Clinical Trial: Integrative Couple Therapy for Pathological Gambling

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Integrative Couple Therapy for Pathological Gambling or Individual Treatment: A Comparison of Efficacy

Brief Summary: The aim of the study is to compare marital treatment to individual treatment for pathological gambling.

Detailed Summary:

The study as two goals: evaluate the efficacy of marital treatment for pathological gambling and develop a better understanding of the individual (substance use, mental health) and couple dimensions (communication, marital satisfaction, violence) as intermediate variables explaining this efficacy. Couples will be randomized between the marital treatment and the treatment as usual (individual or group). The experimental couple treatment is offered over 8 to 12 sessions of 90 minutes. The couple treatment called (Integrative Couple Therapy for Pathological Gambling - ICT-PG) is inspired by the "Alcohol Behavior Couple Therapy" from Epstein and McCrady, to which the team added diverse components to adjust to gamblers. During the sessions, the focus is on a) reducing/stopping gambling behaviors, b) helping the partner to stop behaviors facilitating gambling habits and rise the frequency of behaviors imcompatibles with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

The control group receive individual or group treatment as already offered by the specialized centers in addiction.Their partner can receive individual intervention if desired. All participants are recruited in Specialized Addiction Treatment Centers in Quebec province, Canada. Evaluation of participants is done at admission, three, nine and 18 months post-admission.

Repeated measures ANOVA will be used to compared evolutions of groups over time. Multiple regression will allow the estimation of components roles into as intermediate variables to predict rehabilitation.


Sponsor: Université du Québec à Trois-Rivières

Current Primary Outcome:

  • Change between admission and follow-up evaluations on Gambling Symptom Assessment Scale (G-SAS; Kim, Grant, Potenza, Blanco, Hollander, 2009) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Loss of Control (ICOG; Baron & Dickerson, 1994)) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Dyadic Adjustment Scale (DAS-4; Sabourin, Valois, & Lussier, 2005) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Marital Status Inventory (MSI; Weiss & Cerreto, 1980) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Marital Support Questionnaire (Brassard & Lussier, 2004) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Type and frequency of gambling behaviors (developped by the research team) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
  • Detection of gambling problems ("Détection et besoin d'aide en regard du jeu excessif" (DÉBA-Jeu; Tremblay, Ménard, Ferland & Blanchette-Martin, 2005) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admissi

    Original Primary Outcome: Same as current

    Current Secondary Outcome:

    • Gambling Beliefs Inventory (Inventaire des croyances liées aux jeux - ICROLJ; Ladouceur 2004) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Negative Gambling Consequences (Tremblay, Blanchette-Martin, 2008) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Gambling Satisfaction (Dufour et al.) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Conflict Tactics Scale-2 (Strauss & Douglas, 2004) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Psychological Distress (IDPESQ-29; Préville, Boyer, Potvin, Perreault & Légaré, 1992) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Communication Questionnaire (Boyd & Roach, 1977) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Marital Problem Solving Scale (Baugh, Avery & Sheets-Haworth, 1982) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Coping Skills (Folkman & Lazarus, 1987) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Alcohol Problem Detection (Dépistage/Évaluation du besoin d'aide - Alcool; DÉBA-Alcool, Tremblay, Rouillard et Sirois, 2000) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]
    • Dépistage/Évaluation du besoin d'aide - Drogue (DÉBA-Drogues; Tremblay, Rouillard et Sirois, 2000) [ Time Frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016) ]


    Original Secondary Outcome: Same as current

    Information By: Université du Québec à Trois-Rivières

    Dates:
    Date Received: August 4, 2014
    Date Started: April 2011
    Date Completion: July 2018
    Last Updated: December 1, 2015
    Last Verified: December 2015