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

Study Overview
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Brief Summary
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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.

Detailed Description
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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 feasibility of mindfulness interventions for problem gamblers tentative data for the effectiveness of the intervention an additional clinical tool to treat problem gamblers basis of a larger, grant-funded study obtain more definitive data

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

Conditions
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Gambling

Intervention / Treatment
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* Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)
* Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br> | Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)<br>* a variation of cognitive behavioural therapy (CBT)<br>|
| Active Comparator: 2<br> | Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)<br>* a variation of cognitive behavioural therapy (CBT)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gambling urges |  | Baseline, post and 3 month fup | 
| Gambling-related expenditures |  | Baseline, post and 3 month fup | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| treatment adherence |  | Baseline, post and 3 month fup | 
| gambling cognitions |  | Baseline, post and 3 month fup | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gambling, Mindfulness, Cognitive Behavioural Therapy