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Development and Validation of a Mindfulness Intervention for Problem Gambling: An Exploratory Study

This study has been completed.
Sponsor:
Information provided by:
Centre for Addiction and Mental Health
ClinicalTrials.gov Identifier:
NCT00495261
First received: June 29, 2007
Last updated: January 14, 2008
Last verified: January 2008

June 29, 2007
January 14, 2008
February 2007
November 2007   (final data collection date for primary outcome measure)
  • Gambling urges [ Time Frame: Baseline, post and 3 month fup ] [ Designated as safety issue: No ]
  • Gambling-related expenditures [ Time Frame: Baseline, post and 3 month fup ] [ Designated as safety issue: No ]
  • Gambling urges [ Time Frame: Baseline, post and 3 month fup ]
  • Gambling-related expenditures [ Time Frame: Baseline, post and 3 month fup ]
  • Gambling cognitions [ Time Frame: Baseline, post and 3 month fup ]
  • Treatment adherence [ Time Frame: Baseline, post and 3 month fup ]
Complete list of historical versions of study NCT00495261 on ClinicalTrials.gov Archive Site
  • treatment adherence [ Time Frame: Baseline, post and 3 month fup ] [ Designated as safety issue: No ]
  • gambling cognitions [ Time Frame: Baseline, post and 3 month fup ] [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Development and Validation of a Mindfulness Intervention for Problem Gambling: An Exploratory Study
Development and Validation of a Mindfulness Intervention for Problem Gambling: An Exploratory Study

In recent years, mindfulness meditation has been shown to be a promising approach for alleviating emotional distress associated with chronic medical and psychiatric conditions and in reducing relapse following treatment for depression. The applicability of mindfulness meditation to problem gambling has not yet been explored. Mindfulness meditation may be particularly suitable for this clinical disorder as it stresses a process-oriented, metacognitive, approach to cognitive pathology in contrast to a content-focused approach, characteristic of traditional approaches to treating cognitive psychopathology. Gambling-related cognitive psychopathology is a well-known characteristic of problem gambling and frequently the target of therapy. Although there is growing evidence that cognitive-behavioral treatments are effective for gambling, outcomes may be improved by teaching gamblers additional ways to cope with cognitive distortions that emphasize metacognitive processes.

Hypothesis The mindfulness-enhanced CBT (MCBT) will report significant reductions in the frequency of gambling, gambling urges, gambling cognitions and gambling-related expenditures compared to the relaxation-enhanced CBT (RCBT) at end-of-treatment and at the 3-month follow-up.

Significance

  1. feasibility of mindfulness interventions for problem gamblers
  2. tentative data for the effectiveness of the intervention
  3. an additional clinical tool to treat problem gamblers
  4. basis of a larger, grant-funded study obtain more definitive data
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Gambling
  • Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)
    a variation of cognitive behavioural therapy (CBT)
  • Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)
    a variation of cognitive behavioural therapy (CBT)
  • Experimental: 1
    Intervention: Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)
  • Active Comparator: 2
    Intervention: Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
24
November 2007
November 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • current diagnosis of pathological gambling
  • willingness to practice mindfulness or relaxation

Exclusion Criteria:

  • substance abuse/dependence (except nicotine)
  • concurrent attendance at any treatment in which their gambling is addressed (including Gamblers Anonymous)
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00495261
311/2006
No
Tony Toneatto, Centre for Addiction and Mental Health
Centre for Addiction and Mental Health
Not Provided
Principal Investigator: Tony Toneatto, PhD Centre for Addiction and Mental Health
Centre for Addiction and Mental Health
January 2008

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