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

Center for Addiction and Mental Health (CAMH)

Status: Completed

Conditions: Gambling

Treatments: Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT); Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)

Study type: Interventional

Funder types: Other

Identifiers

NCT00495261

311/2006

Details and patient eligibility

About

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.

Full 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

Enrollment: 24 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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24 participants in 2 patient groups

1

Experimental group

Treatment:

Behavioral: Mindfulness-enhanced cognitive behavioural therapy (MCBT)

2

Active Comparator group

Treatment:

Behavioral: relaxation-enhanced cognitive behavioural therapy (RCBT)