Pathological gambling: influence of quality of life and psychological distress on abstinence after cognitive-behavioral inpatient treatment.
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.
AHG Klinik Schweriner See, Lübstorf, Germany. wsander@ahg.de
Wiebke
W
Sander
Anne
A
Peters
D000328:Adult; D016739:Behavior, Addictive / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005715:Gambling / Q000523:psychology*; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology*; D011788:Quality of Life; D055502:Secondary Prevention; D012648:Self Care / Q000379:methods; D012931:Social Environment; D012944:Social Support; D016896:Treatment Outcome