Internet Based Cognitive Behavior Therapy for Concerned Significant Others of Problem Gamblers
Gambling
About this trial
This is an interventional treatment trial for Gambling focused on measuring concerned significant other, internet-delivered cognitive-behavioral therapy,, treatment-refusing problem gambler
Eligibility Criteria
Inclusion Criteria:
- The CSO and the gambler are at least 18 years old,
- The CSO is a parent, child, sibling, friend or partner of the gambler.
- The CSO must have had a relationship with the gambler for at least 3 months.
- Neither the CSO nor the gambler has had any treatment in the past 3 months (that is related to gambling).
- The gambler is currently refusing help.
- The CSO is able to read and answer questions in Swedish, and is willing to talk to a counselor each week.
- The gambler is a problem gambler according to Problem Gambling Severity Index, as rated by the CSO.
- The CSO must agree to have their telephone calls recorded.
Exclusion Criteria:
- Presence of psychotic- or bipolar disorder in the CSO or gambler.
- CSO meets PGSI criteria for ongoing problem gambling.
Sites / Locations
- Stockholm University
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
CBT-CSO
Wait-list
The CBT-CSO program will be based on concepts from cognitive-behavioral therapy and motivational interviewing, and is specifically developed for use with CSOs of treatment refusing problem gamblers. The program resembles the community reinforcement and family training approach that has been successfully used with CSOs of substance abusers. The program will be given as guided self-help with guidance given via email and telephone. There are 8 modules, which all contain homework exercises and about 5-10 pages of text.
The participants allocated to the control condition will be put on a waiting list and offered the CBT-CSO program after 10 weeks. The CSOs will receive information about available treatment options-in their area and web-based-for the problem gambler.