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Virtual Reality Exposure Therapy for Gambling Disorder

RecruitingNAAges 18 Years - anyAllUniversity Hospital, Lille
NCT04467502 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Gambling disorder (GD) is recognized as an addictive disorder in the DSM-5. Craving is a core phenomenon in addiction that can lead to relapse in problem gambling for pathological gamblers. Exposure Therapy (ET) focuses on craving in addiction treatment. ET in Cognitive-Behavioral Therapy (CBT) is based on classical conditioning that addresses the association between contextual cues and the craving response. ET helps the patient to reduce craving when faced with cues triggering craving. ET includes in vivo exposure and imaginal exposure. The literature recommends being as close as possible to the context of addiction to facilitate the extinction of craving but in vivo ET is complicated to perform. For GD, in outpatient consultation, bringing a patient to a casino presents obstacles (e.g., time, human and financial cost, agreement with casino for therapy). The study will be to assess the

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📋 Eligibility rules (as published)
Inclusion Criteria: * Seek treatment for GD within one of health care facilities participating in the research (first request for treatment and not patients already receiving treatment for gambling disorder in the care center). * Meet a current diagnosis of gambling disorder according to DSM-5 criteria and with a South Oaks Gambling Screen (SOGS) score ≥ 5 * Meet a casino gambling behavior with a casino gambling frequency ≥ 1 time every two months during the last 12 months * Have a sufficient understanding of French for therapy * Beneficiary of the French social security system * Give an informed consent to participate * Willing to comply with all study procedures and duration Exclusion Criteria: * Visual disturbance making impossible the use of virtual reality equipment (e.g. advanced retinal degeneration, central scotoma, age-related macular degeneration) * Pregnant woman * Minor or adult under guardianship, conservatorship, under judicial protection, persons deprived of their liberty * Balance disorder (e.g. cerebellar disorder, inner ear disorder) * Photosensitive epilepsy * Refusal to participate
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What it tests

  • cognitive-behavioral therapy for gambling disorder
  • imaginal exposure therapy focus on gambling cues
  • virtual reality exposure therapy focus on gambling cues
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Where

10 sites
CHU Amiens-Picardie
Amiens, France
CH Boulogne sur mer CSAPA
Boulogne-sur-Mer, France
CHU de Caen
Caen, France
Hôpital Fontan, CHU lille
Lille, France
Assoriation Cédragir Lomme CSAPA
Lomme, France
CH de l'arrondissement de Montreuil / CSAPA
Montreuil-sur-Mer, France
CHU Rouen
Rouen, France
CH de Saint Amand les Eaux
Saint-Amand-les-Eaux, France

…and 2 more on ClinicalTrials.gov.

🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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