Identifier:
NCT00337753
First received: June 14, 2006
Last updated: January 4, 2010
Last verified: January 2010

June 14, 2006
January 4, 2010
June 2006
June 2009   (final data collection date for primary outcome measure)
PG-YBOCS [ Time Frame: At each visit prior to and after therapy has been completed ] [ Designated as safety issue: No ]
PG-YBOCS
Complete list of historical versions of study NCT00337753 on ClinicalTrials.gov Archive Site
Time spent gambling [ Time Frame: At each visit prior to and after therapy has been completed ] [ Designated as safety issue: No ]
Time spent gambling
Not Provided
Not Provided
 
Cognitive Behavioral Therapy for Pathological Gambling
Cognitive Behavioral Therapy for Pathological Gambling

The purpose of the study is to evaluate a new form of counseling for pathological gambling and to see if the counseling is more effective than attending Gamblers Anonymous.

Subjects will be assigned to counseling or be given a referral list of available Gamblers Anonymous meetings at the first visit based on answers to questions. Assignment to counseling or Gamblers Anonymous will be randomly selected (i.e. chance) with an equal chance of receiving either one. For those assigned to counseling, you will meet with the therapist for 60 minutes weekly. You will receive 5 sessions of counseling.

All subjects will be assessed with gambling questionnaires twice during the 5-week period and again at 3 and 6 months following the 5-week period.

For those assigned to Gamblers Anonymous, they will be offered 5 weeks of counseling at the end of the 6-month follow-up.

Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Pathological Gambling
  • Behavioral: Cognitive Behavioral Therapy
    5-weeks of Cognitive Behavioral Therapy
    Other Name: CBT
  • Behavioral: Wait-list
    subjects assigned to wait-list condition for six-weeks
  • Active Comparator: Cognitive Behavioral Therapy
    Weekly Cognitive Behavior therapy
    Intervention: Behavioral: Cognitive Behavioral Therapy
  • Wait-list
    Subjects in wait-list for six-weeks
    Intervention: Behavioral: Wait-list
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
76
June 2009
June 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Outpatient men and women age 18 to 75
  2. Presence of current DSM-IV pathological gambling for at least 6 months duration
  3. PG is the most problematic psychiatric disorder (in the patient's and clinician's opinion) and the primary reason for seeking treatment
  4. Minimum score of >5 on the South Oaks Gambling Screen which reflects gambling severity consistent with pathological gambling

Exclusion Criteria:

  1. Current clinically significant suicidality, severe depression (a score of ≥ 19 on the Hamilton Rating Scale for Depression, 17-item version)(30) or any other disorder requiring immediate intervention
  2. Presence of any clinical features requiring a higher level of care than outpatient treatment
  3. Cognitive impairment that interferes with the capacity to engage in CBT or to provide informed consent
  4. DSM-IV substance abuse or dependence within the past 3 months (see Screening Visit)
  5. Current Axis I diagnosis of bipolar disorder or psychotic disorder
  6. Previous treatment of CBT for PG (duration of at least 6 sessions); because CBT is not widely used for PG, a minimum of 6 treatments will be rare.
  7. Current use of psychotropic medications or within 2 months prior to study entry.
  8. Current participation in Gambler's Anonymous (GA).
Both
18 Years to 75 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00337753
0503M68191, K23MH069754-01A1
Yes
Jon E. Grant, University of Minnesota
University of Minnesota - Clinical and Translational Science Institute
National Institute of Mental Health (NIMH)
Principal Investigator: Jon E Grant, MD, JD University of Minnesota - Clinical and Translational Science Institute
University of Minnesota - Clinical and Translational Science Institute
January 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP