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

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00495261
First Posted: July 3, 2007
Last Update Posted: January 16, 2008
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
Centre for Addiction and Mental Health
  Purpose
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.

Condition Intervention
Gambling Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT) Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Development and Validation of a Mindfulness Intervention for Problem Gambling: An Exploratory Study

Resource links provided by NLM:


Further study details as provided by Centre for Addiction and Mental Health:

Primary Outcome Measures:
  • Gambling urges [ Time Frame: Baseline, post and 3 month fup ]
  • Gambling-related expenditures [ Time Frame: Baseline, post and 3 month fup ]

Secondary Outcome Measures:
  • treatment adherence [ Time Frame: Baseline, post and 3 month fup ]
  • gambling cognitions [ Time Frame: Baseline, post and 3 month fup ]

Estimated Enrollment: 24
Study Start Date: February 2007
Study Completion Date: November 2007
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1 Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)
a variation of cognitive behavioural therapy (CBT)
Active Comparator: 2 Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)
a variation of cognitive behavioural therapy (CBT)

Detailed Description:

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
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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)
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00495261


Locations
Canada, Ontario
Centre for Addiction and Mental Health
Toronto, Ontario, Canada, M5S 2S1
Sponsors and Collaborators
Centre for Addiction and Mental Health
Investigators
Principal Investigator: Tony Toneatto, PhD Centre for Addiction and Mental Health
  More Information

Responsible Party: Tony Toneatto, Centre for Addiction and Mental Health
ClinicalTrials.gov Identifier: NCT00495261     History of Changes
Other Study ID Numbers: 311/2006
First Submitted: June 29, 2007
First Posted: July 3, 2007
Last Update Posted: January 16, 2008
Last Verified: January 2008

Keywords provided by Centre for Addiction and Mental Health:
Gambling
Mindfulness
Cognitive Behavioural Therapy

Additional relevant MeSH terms:
Gambling
Disruptive, Impulse Control, and Conduct Disorders
Mental Disorders