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| Name | Class |
|---|---|
| Manitoba Gambling Research Program | UNKNOWN |
| Treatment Innovations | INDUSTRY |
| University of Manitoba | OTHER |
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This randomized controlled trial examines the efficacy of two behavioral therapies. Seeking Safety, which addresses co-occurring problem gambling (PG) and posttraumatic stress disorder (PTSD), is being compared to Cognitive-Behavioral Therapy for PG, which addresses only PG. Both models are delivered via telehealth.
Our key study question is whether an integrated focus on PG and PTSD (Seeking Safety; SS) offers a useful new option for clinical care compared to a purely problem gambling approach (Cognitive-Behavioral Therapy for PG; CBT-PG). This question-the impact of integrated versus non-integrated treatment for co-occurring disorders-is one of the key issues in the field currently and has never been studied in relation to PG and PTSD.
Our aims are:
Our hypotheses are: (a) SS will do no worse than CBT-PG on the primary PG outcomes as both treatments are designed to address addiction; i.e., both will show improvement from baseline to end of treatment and maintenance of gains through the followup. (b) SS will show superior results on trauma symptoms as SS is designed to address those, whereas CBT-PG is not.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Seeking Safety | Experimental | Behavioral therapy for trauma and addiction. |
|
| CBT for Pathological Gambling | Active Comparator | Behavioral therapy for gambling problems. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Seeking Safety | Behavioral | Seeking Safety (SS) is a present-focused, evidence-based cognitive-behavioral therapy for trauma and/or addiction. It offers safe coping skills and education relevant to both problem areas. |
| Measure | Description | Time Frame |
|---|---|---|
| Money spent gambling | Change from baseline in amount of money spent gambling in the past month | 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| Number of gambling sessions | Change from baseline in number of days in the past month during which gambling occurred | 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| Measure | Description | Time Frame |
|---|---|---|
| PTSD Checklist (PCL) scores | Posttraumatic stress disorder (PTSD) symptoms | 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| Trauma Symptom Checklist 40 | Change in baseline in broad trauma-related symptoms |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David M Ledgerwood, PhD | University of Windsor | Principal Investigator |
| Lisa Najavits, PhD | Treatment Innovations | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Treatment Innovations | Newton Center | Massachusetts | 02459 | United States |
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| ID | Term |
|---|---|
| D005715 | Gambling |
| D000067073 | Psychological Trauma |
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D012309 | Risk-Taking |
| D001519 | Behavior |
| D007174 | Disruptive, Impulse Control, and Conduct Disorders |
| D001523 | Mental Disorders |
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| CBT for Pathological Gambling | Behavioral | Cognitive Behavior Therapy for Pathological Gambling (CBT-PG) is an evidence-based therapy for gambling problems. It focuses on cognitive correction, problem solving, social skills and relapse prevention. |
|
| 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| Brief Symptom Inventory-18 scores | Change from baseline in general psychiatric symptoms | 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| Brief Addiction Monitor scores | Change from baseline in substance use and associated problems | 6-weeks (mid-treatment), 12-weeks (end-of-treatment), and 12-months |
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |