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Integrative Couple Treatment for Pathological Gambling

Integrative Couple Treatment for Pathological Gambling or Individual Treatment: A Comparison of Efficacy

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02240485
Acronym
ICT-PG
Enrollment
80
Registered
2014-09-15
Start date
2011-03-01
Completion date
2018-07-31
Last updated
2022-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pathological Gambling

Keywords

Pathological gambling, Treatment, Marital relationship

Brief summary

The aim of the study is to compare marital treatment to individual treatment for pathological gambling.

Detailed description

The study as two goals: evaluate the efficacy of couple treatment for pathological gambling and develop a better understanding of the individual (substance use, mental health) and couple dimensions (communication, marital satisfaction, violence) as intermediate variables explaining this efficacy. Couples will be randomized between the couple treatment and the treatment as usual (individual or group). The experimental couple treatment is offered over 8 to 12 sessions of 90 minutes. The couple treatment called (Integrative Couple Therapy for Pathological Gambling - ICT-PG) is inspired by the Alcohol Behavior Couple Therapy from Epstein and McCrady, to which the team added diverse components to adjust to gamblers. During the sessions, the focus is on a) reducing/stopping gambling behaviors, b) helping the partner to stop behaviors facilitating gambling habits and rise the frequency of behaviors incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support). The control group receives individual or group treatment as already offered by the specialized centers in addiction. Their partner can receive individual intervention if desired. All participants are recruited in Specialized Addiction Treatment Centers in Quebec province, Canada. Evaluation of participants is done at admission, three, nine and 18 months post-admission. Repeated measures ANOVA will be used to compared evolutions of groups over time. Multiple regression will allow the estimation of components roles into as intermediate variables to predict rehabilitation.

Interventions

BEHAVIORALIntegrative Couple Treatment for Pathological Gambling (ICT-PG)

The experimental couple treatment is offered over 8 to 12 sessions of 90 minutes. The couple treatment called (Integrative Couple Therapy for Pathological Gambling - ICT-PG) is inspired by the Alcohol Behavior Couple Therapy from Epstein and McCrady, to which the team added diverse components to adjust to gamblers. During the sessions, the focus is on a) reducing/stopping gambling behaviors, b) helping the partner to stop behaviors facilitating gambling habits and rise the frequency of behaviors incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).

BEHAVIORALUsual individual/group treatment

The control group receive individual or group treatment as already offered by the specialized centers in addiction.Their partner can receive individual intervention if desired.

Sponsors

Université du Québec à Trois-Rivières
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Living together for at least 1 year * Diagnosis of pathological gambling (WMH-CIDI) during the last 12 months * The gambler has not received treatment for their gambling for at least 6 months (excluding GA) * Presence of gambling behavior in the past 3 months * Degree of commitment to the couple indicating a desire to continue the relationship (score of 7 - MSI)

Exclusion criteria

* Alcohol/Drug Dependence gambler/partner (Severity of Alcohol Dependence Data questionnaire - SADD \>17 included in DEBA-A; Severity of Dependence Scale - SDS \> 5 Included in DEBA-D) * Gambling problem for the partner (DEBA-Jeu \> 10) * Presence of serious acts of violence endangering the safety of both spouses (CTS-2) * Disorder and serious mental health unstabilized one of two members of the couple (ASI: psychological scale) * Antisocial personality disorder or severe limit ( GAIN: 9 + Scale BCS / CDS) * Scenario with strong suicidal ideation or attempt in the last 30 days or less in the partner (ASI: psychological scale) * Low degree of commitment in the relationship of a risk of separation (8 + MSI)

Design outcomes

Primary

MeasureTime frameDescription
Gambling Symptom Assessment Scale (G-SAS)Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers The G-SAS is a 12-item self-rated scale designed to assess gambling symptom severity and change during treatment. Each 12-item scale has a score ranging from 0 - 4 (adjective anchors for 0 and 4 vary for each item but 0 means no symptoms and 4 means extreme symptoms). All items ask for an average symptom based on the past 7 days (average urge, frequency, duration and control,thoughts associated with gambling,time spent on gambling,anticipatory tension and/or excitement, emotional distress). The total score ranges from 0 to 48. A score between 8 and 20 is an indicator of low urges to gamble, between 21 and 30, moderate urges, between 31 and 40 severe urges and a score of over 40 reveals the presence of extreme urges in the player.
Frequency of the Most Problematic GameAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers Among 12 types of gambling activities, the highest frequency of gambling behaviors for the past 6 months (never = 0; every or almost every day=5). Maximum score is 5. The higher is the score, the higher is the frequency.
Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers The DEBA-Jeu is a very brief screening grid comprising eight Likert-type items in five points (never = 0, always = 4). The eight items form a scale where the total score varies between 0 and 32. The suggested breaking points are as follows: 0 to 1 = No problem gambling; 2 to 5 =Problem gambling ; 6 to 24 = High probability of problem gambling.
Canadian Problem Gambling Index (CPGI)Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers The Canadian Problem Gambling Index (CPGI) is a 9-item measure with a 4-point Likert-type scale (0 = Never, 3 = Almost always).It asks questions about an individual's gambling habits in the last three months from four categories: Gambling involvement; Problem gambling behaviour; Adverse Consequences; Correlates of problem gambling. Scores for the nine items are summed, and the results are interpreted as follows: 0 = non-problem ; 1-4 = low risk; 5-7 = moderate risk; 8 and + (maximum 27) = probable pathological player.
Canadian Dollars Spent on GamblingAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers Total Money spent in canadian dollars for all gambling activities during the last 3 months previous each research interview.
Impaired Control Over Gambling Scale (ICOG)Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers The ICOG is used to measure two aspects of control related to the JHA processes, namely the level of control over the desire to start playing (e.g., when I decide not to play, I watch stick to that decision) as well as the level of control once the game has started (e.g., when I knew I had little time to play, I would limit myself to the scheduled time). This questionnaire has a total of 10 items and uses a 5-point Likert-type scale ranging from Never = 1 to Always = 5, with 4 inverted items. The total score varies between 10 and 50. A high control represents a score between 10 and 16, a moderate control between 17 and 23 and a score of 24 and more presents a low control in the player.
Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This questionnaire measures people's beliefs about gambling. The ICROLJ has 29 items and uses a 4-point Likert-type scale ranging from Strongly disagree = 0 to Strongly agree=4. To compute a total score, all item' score are summed. The total score ranges from 0 to 116.Higher the score is, more it indicates the presence of erroneous beliefs.
Negative Gambling Consequences-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers Short questionnaire of 10 items, assessing to what extent the respondent considers his gambling habits in the last 6 months have harmed various aspects of his life (financial, living conditions, marital, physical health, professional life, social, legal and family). A 5-point Likert-type scale is used Not at all = 0 to Extremely = 4. To compute a total score, all item' score are summed. The total score ranges from 0 to 40.Higher the score is, more it's indicate that the respondent is experiencing negative impacts because of his gambling habits.
Negative Gambling Consequences-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners Short questionnaire of 10 items, assessing to what extent the respondent considers that his partner's gambling habits have harmed various aspects of his life in the last 6 months (financial, living conditions, marital, physical health, professional life, social, legal and family). A 5-point Likert-type scale is used Not at all = 0 to Extremely = 4. To compute a total score, all item' score are summed. The total score ranges from 0 to 40. Higher the score is, more it's indicate that the respondent is experiencing negative impacts because of his partner's gambling habits.
Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This questionnaire measures people's beliefs about gambling. The ICROLJ has 29 items and uses a 4-point Likert-type scale ranging from Strongly disagree = 0 to Strongly agree=4. To compute a total score, all item' score are summed. The total score ranges from 0 to 116. Higher the score is, more it indicates the presence of erroneous beliefs.

Secondary

MeasureTime frameDescription
Conflict Tactics Scale-2_Psychological Violence Issued by the PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers The psychological violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of psychological violence committed against the Gambler in the last 3 months. It is made up of 14 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). To compute a total score, all item' score are summed. The total score ranges from 0 to 84. The higher it is, more it indicates that the respondent has suffered episodes of violence.
Interpersonal Communication Skills Inventory-self _PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This lists of skills consist of 17 items that expressed in statements representing observable verbal behaviors.Participants were asked to report frequency estimates of their own use of such verbal behaviors using a 4 point likert scale (0 = almost never, 4 = almost always). To compute a total score, all item' score are summed. The total score ranges from 0 to 68. The higher the score is, more it indicates the presence of good communication skills.
Marital Problem Solving Scale (MPSS)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This instrument has 9 items, using a 7-point Likert-type scale. It is used in order to better understand the negotiation and conflict resolution skills that the couple members have used within their marital relationship in the last three months. The score varies between 9 and 63. A high score indicates a greater degree of perceived problem-solving skill within the marital relationship.
Coping Skills _Social Support Sub-scale_GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18. Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Standard Units of Alcoholic Drinks Per Week _GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers Number of alcohol standard units (Canada, 1 unit = 13,6g of alcohol) per week during the last three months.
Frequency of Cannabis Use Per week_GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers Frequency of cannabis use per week in the last three months with a 5-point Likert-type scale (never = 0, 3 times a week or more = 4). Higher the score is, more it indicates a high frequency of cannabis use.
Conflict Tactics Scale-2 _ Physical Violence Issued by the PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers The physical violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of physical violence committed against the Gambler in the last 3 months. It is made up of 18 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). The total score corresponds to the average obtained on the 18 items, the higher it is, more it indicates that the respondent has suffered episodes of violence.
Conflict Tactics Scale-2_ Physique Violence Issued by the GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for the Partner The physical violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of physical violence committed against the partner in the last 3 months. It is made up of 18 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). The total score corresponds to the average obtained on the 18 items, the higher it is, more it indicates that the respondent has suffered episodes of violence.
Conflict Tactics Scale-2 _ Psychological Violence Issued by the GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners The psychological violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of psychological violence committed against the partner in the last 3 months. It is made up of 14 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). To compute a total score, all item' score are summed. The total score ranges from 0 to 84. The higher it is, more it indicates that the respondent has suffered episodes of violence.
Conjugal Support Questionnaire (CSQ)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This questionnaire measure the quality of the support received and given perceived by the two members of the couple. It consists of a total of 8 questions, with a 5-point Likert scale (1 = never; 5 = always). The total score shows support received and support gave, higher is the result, more it indicates that the member of the couple gave support and receives it (score min = 0 and score max=40).
Coping Skills _Distancing / Withdrawal Sub-scale_GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Marital Problem Solving Scale (MPSS)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This instrument has 9 items, using a 7-point Likert-type scale. It is used in order to better understand the negotiation and conflict resolution skills that the couple members have used within their marital relationship in the last three months.The score varies between 9 and 63. A high score indicates a greater degree of perceived problem-solving skill within the marital relationship.
Interpersonal Communication Skills Inventory-self _GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This lists of skills consist of 17 items that expressed in statements representing observable verbal behaviors.Participants were asked to report frequency estimates of their own use of such verbal behaviors using a 4 point likert scale (0 = almost never, 4 = almost always). To compute a total score, all item' score are summed. The total score ranges from 0 to 68.The higher the score is, more it indicates the presence of good communication skills.
Coping Skills _Social Support Sub-scale_PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Coping Skills _Distancing / Withdrawal Sub-scale_PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 9 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 27.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Standard Units of Alcoholic Drinks Per Week _PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Partners Number of alcohol standard units (Canada, 1 unit = 13,6g of alcohol) per week during the last three months.
Frequency of Cannabis Use Per week_PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Partners Frequency of cannabis use per week in the last three months with a 5-point Likert-type scale (never = 0, 3 times a week or more = 4). Higher the score is, more it indicates a high frequency of cannabis use.
Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 9 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 27. Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.
Psychological Distress Index (IDPESQ-14)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This instrument is used to measure psychological distress, including symptoms of depression and anxiety. We used the version of the questionnaire with 14 items. A Likert-type scale ranging from never = 1 to very often = 3 is used and the respondent must respond according to their condition during the last seven days. To compute a total score, all item' score are summed. The total score ranges from 0 to 42. A score of 26 and above indicates a high level of psychological distress.
Center for Epidemiologic Studies Depression Scale (CES-D)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners This instrument is used to measure depressive symptoms in an individual. It measures these symptoms as defined in the American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV) for depressive episodes.This questionnaire has 20 items and it assesses how the psychological well-being of the person during the last week. A 4-point Likert-type scale is used ranging from 0 = Never, very rarely (less than a day) to a rating of 3 = Frequently, all the time (5 to 7 days) The score can therefore vary from 0 to 60, the higher it is the higher the risk of depression. For a man, a threshold of 17 indicates a risk of depression and for a woman the same threshold is 23.
Psychological Distress Index (IDPESQ-14)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This instrument is used to measure psychological distress, including symptoms of depression and anxiety. We used the version of the questionnaire with 14 items. A Likert-type scale ranging from never = 1 to very often = 3 is used and the respondent must respond according to their condition during the last seven days. To compute a total score, all item' score are summed. The total score ranges from 0 to 42. A score of 26 and above indicates a high level of psychological distress.
Center for Epidemiologic Studies Depression Scale (CES-D)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This instrument is used to measure depressive symptoms in an individual. It measures these symptoms as defined in the American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV) for depressive episodes.This questionnaire has 20 items and it assesses how the psychological well-being of the person during the last week. A 4-point Likert-type scale is used ranging from 0 = Never, very rarely (less than a day) to a rating of 3 = Frequently, all the time (5 to 7 days) The score can therefore vary from 0 to 60, the higher it is the higher the risk of depression. For a man, a threshold of 17 indicates a risk of depression and for a woman the same threshold is 23.
Conjugal Support Questionnaire(CSQ)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers This questionnaire makes it possible to measure the quality of the support received and given perceived by the two members of the couple. It consists of a total of 8 questions, with a 5-point Likert scale (1 = never; 5 = always). The total score shows support received and support gave, higher is the result, more it indicates that the member of the couple gave support and receives it (score min = 0 and score max=40).
Marital Status Inventory (MSI)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners The MSI is used to measure marital stability in a couple. It comprises a series of 14 items (with inverted items) in a true or false format thus aiming to assess the risk of separation in this couple (e.g., I very often have ideas of divorce, until once a week or more). Marital distress is measured in terms of concrete actions taken by members of the couple in order to end their union. The total score is between 0 and 14. The higher the scores, the higher the risk of separation and marital distress. A threshold of 8 is considered to be a severe indicator of separation.
Marital Status Inventory (MSI)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers The MSI is used to measure marital stability in a couple. It comprises a series of 14 items (with inverted items) in a true or false format thus aiming to assess the risk of separation in this couple (e.g., I very often have ideas of divorce, until once a week or more). Marital distress is measured in terms of concrete actions taken by members of the couple in order to end their union. The total score is between 0 and 14. The higher the scores, the higher the risk of separation and marital distress. A threshold of 8 is considered to be a severe indicator of separation.
Dyadic Adjustment Scale (DAS-4)-PartnerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Partners The Dyadic Adjustment Scale is an ultra-brief measure degree of marital satisfaction within the couple. The short version is made up of only 4 items (considered divorce, estimation of the quality of the relation, confide to mate, degree of happiness): three of which are on a 6-point Likert scale ranging from 0 (all the time) to 5 (never) , while the final item is on a 7-point scale ranging from 0 (extremely happy) to 6 (perfect). Theoretically possible maximum score of 21, and minimum 0. Scores lower than 11 indicating relationship distress, scores between 12 and 14 corresponding to medium satisfaction and scores upper 15 indicating good marital satisfaction.
Dyadic Adjustment Scale (DAS-4)-GamblerAdmission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)Outcome Measure for Gamblers The Dyadic Adjustment Scale is an ultra-brief measure degree of marital satisfaction within the couple. The short version is made up of only 4 items (considered divorce, estimation of the quality of the relation, confide to mate, degree of happiness): three of which are on a 6-point Likert scale ranging from 0 (all the time) to 5 (never) , while the final item is on a 7-point scale ranging from 0 (extremely happy) to 6 (perfect). Theoretically possible maximum score of 21, and minimum 0. Scores lower than 11 indicating relationship distress, scores between 12 and 14 corresponding to medium satisfaction and scores upper 15 indicating good marital satisfaction.

Countries

Canada

Participant flow

Recruitment details

Recruitment was carried out in two phases: Phase I: 1st march 2011 to 3th april 2013 Phase II: 31th october 2014 to 1st june 2016. Recruitment took place in nine specialized treatment center in the province of Quebec (Canada).

Pre-assignment details

Eighteen couples took part in the research eligibility, but they weren't enrolled in the study based on the exclusion criteria of the study :n=4 Low commitment towards relationship;n=4 Problematic alcohol/drug use \[gambler\]; n=3 Severe violence last 12 month; n=2 Low risk gambling \[gambler\]; n=2 Serious mental health problems \[partner\]; n=1 Partner with a gambling disorder ; n=1 Cohabitation less then six month ;n=1 Refused categorization

Participants by arm

ArmCount
Integrative Couple Treatment for Pathological Gambling
Already described in the Intervention Description section Couple therapy: The experimental couple treatment is offered over 8 to 12 sessions of 90 minutes. The couple treatment called (Integrative Couple Treatment for Pathological Gambling - ICT-PG) is inspired by the Alcohol Behavior Couple Therapy from Epstein and McCrady, to which the team added diverse components to adjust to gamblers. During the sessions, the focus is on a) reducing/stopping gambling behaviors, b) helping the partner to stop behaviors facilitating gambling habits and rise the frequency of behaviors incompatible with gambling habits and c) improve marital components (communication, sharing positive moments, negotiation, mutual support).
44
Usual Individual/Group Treatment
Well described in the Intervention section Usual individual/group treatment: The control group receive individual or group treatment as already offered by the specialized centers in addiction.Their partner can receive individual intervention if desired.
36
Total80

Withdrawals & dropouts

PeriodReasonFG000FG001
18 Months Post-admissionLost to Follow-up11
18 Months Post-admissionWithdrawal by Subject24
3 Months Post-admissionLost to Follow-up15
3 Months Post-admissionWithdrawal by Subject21
9 Months Post-admissionLost to Follow-up31
9 Months Post-admissionWithdrawal by Subject03

Baseline characteristics

CharacteristicUsual Individual/Group TreatmentTotalIntegrative Couple Treatment for Pathological Gambling
Age, Categorical
Gamblers
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
Gamblers
>=65 years
1 Participants3 Participants2 Participants
Age, Categorical
Gamblers
Between 18 and 65 years
35 Participants77 Participants42 Participants
Age, Categorical
Partners
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
Partners
>=65 years
2 Participants5 Participants3 Participants
Age, Categorical
Partners
Between 18 and 65 years
34 Participants75 Participants41 Participants
Age, Continuous
Gamblers
41 years
STANDARD_DEVIATION 12
42 years
STANDARD_DEVIATION 13
42 years
STANDARD_DEVIATION 14
Age, Continuous
Partners
40 years
STANDARD_DEVIATION 14
41 years
STANDARD_DEVIATION 14
42 years
STANDARD_DEVIATION 13
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
Canada
36 Participants80 Participants44 Participants
Sex: Female, Male
Gamblers
Female
7 Participants20 Participants13 Participants
Sex: Female, Male
Gamblers
Male
29 Participants60 Participants31 Participants
Sex: Female, Male
Partners
Female
30 Participants61 Participants31 Participants
Sex: Female, Male
Partners
Male
6 Participants19 Participants13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 00 / 0
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Canadian Dollars Spent on Gambling

Outcome measure for Gamblers Total Money spent in canadian dollars for all gambling activities during the last 3 months previous each research interview.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Dollars Spent on GamblingAdmission4587.87 canadian dollarsStandard Deviation 483.66
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Dollars Spent on Gambling3 months post-admission452.53 canadian dollarsStandard Deviation 500.54
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Dollars Spent on Gambling9 months post-admission351.49 canadian dollarsStandard Deviation 517.16
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Dollars Spent on Gambling18 months post-admission1062.09 canadian dollarsStandard Deviation 535.53
Usual Individual/Group TreatmentCanadian Dollars Spent on Gambling18 months post-admission446.57 canadian dollarsStandard Deviation 681.53
Usual Individual/Group TreatmentCanadian Dollars Spent on GamblingAdmission4244.70 canadian dollarsStandard Deviation 534.75
Usual Individual/Group TreatmentCanadian Dollars Spent on Gambling9 months post-admission390.14 canadian dollarsStandard Deviation 620.98
Usual Individual/Group TreatmentCanadian Dollars Spent on Gambling3 months post-admission825.71 canadian dollarsStandard Deviation 582.02
Primary

Canadian Problem Gambling Index (CPGI)

Outcome measure for Gamblers The Canadian Problem Gambling Index (CPGI) is a 9-item measure with a 4-point Likert-type scale (0 = Never, 3 = Almost always).It asks questions about an individual's gambling habits in the last three months from four categories: Gambling involvement; Problem gambling behaviour; Adverse Consequences; Correlates of problem gambling. Scores for the nine items are summed, and the results are interpreted as follows: 0 = non-problem ; 1-4 = low risk; 5-7 = moderate risk; 8 and + (maximum 27) = probable pathological player.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Problem Gambling Index (CPGI)Admission14.85 score on a scaleStandard Deviation 0.74
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Problem Gambling Index (CPGI)3 months post-admission5.86 score on a scaleStandard Deviation 0.77
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Problem Gambling Index (CPGI)9 months post-admission3.98 score on a scaleStandard Deviation 0.8
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Canadian Problem Gambling Index (CPGI)18 months post-admission4.26 score on a scaleStandard Deviation 0.83
Usual Individual/Group TreatmentCanadian Problem Gambling Index (CPGI)18 months post-admission4.91 score on a scaleStandard Deviation 1.08
Usual Individual/Group TreatmentCanadian Problem Gambling Index (CPGI)Admission15.68 score on a scaleStandard Deviation 0.82
Usual Individual/Group TreatmentCanadian Problem Gambling Index (CPGI)9 months post-admission5.31 score on a scaleStandard Deviation 0.97
Usual Individual/Group TreatmentCanadian Problem Gambling Index (CPGI)3 months post-admission6.97 score on a scaleStandard Deviation 0.89
Primary

Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)

Outcome Measure for Gamblers The DEBA-Jeu is a very brief screening grid comprising eight Likert-type items in five points (never = 0, always = 4). The eight items form a scale where the total score varies between 0 and 32. The suggested breaking points are as follows: 0 to 1 = No problem gambling; 2 to 5 =Problem gambling ; 6 to 24 = High probability of problem gambling.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)Admission19.41 score on a scaleStandard Deviation 0.88
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)3 months post-admission6.29 score on a scaleStandard Deviation 0.9
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)9 months post-admission4.47 score on a scaleStandard Deviation 0.95
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Detection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)18 months post-admission4.47 score on a scaleStandard Deviation 0.98
Usual Individual/Group TreatmentDetection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)18 months post-admission6.26 score on a scaleStandard Deviation 1.27
Usual Individual/Group TreatmentDetection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)Admission20.45 score on a scaleStandard Deviation 0.97
Usual Individual/Group TreatmentDetection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)9 months post-admission6.01 score on a scaleStandard Deviation 1.14
Usual Individual/Group TreatmentDetection of Gambling Problems and Services Need (Détection et Besoin d'Aide en Regard du Jeu Excessif- DÉBA-Jeu)3 months post-admission7.90 score on a scaleStandard Deviation 1.07
Primary

Frequency of the Most Problematic Game

Outcome Measure for Gamblers Among 12 types of gambling activities, the highest frequency of gambling behaviors for the past 6 months (never = 0; every or almost every day=5). Maximum score is 5. The higher is the score, the higher is the frequency.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of the Most Problematic Game9 months post-admission1.68 score on a scaleStandard Deviation 0.21
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of the Most Problematic GameAdmission3.66 score on a scaleStandard Deviation 0.15
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of the Most Problematic Game3 months post-admission2.14 score on a scaleStandard Deviation 0.19
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of the Most Problematic Game18 months post-admission2.17 score on a scaleStandard Deviation 0.2
Usual Individual/Group TreatmentFrequency of the Most Problematic Game18 months post-admission2.73 score on a scaleStandard Deviation 0.24
Usual Individual/Group TreatmentFrequency of the Most Problematic Game9 months post-admission2.37 score on a scaleStandard Deviation 0.22
Usual Individual/Group TreatmentFrequency of the Most Problematic Game3 months post-admission2.20 score on a scaleStandard Deviation 0.2
Usual Individual/Group TreatmentFrequency of the Most Problematic GameAdmission3.56 score on a scaleStandard Deviation 0.16
Primary

Gambling Symptom Assessment Scale (G-SAS)

Outcome measure for Gamblers The G-SAS is a 12-item self-rated scale designed to assess gambling symptom severity and change during treatment. Each 12-item scale has a score ranging from 0 - 4 (adjective anchors for 0 and 4 vary for each item but 0 means no symptoms and 4 means extreme symptoms). All items ask for an average symptom based on the past 7 days (average urge, frequency, duration and control,thoughts associated with gambling,time spent on gambling,anticipatory tension and/or excitement, emotional distress). The total score ranges from 0 to 48. A score between 8 and 20 is an indicator of low urges to gamble, between 21 and 30, moderate urges, between 31 and 40 severe urges and a score of over 40 reveals the presence of extreme urges in the player.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Gambling Symptom Assessment Scale (G-SAS)9 months post-admission4.30 score on a scaleStandard Deviation 1.17
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Gambling Symptom Assessment Scale (G-SAS)3 months post-admission6.85 score on a scaleStandard Deviation 1.14
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Gambling Symptom Assessment Scale (G-SAS)18 months post-admission4.01 score on a scaleStandard Deviation 1.21
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Gambling Symptom Assessment Scale (G-SAS)Admission18.52 score on a scaleStandard Deviation 1.08
Usual Individual/Group TreatmentGambling Symptom Assessment Scale (G-SAS)18 months post-admission10.80 score on a scaleStandard Deviation 1.53
Usual Individual/Group TreatmentGambling Symptom Assessment Scale (G-SAS)3 months post-admission12.39 score on a scaleStandard Deviation 1.31
Usual Individual/Group TreatmentGambling Symptom Assessment Scale (G-SAS)9 months post-admission11.08 score on a scaleStandard Deviation 1.44
Usual Individual/Group TreatmentGambling Symptom Assessment Scale (G-SAS)Admission16.66 score on a scaleStandard Deviation 1.2
Primary

Impaired Control Over Gambling Scale (ICOG)

Outcome Measure for Gamblers The ICOG is used to measure two aspects of control related to the JHA processes, namely the level of control over the desire to start playing (e.g., when I decide not to play, I watch stick to that decision) as well as the level of control once the game has started (e.g., when I knew I had little time to play, I would limit myself to the scheduled time). This questionnaire has a total of 10 items and uses a 5-point Likert-type scale ranging from Never = 1 to Always = 5, with 4 inverted items. The total score varies between 10 and 50. A high control represents a score between 10 and 16, a moderate control between 17 and 23 and a score of 24 and more presents a low control in the player.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Impaired Control Over Gambling Scale (ICOG)3 months post-admission17.89 score on a scaleStandard Deviation 1.34
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Impaired Control Over Gambling Scale (ICOG)9 months post-admission16.11 score on a scaleStandard Deviation 1.41
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Impaired Control Over Gambling Scale (ICOG)18 months post-admission15.69 score on a scaleStandard Deviation 1.45
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Impaired Control Over Gambling Scale (ICOG)Admission35.95 score on a scaleStandard Deviation 1.29
Usual Individual/Group TreatmentImpaired Control Over Gambling Scale (ICOG)Admission37.92 score on a scaleStandard Deviation 1.44
Usual Individual/Group TreatmentImpaired Control Over Gambling Scale (ICOG)3 months post-admission22.31 score on a scaleStandard Deviation 1.58
Usual Individual/Group TreatmentImpaired Control Over Gambling Scale (ICOG)18 months post-admission18.26 score on a scaleStandard Deviation 1.86
Usual Individual/Group TreatmentImpaired Control Over Gambling Scale (ICOG)9 months post-admission20.59 score on a scaleStandard Deviation 1.69
Primary

Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler

Outcome Measure for Gamblers This questionnaire measures people's beliefs about gambling. The ICROLJ has 29 items and uses a 4-point Likert-type scale ranging from Strongly disagree = 0 to Strongly agree=4. To compute a total score, all item' score are summed. The total score ranges from 0 to 116.Higher the score is, more it indicates the presence of erroneous beliefs.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-GamblerAdmission52.67 score on a scaleStandard Deviation 1.38
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler3 months post-admission39.44 score on a scaleStandard Deviation 1.44
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler9 months post-admission39.11 score on a scaleStandard Deviation 1.48
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler18 months post-admission38.90 score on a scaleStandard Deviation 1.56
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler18 months post-admission43.86 score on a scaleStandard Deviation 1.94
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-GamblerAdmission54.23 score on a scaleStandard Deviation 1.53
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler9 months post-admission43.26 score on a scaleStandard Deviation 1.79
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Gambler3 months post-admission44.78 score on a scaleStandard Deviation 1.67
Primary

Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner

Outcome Measure for Partners This questionnaire measures people's beliefs about gambling. The ICROLJ has 29 items and uses a 4-point Likert-type scale ranging from Strongly disagree = 0 to Strongly agree=4. To compute a total score, all item' score are summed. The total score ranges from 0 to 116. Higher the score is, more it indicates the presence of erroneous beliefs.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-PartnerAdmission40.74 score on a scaleStandard Deviation 0.98
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner9 months post-admission37.12 score on a scaleStandard Deviation 1.01
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner3 months post-admission35.03 score on a scaleStandard Deviation 0.99
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Inventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner18 months post-admission37.38 score on a scaleStandard Deviation 1.02
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner18 months post-admission41.08 score on a scaleStandard Deviation 1.19
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-PartnerAdmission41.05 score on a scaleStandard Deviation 1.08
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner3 months post-admission43.22 score on a scaleStandard Deviation 1.12
Usual Individual/Group TreatmentInventory of Erroneous Beliefs Related to Gambling (Inventaire Des Croyances liées Aux Jeux - ICROLJ)-Partner9 months post-admission42.84 score on a scaleStandard Deviation 1.13
Primary

Negative Gambling Consequences-Gambler

Outcome Measure for Gamblers Short questionnaire of 10 items, assessing to what extent the respondent considers his gambling habits in the last 6 months have harmed various aspects of his life (financial, living conditions, marital, physical health, professional life, social, legal and family). A 5-point Likert-type scale is used Not at all = 0 to Extremely = 4. To compute a total score, all item' score are summed. The total score ranges from 0 to 40.Higher the score is, more it's indicate that the respondent is experiencing negative impacts because of his gambling habits.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-GamblerAdmission16.83 score on a scaleStandard Deviation 1.06
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Gambler3 months post-admission6.84 score on a scaleStandard Deviation 1.12
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Gambler18 months post-admission4.40 score on a scaleStandard Deviation 1.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Gambler9 months post-admission4.96 score on a scaleStandard Deviation 1.14
Usual Individual/Group TreatmentNegative Gambling Consequences-Gambler18 months post-admission5.22 score on a scaleStandard Deviation 1.61
Usual Individual/Group TreatmentNegative Gambling Consequences-GamblerAdmission18.56 score on a scaleStandard Deviation 1.17
Usual Individual/Group TreatmentNegative Gambling Consequences-Gambler3 months post-admission8.04 score on a scaleStandard Deviation 1.3
Usual Individual/Group TreatmentNegative Gambling Consequences-Gambler9 months post-admission5.41 score on a scaleStandard Deviation 1.38
Primary

Negative Gambling Consequences-Partner

Outcome Measure for Partners Short questionnaire of 10 items, assessing to what extent the respondent considers that his partner's gambling habits have harmed various aspects of his life in the last 6 months (financial, living conditions, marital, physical health, professional life, social, legal and family). A 5-point Likert-type scale is used Not at all = 0 to Extremely = 4. To compute a total score, all item' score are summed. The total score ranges from 0 to 40. Higher the score is, more it's indicate that the respondent is experiencing negative impacts because of his partner's gambling habits.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-PartnerAdmission17.65 score on a scaleStandard Deviation 0.65
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Partner3 months post-admission8.57 score on a scaleStandard Deviation 0.67
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Partner9 months post-admission5.30 score on a scaleStandard Deviation 0.68
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Negative Gambling Consequences-Partner18 months post-admission5.89 score on a scaleStandard Deviation 0.74
Usual Individual/Group TreatmentNegative Gambling Consequences-Partner18 months post-admission6.59 score on a scaleStandard Deviation 0.89
Usual Individual/Group TreatmentNegative Gambling Consequences-PartnerAdmission17.77 score on a scaleStandard Deviation 0.72
Usual Individual/Group TreatmentNegative Gambling Consequences-Partner9 months post-admission5.13 score on a scaleStandard Deviation 0.79
Usual Individual/Group TreatmentNegative Gambling Consequences-Partner3 months post-admission9.38 score on a scaleStandard Deviation 0.76
Secondary

Center for Epidemiologic Studies Depression Scale (CES-D)-Gambler

Outcome Measure for Gamblers This instrument is used to measure depressive symptoms in an individual. It measures these symptoms as defined in the American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV) for depressive episodes.This questionnaire has 20 items and it assesses how the psychological well-being of the person during the last week. A 4-point Likert-type scale is used ranging from 0 = Never, very rarely (less than a day) to a rating of 3 = Frequently, all the time (5 to 7 days) The score can therefore vary from 0 to 60, the higher it is the higher the risk of depression. For a man, a threshold of 17 indicates a risk of depression and for a woman the same threshold is 23.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-GamblerAdmission14.88 score on a scaleStandard Deviation 1.03
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Gambler3 months post-admission9.08 score on a scaleStandard Deviation 1.06
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Gambler9 months post-admission8.29 score on a scaleStandard Deviation 1.1
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Gambler189.01 score on a scaleStandard Deviation 1.15
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Gambler1810.22 score on a scaleStandard Deviation 1.48
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-GamblerAdmission15.56 score on a scaleStandard Deviation 1.14
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Gambler9 months post-admission10.96 score on a scaleStandard Deviation 1.33
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Gambler3 months post-admission11.86 score on a scaleStandard Deviation 1.24
Secondary

Center for Epidemiologic Studies Depression Scale (CES-D)-Partner

Outcome Measure for Partners This instrument is used to measure depressive symptoms in an individual. It measures these symptoms as defined in the American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV) for depressive episodes.This questionnaire has 20 items and it assesses how the psychological well-being of the person during the last week. A 4-point Likert-type scale is used ranging from 0 = Never, very rarely (less than a day) to a rating of 3 = Frequently, all the time (5 to 7 days) The score can therefore vary from 0 to 60, the higher it is the higher the risk of depression. For a man, a threshold of 17 indicates a risk of depression and for a woman the same threshold is 23.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-PartnerAdmission16.71 score on a scaleStandard Deviation 0.76
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Partner3 months post-admission8.81 score on a scaleStandard Deviation 0.78
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Partner9 months post-admission8.37 score on a scaleStandard Deviation 0.79
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Center for Epidemiologic Studies Depression Scale (CES-D)-Partner18 months post-admission8.07 score on a scaleStandard Deviation 0.82
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Partner18 months post-admission11.81 score on a scaleStandard Deviation 0.99
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-PartnerAdmission15.67 score on a scaleStandard Deviation 0.85
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Partner9 months post-admission12.46 score on a scaleStandard Deviation 0.92
Usual Individual/Group TreatmentCenter for Epidemiologic Studies Depression Scale (CES-D)-Partner3 months post-admission11.63 score on a scaleStandard Deviation 0.89
Secondary

Conflict Tactics Scale-2 _ Physical Violence Issued by the Partner

Outcome measure for Gamblers The physical violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of physical violence committed against the Gambler in the last 3 months. It is made up of 18 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). The total score corresponds to the average obtained on the 18 items, the higher it is, more it indicates that the respondent has suffered episodes of violence.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Physical Violence Issued by the PartnerAdmission0.47 score on a scaleStandard Deviation 0.49
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Physical Violence Issued by the Partner3 months post-admission0.82 score on a scaleStandard Deviation 0.42
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Physical Violence Issued by the Partner9 months post-admission.87 score on a scaleStandard Deviation 0.56
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Physical Violence Issued by the Partner18 months post-admission.38 score on a scaleStandard Deviation 0.45
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Physical Violence Issued by the Partner18 months post-admission1.68 score on a scaleStandard Deviation 0.4
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Physical Violence Issued by the PartnerAdmission1.21 score on a scaleStandard Deviation 0.42
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Physical Violence Issued by the Partner9 months post-admission1.55 score on a scaleStandard Deviation 0.46
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Physical Violence Issued by the Partner3 months post-admission1.34 score on a scaleStandard Deviation 0.38
Secondary

Conflict Tactics Scale-2_ Physique Violence Issued by the Gambler

Outcome Measure for the Partner The physical violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of physical violence committed against the partner in the last 3 months. It is made up of 18 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). The total score corresponds to the average obtained on the 18 items, the higher it is, more it indicates that the respondent has suffered episodes of violence.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_ Physique Violence Issued by the GamblerAdmission1.42 score on a scaleStandard Deviation 0.31
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_ Physique Violence Issued by the Gambler3 months post-admission1.23 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_ Physique Violence Issued by the Gambler9 months post-admission.94 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_ Physique Violence Issued by the Gambler18 months post-admission.46 score on a scaleStandard Deviation 0.34
Usual Individual/Group TreatmentConflict Tactics Scale-2_ Physique Violence Issued by the Gambler18 months post-admission1.56 score on a scaleStandard Deviation 0.4
Usual Individual/Group TreatmentConflict Tactics Scale-2_ Physique Violence Issued by the GamblerAdmission1.69 score on a scaleStandard Deviation 0.35
Usual Individual/Group TreatmentConflict Tactics Scale-2_ Physique Violence Issued by the Gambler9 months post-admission.79 score on a scaleStandard Deviation 0.38
Usual Individual/Group TreatmentConflict Tactics Scale-2_ Physique Violence Issued by the Gambler3 months post-admission1.71 score on a scaleStandard Deviation 0.36
Secondary

Conflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler

Outcome Measure for Partners The psychological violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of psychological violence committed against the partner in the last 3 months. It is made up of 14 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). To compute a total score, all item' score are summed. The total score ranges from 0 to 84. The higher it is, more it indicates that the respondent has suffered episodes of violence.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Psychological Violence Issued by the GamblerAdmission21.50 score on a scaleStandard Deviation 1.4
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler3 months post-admission17.44 score on a scaleStandard Deviation 1.43
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler9 months post-admission14.91 score on a scaleStandard Deviation 1.46
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler18 months post-admission11.09 score on a scaleStandard Deviation 1.54
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler18 months post-admission17.00 score on a scaleStandard Deviation 1.81
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Psychological Violence Issued by the GamblerAdmission23.44 score on a scaleStandard Deviation 1.53
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler9 months post-admission16.52 score on a scaleStandard Deviation 1.66
Usual Individual/Group TreatmentConflict Tactics Scale-2 _ Psychological Violence Issued by the Gambler3 months post-admission18.36 score on a scaleStandard Deviation 1.61
Secondary

Conflict Tactics Scale-2_Psychological Violence Issued by the Partner

Outcome Measure for Gamblers The psychological violence suffered is a subscale of the CTS-2 questionnaire which aims to assess the manifestations of psychological violence committed against the Gambler in the last 3 months. It is made up of 14 items that are rated on a 7-point Likert scale (never happened = 0, 1 time = 1, 2 times = 2, 3 to 5 times = 3, 6 to 10 times = 4, 11 to 20 = 5, more than 20 times = 6). To compute a total score, all item' score are summed. The total score ranges from 0 to 84. The higher it is, more it indicates that the respondent has suffered episodes of violence.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_Psychological Violence Issued by the PartnerAdmission19.64 score on a scaleStandard Deviation 1.78
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_Psychological Violence Issued by the Partner3 months post-admission13.38 score on a scaleStandard Deviation 1.84
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_Psychological Violence Issued by the Partner9 months post-admission8.65 score on a scaleStandard Deviation 1.94
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conflict Tactics Scale-2_Psychological Violence Issued by the Partner18 months post-admission7.96 score on a scaleStandard Deviation 2.05
Usual Individual/Group TreatmentConflict Tactics Scale-2_Psychological Violence Issued by the Partner18 months post-admission14.52 score on a scaleStandard Deviation 2.58
Usual Individual/Group TreatmentConflict Tactics Scale-2_Psychological Violence Issued by the PartnerAdmission19.17 score on a scaleStandard Deviation 1.95
Usual Individual/Group TreatmentConflict Tactics Scale-2_Psychological Violence Issued by the Partner9 months post-admission12.46 score on a scaleStandard Deviation 2.32
Usual Individual/Group TreatmentConflict Tactics Scale-2_Psychological Violence Issued by the Partner3 months post-admission14.16 score on a scaleStandard Deviation 2.12
Secondary

Conjugal Support Questionnaire(CSQ)-Gambler

Outcome Measure for Gamblers This questionnaire makes it possible to measure the quality of the support received and given perceived by the two members of the couple. It consists of a total of 8 questions, with a 5-point Likert scale (1 = never; 5 = always). The total score shows support received and support gave, higher is the result, more it indicates that the member of the couple gave support and receives it (score min = 0 and score max=40).

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire(CSQ)-GamblerAdmission31.10 score on a scaleStandard Deviation 0.46
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire(CSQ)-Gambler3 months post-admission32.65 score on a scaleStandard Deviation 0.48
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire(CSQ)-Gambler9 months post-admission33.30 score on a scaleStandard Deviation 0.49
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire(CSQ)-Gambler18 months post-admission33.67 score on a scaleStandard Deviation 0.54
Usual Individual/Group TreatmentConjugal Support Questionnaire(CSQ)-Gambler18 months post-admission29.66 score on a scaleStandard Deviation 0.67
Usual Individual/Group TreatmentConjugal Support Questionnaire(CSQ)-GamblerAdmission30.68 score on a scaleStandard Deviation 0.51
Usual Individual/Group TreatmentConjugal Support Questionnaire(CSQ)-Gambler9 months post-admission30.64 score on a scaleStandard Deviation 0.59
Usual Individual/Group TreatmentConjugal Support Questionnaire(CSQ)-Gambler3 months post-admission30.77 score on a scaleStandard Deviation 0.56
Secondary

Conjugal Support Questionnaire (CSQ)-Partner

Outcome Measure for Partners This questionnaire measure the quality of the support received and given perceived by the two members of the couple. It consists of a total of 8 questions, with a 5-point Likert scale (1 = never; 5 = always). The total score shows support received and support gave, higher is the result, more it indicates that the member of the couple gave support and receives it (score min = 0 and score max=40).

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row..

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire (CSQ)-PartnerAdmission29.93 score on a scaleStandard Deviation 0.46
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire (CSQ)-Partner3 months post-admission32.05 score on a scaleStandard Deviation 0.47
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire (CSQ)-Partner9 months post-admission30.83 score on a scaleStandard Deviation 0.47
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Conjugal Support Questionnaire (CSQ)-Partner18 months post-admission31.85 score on a scaleStandard Deviation 0.49
Usual Individual/Group TreatmentConjugal Support Questionnaire (CSQ)-Partner3 months post-admission29.46 score on a scaleStandard Deviation 0.53
Usual Individual/Group TreatmentConjugal Support Questionnaire (CSQ)-Partner18 months post-admission30.99 score on a scaleStandard Deviation 0.58
Usual Individual/Group TreatmentConjugal Support Questionnaire (CSQ)-PartnerAdmission29.90 score on a scaleStandard Deviation 0.51
Usual Individual/Group TreatmentConjugal Support Questionnaire (CSQ)-Partner9 months post-admission31.09 score on a scaleStandard Deviation 0.54
Secondary

Coping Skills _Distancing / Withdrawal Sub-scale_Gambler

Outcome measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_GamblerAdmission8.14 score on a scaleStandard Deviation 0.48
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Gambler3 months post-admission4.85 score on a scaleStandard Deviation 0.5
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Gambler9 months post-admission2.78 score on a scaleStandard Deviation 0.53
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Gambler18 months post-admission2.11 score on a scaleStandard Deviation 0.6
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Gambler18 months post-admission2.49 score on a scaleStandard Deviation 0.69
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_GamblerAdmission9.22 score on a scaleStandard Deviation 0.54
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Gambler9 months post-admission4.72 score on a scaleStandard Deviation 0.62
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Gambler3 months post-admission5.3 score on a scaleStandard Deviation 0.59
Secondary

Coping Skills _Distancing / Withdrawal Sub-scale_Partner

Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_PartnerAdmission5.38 score on a scaleStandard Deviation 0.31
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Partner3 months post-admission2.95 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Partner9 months post-admission2.50 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Distancing / Withdrawal Sub-scale_Partner18 months post-admission2.48 score on a scaleStandard Deviation 0.36
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Partner18 months post-admission3.30 score on a scaleStandard Deviation 0.42
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_PartnerAdmission5.69 score on a scaleStandard Deviation 0.34
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Partner9 months post-admission3.39 score on a scaleStandard Deviation 0.36
Usual Individual/Group TreatmentCoping Skills _Distancing / Withdrawal Sub-scale_Partner3 months post-admission3.30 score on a scaleStandard Deviation 0.36
Secondary

Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler

Outcome measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 9 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 27. Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_GamblerAdmission10.08 score on a scaleStandard Deviation 1.08
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler3 months post-admission15.48 score on a scaleStandard Deviation 1.12
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler9 months post-admission10.69 score on a scaleStandard Deviation 1.19
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler18 months post-admission9.25 score on a scaleStandard Deviation 1.34
Usual Individual/Group TreatmentCoping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler18 months post-admission8.52 score on a scaleStandard Deviation 1.55
Usual Individual/Group TreatmentCoping Skills _Positive Reevaluation/Problem Solving Sub-scale_GamblerAdmission9.90 score on a scaleStandard Deviation 1.21
Usual Individual/Group TreatmentCoping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler9 months post-admission10.79 score on a scaleStandard Deviation 1.4
Usual Individual/Group TreatmentCoping Skills _Positive Reevaluation/Problem Solving Sub-scale_Gambler3 months post-admission13.12 score on a scaleStandard Deviation 1.33
Secondary

Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner

Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 9 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 27.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_PartnerAdmission8.54 score on a scaleStandard Deviation 0.61
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner3 months post-admission8.71 score on a scaleStandard Deviation 0.62
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner9 months post-admission6.40 score on a scaleStandard Deviation 0.63
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner18 months post-admission7.10 score on a scaleStandard Deviation 0.7
Usual Individual/Group TreatmentCoping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner18 months post-admission8.11 score on a scaleStandard Deviation 0.8
Usual Individual/Group TreatmentCoping Skills_Positive Reevaluation/Problem Solving Sub-scale_PartnerAdmission8.50 score on a scaleStandard Deviation 0.67
Usual Individual/Group TreatmentCoping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner9 months post-admission5.63 score on a scaleStandard Deviation 0.71
Usual Individual/Group TreatmentCoping Skills_Positive Reevaluation/Problem Solving Sub-scale_Partner3 months post-admission6.02 score on a scaleStandard Deviation 0.7
Secondary

Coping Skills _Social Support Sub-scale_Gambler

Outcome Measure for Gamblers This questionnaire is used to identify the coping strategies used to cope with gambling's habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18. Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_GamblerAdmission5.24 score on a scaleStandard Deviation 0.62
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Gambler3 months post-admission9.33 score on a scaleStandard Deviation 0.64
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Gambler9 months post-admission5.36 score on a scaleStandard Deviation 0.68
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Gambler18 months post-admission4.12 score on a scaleStandard Deviation 0.77
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Gambler18 months post-admission3.00 score on a scaleStandard Deviation 0.89
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_GamblerAdmission5.60 score on a scaleStandard Deviation 0.69
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Gambler9 months post-admission4.76 score on a scaleStandard Deviation 0.8
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Gambler3 months post-admission6.92 score on a scaleStandard Deviation 0.76
Secondary

Coping Skills _Social Support Sub-scale_Partner

Outcome Measure for Partners This questionnaire is used to identify coping strategies to cope with stressful situations caused by their spouse's gambling habits in the last three months. The subscale is made up of 6 items marked from 0 to 3 (0 = not used; 3 = used a lot). To compute a total score, all item' score are summed. The total score ranges from 0 to 18.Higher the score is, more it indicates the respondent's tendency to adopt the behaviors described by the subscale when he is in a stressful situation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_PartnerAdmission8.54 score on a scaleStandard Deviation 0.61
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Partner3 months post-admission8.71 score on a scaleStandard Deviation 0.62
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Partner9 months post-admission6.40 score on a scaleStandard Deviation 0.63
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Coping Skills _Social Support Sub-scale_Partner18 months post-admission7.10 score on a scaleStandard Deviation 0.7
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Partner18 months post-admission8.11 score on a scaleStandard Deviation 0.8
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_PartnerAdmission8.50 score on a scaleStandard Deviation 0.67
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Partner9 months post-admission5.63 score on a scaleStandard Deviation 0.71
Usual Individual/Group TreatmentCoping Skills _Social Support Sub-scale_Partner3 months post-admission6.02 score on a scaleStandard Deviation 0.7
Secondary

Dyadic Adjustment Scale (DAS-4)-Gambler

Outcome Measure for Gamblers The Dyadic Adjustment Scale is an ultra-brief measure degree of marital satisfaction within the couple. The short version is made up of only 4 items (considered divorce, estimation of the quality of the relation, confide to mate, degree of happiness): three of which are on a 6-point Likert scale ranging from 0 (all the time) to 5 (never) , while the final item is on a 7-point scale ranging from 0 (extremely happy) to 6 (perfect). Theoretically possible maximum score of 21, and minimum 0. Scores lower than 11 indicating relationship distress, scores between 12 and 14 corresponding to medium satisfaction and scores upper 15 indicating good marital satisfaction.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-GamblerAdmission11.96 score on a scaleStandard Deviation 0.48
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Gambler3 months post-admission15.09 score on a scaleStandard Deviation 0.49
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Gambler9 months post-admission16.08 score on a scaleStandard Deviation 0.51
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Gambler18 months post-admission15.43 score on a scaleStandard Deviation 0.55
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Gambler18 months post-admission12.30 score on a scaleStandard Deviation 0.7
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-GamblerAdmission11.20 score on a scaleStandard Deviation 0.53
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Gambler9 months post-admission14.49 score on a scaleStandard Deviation 0.61
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Gambler3 months post-admission14.29 score on a scaleStandard Deviation 0.58
Secondary

Dyadic Adjustment Scale (DAS-4)-Partner

Outcome Measure for Partners The Dyadic Adjustment Scale is an ultra-brief measure degree of marital satisfaction within the couple. The short version is made up of only 4 items (considered divorce, estimation of the quality of the relation, confide to mate, degree of happiness): three of which are on a 6-point Likert scale ranging from 0 (all the time) to 5 (never) , while the final item is on a 7-point scale ranging from 0 (extremely happy) to 6 (perfect). Theoretically possible maximum score of 21, and minimum 0. Scores lower than 11 indicating relationship distress, scores between 12 and 14 corresponding to medium satisfaction and scores upper 15 indicating good marital satisfaction.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-PartnerAdmission11.67 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Partner3 months post-admission15.42 score on a scaleStandard Deviation 0.32
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Partner18 months post-admission15.05 score on a scaleStandard Deviation 0.35
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Dyadic Adjustment Scale (DAS-4)-Partner9 months post-admission15.35 score on a scaleStandard Deviation 0.34
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Partner18 months post-admission12.38 score on a scaleStandard Deviation 0.41
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-PartnerAdmission11.29 score on a scaleStandard Deviation 0.35
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Partner3 months post-admission13.28 score on a scaleStandard Deviation 0.37
Usual Individual/Group TreatmentDyadic Adjustment Scale (DAS-4)-Partner9 months post-admission14.76 score on a scaleStandard Deviation 0.38
Secondary

Frequency of Cannabis Use Per week_Gambler

Outcome measure for Gamblers Frequency of cannabis use per week in the last three months with a 5-point Likert-type scale (never = 0, 3 times a week or more = 4). Higher the score is, more it indicates a high frequency of cannabis use.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_GamblerAdmission.46 score on a scaleStandard Deviation 0.07
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Gambler3 months post-admission.31 score on a scaleStandard Deviation 0.07
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Gambler9 months post-admission.33 score on a scaleStandard Deviation 0.07
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Gambler18 months post-admission.36 score on a scaleStandard Deviation 0.08
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Gambler18 months post-admission.54 score on a scaleStandard Deviation 0.09
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_GamblerAdmission.41 score on a scaleStandard Deviation 0.08
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Gambler9 months post-admission.41 score on a scaleStandard Deviation 0.09
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Gambler3 months post-admission.41 score on a scaleStandard Deviation 0.08
Secondary

Frequency of Cannabis Use Per week_Partner

Outcome measure for Partners Frequency of cannabis use per week in the last three months with a 5-point Likert-type scale (never = 0, 3 times a week or more = 4). Higher the score is, more it indicates a high frequency of cannabis use.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_PartnerAdmission0.24 score on a scaleStandard Deviation 0.05
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Partner3 months post-admission0.29 score on a scaleStandard Deviation 0.05
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Partner9 months post-admission0.21 score on a scaleStandard Deviation 0.06
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Frequency of Cannabis Use Per week_Partner18 months post-admission0.21 score on a scaleStandard Deviation 0.06
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Partner18 months post-admission0.35 score on a scaleStandard Deviation 0.07
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_PartnerAdmission0.22 score on a scaleStandard Deviation 0.06
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Partner9 months post-admission0.29 score on a scaleStandard Deviation 0.06
Usual Individual/Group TreatmentFrequency of Cannabis Use Per week_Partner3 months post-admission0.32 score on a scaleStandard Deviation 0.06
Secondary

Interpersonal Communication Skills Inventory-self _Gambler

Outcome Measure for Gamblers This lists of skills consist of 17 items that expressed in statements representing observable verbal behaviors.Participants were asked to report frequency estimates of their own use of such verbal behaviors using a 4 point likert scale (0 = almost never, 4 = almost always). To compute a total score, all item' score are summed. The total score ranges from 0 to 68.The higher the score is, more it indicates the presence of good communication skills.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _GamblerAdmission34.34 score on a scaleStandard Deviation 0.9
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Gambler3 months post-admission38.57 score on a scaleStandard Deviation 0.94
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Gambler9 months post-admission37.41 score on a scaleStandard Deviation 0.97
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Gambler18 months post-admission39.68 score on a scaleStandard Deviation 1.06
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Gambler18 months post-admission35.86 score on a scaleStandard Deviation 1.32
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _GamblerAdmission33.48 score on a scaleStandard Deviation 1
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Gambler9 months post-admission35.66 score on a scaleStandard Deviation 1.17
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Gambler3 months post-admission34.48 score on a scaleStandard Deviation 1.09
Secondary

Interpersonal Communication Skills Inventory-self _Partner

Outcome Measure for Partners This lists of skills consist of 17 items that expressed in statements representing observable verbal behaviors.Participants were asked to report frequency estimates of their own use of such verbal behaviors using a 4 point likert scale (0 = almost never, 4 = almost always). To compute a total score, all item' score are summed. The total score ranges from 0 to 68. The higher the score is, more it indicates the presence of good communication skills.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _PartnerAdmission37.39 score on a scaleStandard Deviation 0.53
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Partner3 months post-admission38.69 score on a scaleStandard Deviation 0.54
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Partner9 months post-admission39.73 score on a scaleStandard Deviation 0.54
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Interpersonal Communication Skills Inventory-self _Partner18 months post-admission39.82 score on a scaleStandard Deviation 0.57
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Partner18 months post-admission39.24 score on a scaleStandard Deviation 0.67
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _PartnerAdmission36.99 score on a scaleStandard Deviation 0.58
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Partner9 months post-admission38.42 score on a scaleStandard Deviation 0.62
Usual Individual/Group TreatmentInterpersonal Communication Skills Inventory-self _Partner3 months post-admission38.45 score on a scaleStandard Deviation 0.61
Secondary

Marital Problem Solving Scale (MPSS)-Gambler

Outcome Measure for Gamblers This instrument has 9 items, using a 7-point Likert-type scale. It is used in order to better understand the negotiation and conflict resolution skills that the couple members have used within their marital relationship in the last three months. The score varies between 9 and 63. A high score indicates a greater degree of perceived problem-solving skill within the marital relationship.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-GamblerAdmission45.95 score on a scaleStandard Deviation 0.95
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Gambler3 months post-admission48.53 score on a scaleStandard Deviation 0.98
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Gambler9 months post-admission48.3 score on a scaleStandard Deviation 1.02
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Gambler18 months post-admission48.29 score on a scaleStandard Deviation 1.12
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Gambler18 months post-admission44.7 score on a scaleStandard Deviation 1.4
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-GamblerAdmission44.67 score on a scaleStandard Deviation 1.05
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Gambler9 months post-admission44.75 score on a scaleStandard Deviation 1.23
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Gambler3 months post-admission46.63 score on a scaleStandard Deviation 1.15
Secondary

Marital Problem Solving Scale (MPSS)-Partner

Outcome Measure for Partners This instrument has 9 items, using a 7-point Likert-type scale. It is used in order to better understand the negotiation and conflict resolution skills that the couple members have used within their marital relationship in the last three months.The score varies between 9 and 63. A high score indicates a greater degree of perceived problem-solving skill within the marital relationship.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-PartnerAdmission44.14 score on a scaleStandard Deviation 0.67
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Partner3 months post-admission48.58 score on a scaleStandard Deviation 0.68
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Partner9 months post-admission47.9 score on a scaleStandard Deviation 0.69
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Problem Solving Scale (MPSS)-Partner18 months post-admission48.75 score on a scaleStandard Deviation 0.73
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Partner18 months post-admission48.54 score on a scaleStandard Deviation 0.88
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-PartnerAdmission43.53 score on a scaleStandard Deviation 0.74
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Partner9 months post-admission48.62 score on a scaleStandard Deviation 0.8
Usual Individual/Group TreatmentMarital Problem Solving Scale (MPSS)-Partner3 months post-admission47.02 score on a scaleStandard Deviation 0.77
Secondary

Marital Status Inventory (MSI)-Gambler

Outcome Measure for Gamblers The MSI is used to measure marital stability in a couple. It comprises a series of 14 items (with inverted items) in a true or false format thus aiming to assess the risk of separation in this couple (e.g., I very often have ideas of divorce, until once a week or more). Marital distress is measured in terms of concrete actions taken by members of the couple in order to end their union. The total score is between 0 and 14. The higher the scores, the higher the risk of separation and marital distress. A threshold of 8 is considered to be a severe indicator of separation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Gambler9 months post-admission1.90 score on a scaleStandard Deviation 0.27
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-GamblerAdmission2.02 score on a scaleStandard Deviation 0.25
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Gambler18 months post-admission1.27 score on a scaleStandard Deviation 0.3
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Gambler3 months post-admission1.48 score on a scaleStandard Deviation 0.26
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Gambler18 months post-admission3.63 score on a scaleStandard Deviation 0.38
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Gambler3 months post-admission1.91 score on a scaleStandard Deviation 0.3
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Gambler9 months post-admission1.65 score on a scaleStandard Deviation 0.32
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-GamblerAdmission2.18 score on a scaleStandard Deviation 0.28
Secondary

Marital Status Inventory (MSI)-Partner

Outcome Measure for Partners The MSI is used to measure marital stability in a couple. It comprises a series of 14 items (with inverted items) in a true or false format thus aiming to assess the risk of separation in this couple (e.g., I very often have ideas of divorce, until once a week or more). Marital distress is measured in terms of concrete actions taken by members of the couple in order to end their union. The total score is between 0 and 14. The higher the scores, the higher the risk of separation and marital distress. A threshold of 8 is considered to be a severe indicator of separation.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Partner9 months post-admission2.26 score on a scaleStandard Deviation 0.24
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Partner3 months post-admission2.19 score on a scaleStandard Deviation 0.24
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-Partner18 months post-admission2.17 score on a scaleStandard Deviation 0.25
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Marital Status Inventory (MSI)-PartnerAdmission4.14 score on a scaleStandard Deviation 0.23
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Partner18 months post-admission3.33 score on a scaleStandard Deviation 0.31
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Partner3 months post-admission3.59 score on a scaleStandard Deviation 0.27
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-Partner9 months post-admission2.15 score on a scaleStandard Deviation 0.28
Usual Individual/Group TreatmentMarital Status Inventory (MSI)-PartnerAdmission4.10 score on a scaleStandard Deviation 0.26
Secondary

Psychological Distress Index (IDPESQ-14)-Gambler

Outcome Measure for Gamblers This instrument is used to measure psychological distress, including symptoms of depression and anxiety. We used the version of the questionnaire with 14 items. A Likert-type scale ranging from never = 1 to very often = 3 is used and the respondent must respond according to their condition during the last seven days. To compute a total score, all item' score are summed. The total score ranges from 0 to 42. A score of 26 and above indicates a high level of psychological distress.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-GamblerAdmission18.83 score on a scaleStandard Deviation 1.43
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Gambler3 months post-admission14.45 score on a scaleStandard Deviation 1.48
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Gambler9 months post-admission10.19 score on a scaleStandard Deviation 1.53
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Gambler18 months post-admission12.24 score on a scaleStandard Deviation 1.59
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Gambler18 months post-admission13.43 score on a scaleStandard Deviation 2.04
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-GamblerAdmission20.58 score on a scaleStandard Deviation 1.58
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Gambler9 months post-admission15.26 score on a scaleStandard Deviation 1.84
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Gambler3 months post-admission14.04 score on a scaleStandard Deviation 1.73
Secondary

Psychological Distress Index (IDPESQ-14)-Partner

Outcome Measure for Partners This instrument is used to measure psychological distress, including symptoms of depression and anxiety. We used the version of the questionnaire with 14 items. A Likert-type scale ranging from never = 1 to very often = 3 is used and the respondent must respond according to their condition during the last seven days. To compute a total score, all item' score are summed. The total score ranges from 0 to 42. A score of 26 and above indicates a high level of psychological distress.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Partner3 months post-admission12.76 score on a scaleStandard Deviation 0.99
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-PartnerAdmission23.75 score on a scaleStandard Deviation 0.97
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Partner18 months post-admission13.45 score on a scaleStandard Deviation 1.04
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Psychological Distress Index (IDPESQ-14)-Partner9 months post-admission11.94 score on a scaleStandard Deviation 1.01
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Partner18 months post-admission16.96 score on a scaleStandard Deviation 1.25
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-PartnerAdmission22.38 score on a scaleStandard Deviation 1.08
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Partner9 months post-admission17.03 score on a scaleStandard Deviation 1.16
Usual Individual/Group TreatmentPsychological Distress Index (IDPESQ-14)-Partner3 months post-admission16.4 score on a scaleStandard Deviation 1.13
Secondary

Standard Units of Alcoholic Drinks Per Week _Gambler

Outcome measure for Gamblers Number of alcohol standard units (Canada, 1 unit = 13,6g of alcohol) per week during the last three months.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Gambler9 months post-admission3.70 standard units of alcoholic drinksStandard Deviation 1.18
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Gambler3 months post-admission7.35 standard units of alcoholic drinksStandard Deviation 1.14
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Gambler18 months post-admission3.99 standard units of alcoholic drinksStandard Deviation 1.25
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _GamblerAdmission5.46 standard units of alcoholic drinksStandard Deviation 1.1
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Gambler18 months post-admission7.47 standard units of alcoholic drinksStandard Deviation 1.59
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Gambler3 months post-admission4.15 standard units of alcoholic drinksStandard Deviation 1.33
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Gambler9 months post-admission4.28 standard units of alcoholic drinksStandard Deviation 1.43
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _GamblerAdmission4.96 standard units of alcoholic drinksStandard Deviation 1.22
Secondary

Standard Units of Alcoholic Drinks Per Week _Partner

Outcome measure for Partners Number of alcohol standard units (Canada, 1 unit = 13,6g of alcohol) per week during the last three months.

Time frame: Admission, 3, 9 and 18 month post-admission (The first admission was March 2011 and the last admission will be June 2016)

Population: Analysis Population is based on all participants (n= 80 couples) enrolled in the study. Over the 18 months of follow-up, a slight attrition of participants can be observed, explaining the difference between the overall number of participants analyzed and the number of participants analyzed per row.

ArmMeasureGroupValue (MEAN)Dispersion
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _PartnerAdmission4.04 standard units of alcoholic drinksStandard Deviation 0.4
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Partner3 months post-admission3.98 standard units of alcoholic drinksStandard Deviation 0.4
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Partner9 months post-admission4.08 standard units of alcoholic drinksStandard Deviation 0.41
Integrative Couple Treatment for Pathological Gambling (ICT-PG)Standard Units of Alcoholic Drinks Per Week _Partner18 months post-admission3.40 standard units of alcoholic drinksStandard Deviation 0.42
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Partner18 months post-admission3.47 standard units of alcoholic drinksStandard Deviation 0.49
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _PartnerAdmission3.89 standard units of alcoholic drinksStandard Deviation 0.44
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Partner9 months post-admission3.69 standard units of alcoholic drinksStandard Deviation 0.46
Usual Individual/Group TreatmentStandard Units of Alcoholic Drinks Per Week _Partner3 months post-admission3.87 standard units of alcoholic drinksStandard Deviation 0.45

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026