Treatment Study for Problematic Gaming and Gambling

NCT05506384 | Completed

• 1 other identifier: 2019-04797
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is twofold: 1) to evaluate an Relaps Prevention(RP) treatment for Problematic Gaming (PG) and Internet Gaming Disorder (IGD) patients recruited from child and youth psychiatry (CAP) clinics and 2) to test whether the quality of parent-child relationships plays role in the effect of RP treatment and vice versa - whether the RP treatment has a spillover effect on the quality of parent-child relationships.

Conditions

Pathological Gambling; Internet Gaming Disorder

Keywords

Gaming; Gambling; Adolescent; Children

Outcome Measures

Primary Outcomes (2)

• Gaming changes

  Changes in gaming measured with Game Addiction Scale for Adolescents (GASA) . GASA applies to gaming behavior during the last 6 months with 7 items. Each question covers one criterion in the Diagnostic and Statistical Manual 5 (DSM-5), answered on a 5-point Likert scale ranging from 1 (never) to 5 (very often) and should according to the developer be counted as endorsed when rated 3 or higher. Min: 0 Max: 35 A higher outcome means worse gaming problems

  treatment and 3 months

• Gambling changes

  Changes in gambling measured with National Opinion Research Center (NORC) Diagnostic Screen for Gambling Disorders (NODS), three NODS questions, pertaining to loss of Control, Lying, and Preoccupation (CLiP). NODS-CLiP is the shorter form of NODS. Min: 0 Max:3 A higher outcome means worse gambling problems.

  treatment and 3 months

Secondary Outcomes (1)

• Family climate/communication

  treatment and 3 months

Study Arms (2)

Relaps prevention treatment

EXPERIMENTAL

The treatment will be administered in an individual format and consist of seven to nine sessions of 45 minutes over a period of seven to nine weeks. The number of sessions can vary to be able to accommodate the fact that participants may have different levels of motivation for changing their primary problem behavior, which is why some participants may require one or two extra sessions at the start of the treatment. The treatment will be offered to participants both in person and via video link to facilitate participation for children and adolescents living further away from the participating clinics.

Behavioral: Relaps Preventions Therapy

Treatment as usual

OTHER

The patients in this arm will get treatment as usual at their Child and Adolescent psychiatry clinic.

Behavioral: Treatment as usual

Interventions

Relaps Preventions Therapy BEHAVIORAL

The treatment consists of three parts: 1) setting goals, 2) understanding and identifying high-risk situations and problem behaviors, and 3) consolidating the new activity schedule and identifying future high-risk behaviors. The first part is focused on examining the patient's undesirable behavior, his/her motivation for change, and establishing goals with the. The second part, drawing more from traditional Cognitive Behavioral Therapy (CBT) techniques, consists of exploring problematic situations, identifying high-risk situations and events, emotions and cognitions that induce the problematic gaming behavior or result in a relapse; managing game time with activity scheduling and practicing problem-solving skills. The final part consists of recognizing early warning signals that may indicate that the primary problem behavior is more likely to occur and consolidating the parts of the treatment that have been most helpful in maintaining the new activity schedule.

Relaps prevention treatment

Treatment as usual BEHAVIORAL

This group will receive treatment as usual at their Child and Adolescent Psychiatry Clinic.

Treatment as usual

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• age 12-18
• over cut-off on GASA
• over cut-off on CLiP

You may not qualify if:

• not being able to speak Swedish

Sponsors & Collaborators

• Region Skane: lead
• Lund University: collaborator

Study Sites (1)

Child and adolescent Clinic Rehion Skane

Lund, Sweden

Location

Related Publications (2)

• Andre F, Kapetanovic S, Einarsson I, Trebbin Harvard S, Franzen L, Mottus A, Hakansson A, Claesdotter-Knutsson E. Relapse prevention therapy for internet gaming disorder in Swedish child and adolescent psychiatric clinics: a randomized controlled trial. Front Psychiatry. 2023 Oct 20;14:1256413. doi: 10.3389/fpsyt.2023.1256413. eCollection 2023.

  PMID: 37928925 DERIVED

• Kapetanovic S, Gurdal S, Einarsson I, Werner M, Andre F, Hakansson A, Claesdotter-Knutsson E. Relapse Prevention Therapy for Problem Gaming or Internet Gaming Disorder in Swedish Child and Youth Psychiatric Clinics: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2023 Jan 5;12:e44318. doi: 10.2196/44318.

  PMID: 36602846 DERIVED

MeSH Terms

Conditions

Gambling; Internet Addiction Disorder

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Risk-Taking; Behavior; Disruptive, Impulse Control, and Conduct Disorders; Mental Disorders; Technology Addiction; Behavior, Addictive; Compulsive Behavior; Impulsive Behavior

Study Officials

• Emma Claesdotter-Knutsson, MD;PhD

  emma.claesdotter-knutsson@skane.se

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 8, 2022
• First Posted: August 18, 2022
• Study Start: May 1, 2021
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: March 1, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)