为问题赌博者的相关重要他人提供的互联网认知行为疗法：一项随机等待列表对照试验的研究方案
Internet-delivered cognitive-behavioural therapy for concerned significant others of people with problem gambling: study protocol for a randomised wait-list controlled trial.
作者信息
Magnusson Kristoffer, Nilsson Anders, Hellner Gumpert Clara, Andersson Gerhard, Carlbring Per
机构信息
Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.
出版信息
BMJ Open. 2015 Dec 9;5(12):e008724. doi: 10.1136/bmjopen-2015-008724.
INTRODUCTION
About 2.3% of the adult population in Sweden are considered to suffer from problem gambling, and it is estimated that only 5% of those seek treatment. Problem gambling can have devastating effects on the economy, health and relationship, both for the individual who gambles and their concerned significant other (CSO). No empirically supported treatment exists for the CSOs of people with problem gambling. Consequently, the aim of this study is to develop and evaluate a programme aimed at CSOs of treatment-refusing problem gamblers. The programme will be based on principles from cognitive behavioural therapy (CBT) and motivational interviewing. To benefit as many CSOs as possible, the programme will be delivered via the internet with therapist support via encrypted email and short weekly conversations via telephone.
METHODS AND ANALYSIS
This will be a randomised wait-list controlled internet-delivered treatment trial. A CBT programme for the CSOs of people with problem gambling will be developed and evaluated. The participants will work through nine modules over 10 weeks in a secure online environment, and receive support via secure emails and over the telephone. A total of 150 CSOs over 18 years of age will be included. Measures will be taken at baseline and at 3, 6 and 12 months. Primary outcomes concern gambling-related harm. Secondary outcomes include the treatment entry of the individual who gambles, the CSO's levels of depression, anxiety, as well as relationship satisfaction and quality of life.
ETHICS AND DISSEMINATION
The protocol has been approved by the regional ethics board of Stockholm, Sweden. This study will add to the body of knowledge on how to protect CSOs from gambling-related harm, and how to motivate treatment-refusing individuals to seek professional help for problem gambling.
TRIAL REGISTRATION NUMBER
NCT02250586.
引言
瑞典约2.3%的成年人口被认为患有问题赌博症，据估计其中只有5%的人寻求治疗。问题赌博可能会对经济、健康和人际关系产生毁灭性影响，无论是对赌博者本人还是其相关重要他人（CSO）。目前尚无针对问题赌博者的CSO的经实证支持的治疗方法。因此，本研究的目的是开发并评估一项针对拒绝治疗的问题赌博者的CSO的项目。该项目将基于认知行为疗法（CBT）和动机访谈的原则。为了使尽可能多的CSO受益，该项目将通过互联网提供，并由治疗师通过加密电子邮件提供支持，以及每周通过电话进行简短交流。
方法与分析
这将是一项随机等待列表对照的互联网提供治疗试验。将开发并评估一项针对问题赌博者的CSO的CBT项目。参与者将在一个安全的在线环境中，在10周内完成九个模块的学习，并通过安全电子邮件和电话获得支持。总共将纳入150名18岁以上的CSO。将在基线以及3个月、6个月和12个月时进行测量。主要结果涉及与赌博相关的危害。次要结果包括赌博者接受治疗的情况、CSO的抑郁、焦虑水平，以及人际关系满意度和生活质量。
伦理与传播
该方案已获得瑞典斯德哥尔摩地区伦理委员会的批准。本研究将增加关于如何保护CSO免受与赌博相关的危害，以及如何激励拒绝治疗的个体寻求问题赌博专业帮助的知识体系。
试验注册号
NCT02250586。
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