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Published in: Journal of Gambling Studies 2/2009

01-06-2009 | Original Paper

Pathological Gambling: Influence of Quality of Life and Psychological Distress on Abstinence After Cognitive-Behavioral Inpatient Treatment

Authors: Wiebke Sander, Anne Peters

Published in: Journal of Gambling Studies | Issue 2/2009

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Abstract

The aim of this study is to understand the influence of psychological distress and quality of life on the maintenance of therapy success during a 1 year follow-up in pathological gamblers after inpatient cognitive-behavioral treatment. In a sample of 281 pathological gamblers (247 men, 34 women) the following measures were taken: psychological distress (beginning and end of treatment, and follow up), quality of life and abstinence from gambling. The results showed that relapsed pathological gamblers suffer of higher psychological distress at discharge and of lower quality of life during follow-up than abstinent gamblers. In a mediator analysis the causal relations between the three variables could be clarified: psychological distress has an impact on abstinence during follow-up, and quality of life can be considered a mediator variable for the relation between psychological distress and abstinence from pathological gambling.
Literature
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychology research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychology research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef
go back to reference Beck, A. T., Ward, C. H., Mendelssohn, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.PubMed Beck, A. T., Ward, C. H., Mendelssohn, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.PubMed
go back to reference Derogatis, L. R. (1977). SCL-90-R, administration, scoring and procedures manual. Baltimore: Clinical Psychometric Research. Derogatis, L. R. (1977). SCL-90-R, administration, scoring and procedures manual. Baltimore: Clinical Psychometric Research.
go back to reference Echeburua, E., Baez, C., & Fernandez-Montalvo, J. (1996). Comparative effectiveness of three therapeutic modalities in the psychological treatment of pathological gambling: Long term outcome. Behavioral and Cognitive Psychotherapy, 24, 51–72.CrossRef Echeburua, E., Baez, C., & Fernandez-Montalvo, J. (1996). Comparative effectiveness of three therapeutic modalities in the psychological treatment of pathological gambling: Long term outcome. Behavioral and Cognitive Psychotherapy, 24, 51–72.CrossRef
go back to reference Echeburua, E., Fernandez-Montalvo, J., & Baez, C. (2000). Relapse prevention in the treatment of slot-machine pathological gamblers: Long-term outcome. Behavioural Therapy, 31, 351–364.CrossRef Echeburua, E., Fernandez-Montalvo, J., & Baez, C. (2000). Relapse prevention in the treatment of slot-machine pathological gamblers: Long-term outcome. Behavioural Therapy, 31, 351–364.CrossRef
go back to reference Franke, G. (2002). SCL-90-R die Symptomcheckliste von Derogatis—Deutsche Version. Weinheim: Beltz. Franke, G. (2002). SCL-90-R die Symptomcheckliste von Derogatis—Deutsche Version. Weinheim: Beltz.
go back to reference Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134.CrossRef Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134.CrossRef
go back to reference Frisch, M. B., Cornell, J., & Villaneuva, M. (1993). Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4, 92–101.CrossRef Frisch, M. B., Cornell, J., & Villaneuva, M. (1993). Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4, 92–101.CrossRef
go back to reference George, S., & Murali, V. (2005). Pathological gambling: An overview of assessment and treatment. Advances in Psychiatric Treatment, 11, 450–456.CrossRef George, S., & Murali, V. (2005). Pathological gambling: An overview of assessment and treatment. Advances in Psychiatric Treatment, 11, 450–456.CrossRef
go back to reference Grant, J. E., & Kim, S. W. (2005). Quality of life in kleptomania and pathological gambling. Comprehensive Psychiatry, 46, 34–37.PubMedCrossRef Grant, J. E., & Kim, S. W. (2005). Quality of life in kleptomania and pathological gambling. Comprehensive Psychiatry, 46, 34–37.PubMedCrossRef
go back to reference Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21(3), 255–271.PubMedCrossRef Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21(3), 255–271.PubMedCrossRef
go back to reference Ibanez, A., Blanco, C., Donahue, E., Lesieur, H., de Castro, I., Fernandez-Piqueras, J., et al. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.PubMedCrossRef Ibanez, A., Blanco, C., Donahue, E., Lesieur, H., de Castro, I., Fernandez-Piqueras, J., et al. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.PubMedCrossRef
go back to reference Petry, N. M., & Armentano, C. (1999). Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatric Services, 50(8), 1021–1027.PubMed Petry, N. M., & Armentano, C. (1999). Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatric Services, 50(8), 1021–1027.PubMed
go back to reference Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564–574.PubMedCrossRef Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564–574.PubMedCrossRef
go back to reference Premper, V. (2006). Komorbide psychische Störungen bei Pathologischen Glücksspielern. Lengerich: Pabst Science Publishers. Premper, V. (2006). Komorbide psychische Störungen bei Pathologischen Glücksspielern. Lengerich: Pabst Science Publishers.
go back to reference Queri, S., Erbas, B., & Soyka, M. (2007). Behandlungsprävalenz pathologischen Spielens—Treatment prevalence in pathological gambling. Fortschritte der Neurologie und Psychiatrie, 75, 458–462.CrossRef Queri, S., Erbas, B., & Soyka, M. (2007). Behandlungsprävalenz pathologischen Spielens—Treatment prevalence in pathological gambling. Fortschritte der Neurologie und Psychiatrie, 75, 458–462.CrossRef
go back to reference Rief, W., Greitemeyer, M., & Fichter, M. M. (1991). Die Symptom-Check-List SCL-90-R. Überprüfung an 900 psychosomatischen Patienten. Diagnostica, 37, 58–65. Rief, W., Greitemeyer, M., & Fichter, M. M. (1991). Die Symptom-Check-List SCL-90-R. Überprüfung an 900 psychosomatischen Patienten. Diagnostica, 37, 58–65.
go back to reference Sander, W., & Jux, M. (2006). Psychological distress in alcohol-dependent patients. European Addiction Research, 12, 61–66.PubMedCrossRef Sander, W., & Jux, M. (2006). Psychological distress in alcohol-dependent patients. European Addiction Research, 12, 61–66.PubMedCrossRef
go back to reference Scherrer, J. F., Xian, H., Shah, K. R., Volberg, R., Slutske, W., & Eisen, S. E. (2005). Effects of genes, environment, and lifetime co-occuring disorders on health-related quality of life in problem and pathological gamblers. Archives of General Psychiatry, 62, 677–683.PubMedCrossRef Scherrer, J. F., Xian, H., Shah, K. R., Volberg, R., Slutske, W., & Eisen, S. E. (2005). Effects of genes, environment, and lifetime co-occuring disorders on health-related quality of life in problem and pathological gamblers. Archives of General Psychiatry, 62, 677–683.PubMedCrossRef
go back to reference Slutske, W. S. (2006). A natural recovery and treatment-seeking in pathological gambling: Results of two US national surveys. American Journal of Psychiatry, 163, 297–320.PubMedCrossRef Slutske, W. S. (2006). A natural recovery and treatment-seeking in pathological gambling: Results of two US national surveys. American Journal of Psychiatry, 163, 297–320.PubMedCrossRef
go back to reference Spielberger, C. D., Gorsuch, R. L., & Lushene, R. D. (1970). STAI manual. Palo Alto, CA: Consulting Psychologists Press. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. D. (1970). STAI manual. Palo Alto, CA: Consulting Psychologists Press.
go back to reference Stinchfield, R., & Winters, K. C. (2001). Outcome of Minnesota’s gambling treatment programs. Journal of Gambling Studies, 17(3), 217–244.PubMedCrossRef Stinchfield, R., & Winters, K. C. (2001). Outcome of Minnesota’s gambling treatment programs. Journal of Gambling Studies, 17(3), 217–244.PubMedCrossRef
go back to reference Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65(5), 727–732.PubMedCrossRef Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65(5), 727–732.PubMedCrossRef
go back to reference Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 Health Survey. Lincoln, RI: QualityMetric Inc. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 Health Survey. Lincoln, RI: QualityMetric Inc.
go back to reference WHOQOL Group. (1993). Measuring quality of life: The development of the World Health Organization Quality of Life Instrument (WHOQOL). Geneva, IT: World Health Organization. WHOQOL Group. (1993). Measuring quality of life: The development of the World Health Organization Quality of Life Instrument (WHOQOL). Geneva, IT: World Health Organization.
go back to reference Zack, M., Toneatto, T., & Streiner, D. L. (1998). The SCL-90 factor structure in comorbid substance abusers. Journal of Substance Abuse, 10, 85–101.PubMedCrossRef Zack, M., Toneatto, T., & Streiner, D. L. (1998). The SCL-90 factor structure in comorbid substance abusers. Journal of Substance Abuse, 10, 85–101.PubMedCrossRef
go back to reference Zimmermann, M., Chelminski, I., & Young, D. (2006). Prevalence and diagnostic correlates of DSM-IV pathological gambling in psychiatric outpatients. Journal of Gambling Studies, 22, 255–262.CrossRef Zimmermann, M., Chelminski, I., & Young, D. (2006). Prevalence and diagnostic correlates of DSM-IV pathological gambling in psychiatric outpatients. Journal of Gambling Studies, 22, 255–262.CrossRef
Metadata
Title
Pathological Gambling: Influence of Quality of Life and Psychological Distress on Abstinence After Cognitive-Behavioral Inpatient Treatment
Authors
Wiebke Sander
Anne Peters
Publication date
01-06-2009
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 2/2009
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-009-9128-x

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