Nilsson Anders, Magnusson Kristoffer, Carlbring Per, Andersson Gerhard, Hellner Gumpert Clara
Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
BMJ Open. 2016 Sep 26;6(9):e011974. doi: 10.1136/bmjopen-2016-011974.
Problem gambling is a public health concern affecting ∼2.3% of the Swedish population. Problem gambling also severely affects concerned significant others (CSOs). Several studies have investigated the effect of individual treatments based on cognitive-behavioural therapy (CBT), but less is known of the effect of involving CSOs in treatment. This study aims to compare an intervention based on behavioural couples therapy (BCT), involving a CSO, with an individual CBT treatment to determine their relative efficacy. BCT has shown promising results in working with substance abuse, but this is the first time it is used as an intervention for problem gambling. Both interventions will be internet-delivered, and participants will receive written support and telephone support.
A sample of 120 couples will be randomised to either the BCT condition, involving the gambler and the CSO, or the CBT condition, involving the gambler alone. Measures will be conducted weekly and at 3, 6 and 12 months follow-up. The primary outcome measure is gambling behaviour, as measured by Timeline Followback for Gambling. This article describes the outline of the research methods, interventions and outcome measures used to evaluate gambling behaviour, mechanisms of change and relationship satisfaction. This study will be the first study on BCT for problem gambling.
This study has been given ethical approval from the regional ethics board of Stockholm, Sweden. It will add to the body of knowledge as to how to treat problem gambling and how to involve CSOs in treatment. The findings of this study will be published in peer-reviewed journals and published at international and national conferences.
NCT02543372; Pre-results.
问题赌博是一个公共卫生问题，影响着约2.3%的瑞典人口。问题赌博也严重影响到相关的重要他人（CSO）。多项研究调查了基于认知行为疗法（CBT）的个体治疗效果，但对于让CSO参与治疗的效果了解较少。本研究旨在比较一种基于行为夫妻疗法（BCT）的干预措施（涉及一名CSO）与个体CBT治疗，以确定它们的相对疗效。BCT在治疗药物滥用方面已显示出有前景的结果，但这是它首次被用作问题赌博的干预措施。两种干预措施都将通过互联网提供，参与者将获得书面支持和电话支持。
120对夫妻的样本将被随机分配到BCT组（涉及赌博者和CSO）或CBT组（仅涉及赌博者）。每周以及在3个月、6个月和12个月随访时进行测量。主要结局指标是赌博行为，通过赌博时间线回溯法进行测量。本文描述了用于评估赌博行为、改变机制和关系满意度的研究方法、干预措施和结局指标的概述。本研究将是第一项关于BCT治疗问题赌博的研究。
本研究已获得瑞典斯德哥尔摩地区伦理委员会的伦理批准。它将增加关于如何治疗问题赌博以及如何让CSO参与治疗的知识体系。本研究的结果将发表在同行评审期刊上，并在国际和国内会议上发表。
NCT02543372；预结果。
