Cognitive-Behavioral Therapy for Pathological Gambling

病理性赌博的认知行为疗法

基本信息

批准号：
7446803
负责人：
JON E GRANT
金额：
$ 18.35万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-07-09 至 2009-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by candidate): Pathological gambling is a relatively common disorder characterized by persistent and recurrent maladaptive patterns of gambling behavior. Pathological gambling is associated with significant personal distress and high rates of both functional impairment and criminal behavior. Despite its public health significance, it has received little empirical investigation. In this application for a Mentored Patient-Oriented Research Career Development Award (K-23), I have proposed an organized program of training and supervised research focusing on pathological gambling. While have a background in the phenomenology and psychopharmaoclogical treatment of this disorder, I require additional training in the following areas: 1) evidence-based psychotherapy, specifically cognitive-behavioral therapy and motivational interviewing; 2) intervention study design and methodology; and 3) biostatistics and the responsible conduct of research. This training will be integrated with a research project in which I propose to adapt cognitive-behavioral therapy and motivational interviewing to the treatment of pathological gambling and pilot test this psychosocial intervention in a controlled study involving sixty-eight subjects randomized to this intervention or referral to Gamblers Anonymous. Findings from this project will lead to an R-01 application during year 4 of the K-23 Award comparing cognitive-behavioral therapy with motivational interviewing to pharmacotherapy in pathological gambling. This award would provide me with the necessary background for further studies in the treatment of pathological gambling and the training for an independent patient-oriented research career.

描述（由候选人提供）：病理赌博是一种相对常见的疾病，其特征是赌博行为的持久和反复适应性模式。病理赌博与功能障碍和犯罪行为的巨大个人困扰和高率有关。尽管其公共健康意义，但几乎没有得到实证研究。在这项申请指导的注重患者研究职业发展奖（K-23）中，我提出了一个有组织的培训和监督研究计划，专注于病理赌博。尽管对这种疾病的现象学和心理药物治疗具有背景，但我需要在以下领域进行其他培训：1）基于证据的心理治疗，特别是认知行为疗法和动机访谈； 2）干预研究设计和方法论； 3）生物统计学和负责任的研究。该培训将与一个研究项目集成，我建议在该项目中将认知行为疗法和动机访谈调整为病理赌博和试验测试的治疗，该心理社会干预措施在一项涉及六十八名主题的对照研究中，涉及该干预或转介给Gamblers匿名。该项目的发现将导致在K-23奖项的第4年进行R-01应用，将认知行为疗法与动机访谈与病理赌博的药物治疗进行了比较。该奖项将为我提供进一步研究病理赌博和独立面向患者研究职业的培训的必要背景。