Repetitive Transcranial Magnetic Stimulation (rTMS) and Cognitive Behavioral Therapy (CBT) for Gambling Disorder

University of Indonesia (UI)

Status

Not yet enrolling

Conditions

Gambling Disorder

Treatments

Device: Repetitive Transcranial Magnetic Stimulation (rTMS)

Study type

Interventional

Funder types

Other

Identifiers

NCT06598501

34/IV/KS/05/2023

Details and patient eligibility

About

Treatment options for gambling disorder (GD) remain limited, with no pharmacotherapy proven effective. As of date, cognitive behavioral therapy (CBT) is the preferred therapy for GD, but the improvements often require months to show, highlighting the need for a more comprehensive therapy. Repetitive transcranial magnetic stimulation (rTMS) is a promising treatment modality in alleviating craving. Studies have shown potential benefit of combining both CBT and rTMS in substance addiction, but not in GD. Thus, this study aims to determine the feasibility and efficacy of rTMS and CBT combination therapy in the management of GD in Indonesia.

Enrollment

10 estimated patients

Sex

All

Ages

18 to 59 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Subjects with pathological gambling (SOGS score ≥ 5)
Subjects aged 18-70 years old
Subjects who understand Bahasa Indonesia
Subjects who agree to participate and receive treatment

Exclusion criteria

Subjects with history of psychotic disorder and personality disorder according to ICD-11
Subjects with severe neurological disorder comorbidities, which cause seizure or loss of consciousness
Subjects with intellectual disability
Subjects with history of neurostimulation
Subjects with history of medical implant
Subjects currently or expecting pregnancy
Subjects fulfilling diagnostic criteria of substance use disorder in the last 6 months