Integrative Couple Treatment for Pathological Gambling

NCT ID: NCT02240485

Last Updated: 2022-04-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-01

Study Completion Date

2018-07-31

Brief Summary

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

Detailed Description

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The study as two goals: evaluate the efficacy of couple 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 couple 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 incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

The control group receives 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.

Conditions

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Pathological Gambling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Integrative Couple Treatment for Pathological Gambling (ICT-PG)

Couple therapy: The experimental couple treatment is offered over 8 to 12 sessions of 90 minutes. The couple treatment called (Integrative Couple Treatment 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 incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

Group Type EXPERIMENTAL

Integrative Couple Treatment for Pathological Gambling (ICT-PG)

Intervention Type BEHAVIORAL

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 incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

Usual individual/group treatment

Usual individual/group treatment: 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.

Group Type ACTIVE_COMPARATOR

Usual individual/group treatment

Intervention Type BEHAVIORAL

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.

Interventions

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Integrative Couple Treatment for Pathological Gambling (ICT-PG)

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 incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

Intervention Type BEHAVIORAL

Usual individual/group treatment

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.

Intervention Type BEHAVIORAL

Other Intervention Names

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Couple therapy treatment as usual

Eligibility Criteria

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Inclusion Criteria

* Living together for at least 1 year
* Diagnosis of pathological gambling (WMH-CIDI) during the last 12 months
* The gambler has not received treatment for their gambling for at least 6 months (excluding GA)
* Presence of gambling behavior in the past 3 months
* Degree of commitment to the couple indicating a desire to continue the relationship (score of 7 - MSI)

Exclusion Criteria

* Alcohol/Drug Dependence gambler/partner (Severity of Alcohol Dependence Data questionnaire - SADD \>17 included in DEBA-A; Severity of Dependence Scale - SDS \> 5 Included in DEBA-D)
* Gambling problem for the partner (DEBA-Jeu \> 10)
* Presence of serious acts of violence endangering the safety of both spouses (CTS-2)
* Disorder and serious mental health unstabilized one of two members of the couple (ASI: psychological scale)
* Antisocial personality disorder or severe limit ( GAIN: 9 + Scale BCS / CDS)
* Scenario with strong suicidal ideation or attempt in the last 30 days or less in the partner (ASI: psychological scale)
* Low degree of commitment in the relationship of a risk of separation (8 + MSI)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Université du Québec à Trois-Rivières

OTHER

Sponsor Role lead

Responsible Party

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Joël Tremblay

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joël Tremblay

Role: PRINCIPAL_INVESTIGATOR

Université du Québec à Trois-Rivières

Locations

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Université du Québec à Trois-Rivières

Québec, , Canada

Site Status

Countries

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Canada

References

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Tremblay J, Dufour M, Bertrand K, Saint-Jacques M, Ferland F, Blanchette-Martin N, Savard AC, Cote M, Berbiche D, Beaulieu M. Efficacy of a randomized controlled trial of integrative couple treatment for pathological gambling (ICT-PG): 10-month follow-up. J Consult Clin Psychol. 2023 Apr;91(4):221-233. doi: 10.1037/ccp0000765. Epub 2022 Dec 15.

Reference Type DERIVED
PMID: 36521131 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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CER-10-156-06.13

Identifier Type: -

Identifier Source: org_study_id

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