Pathological gambling: Influence of quality of life and psychological distress on abstinence after cognitive-behavioral inpatient treatment
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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Each of these studies found promising results consistent with the substance abuse literature, with post-treatment gambling frequency, post-treatment social support and post-treatment psychological distress and quality of life significantly associated with treatment outcomes at follow-up evaluations.
“Each of these studies found promising results consistent with the substance abuse literature, with post-treatment gambling frequency (Dowling, 2009), post-treatment social support (Petry & Weiss, 2009) and post-treatment psychological distress and quality of life (Sander & Peters, 2009) significantly associated with treatment outcomes at follow-up evaluations.”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Sander & Peters, 2009
There are several studies that examine the influence of post-treatment client characteristics on follow-up treatment outcomes.
“there are several studies that examine the influence of post-treatment client characteristics on follow-up treatment outcomes (Dowling, 2009;Petry & Weiss, 2009;Sander & Peters, 2009).”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Sander & Peters, 2009
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Testing moderator and mediator effects in counseling psychology research.
Frazier, P. A., Tix, A. P., & Barron, K. E. (2004) · Journal of Counseling Psychology · doi:10.1037/0022-0167.51.1.115 · Cited by 4,037 · see citing works
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0504 · Cited by 1,245 · cited 4× · see citing works
“The comorbidity is high, especially with substance use disorders, mood disorders (Hodgins et al. 2005; Petry et al. 2005) and personality disorders (Petry et al.”
BackgroundInfluentialFrisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.1.92 · Cited by 1,075 · see citing works
Ware, J., Kosinski, M., Dewey, J., Gandek, B., Kisinski, M., Ware, J. E., & Dewey, J. M. (2001) · Cited by 824 · see citing works
Slutske, W. S. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.2.297 · Cited by 541 · see citing works
Cognitive and behavioral treatment of pathological gambling: A controlled study.
Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.5.727 · Cited by 452 · see citing works
Cognitive and behavioral treatment of pathological gambling: A controlled study.
Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.5.727 · Cited by 361 · see citing works
Psychiatric Comorbidity in Pathological Gamblers Seeking Treatment
Ibáñez, Á., Blanco, C., Donahue, E., Lesieur, H. R., de Castro, I. P., Fernández‐Piqueras, J., & Sáiz-Ruiz, J. (2001) · American Journal of Psychiatry · doi:10.1176/ajp.158.10.1733 · Cited by 250 · see citing works
Prevalence, Assessment, and Treatment of Pathological Gambling: A Review
Petry, N. M., & Armentano, C. (1999) · Psychiatric Services · doi:10.1176/ps.50.8.1021 · Cited by 241 · see citing works
Echeburúa, E., Báez, C., & Fernández‐Montalvo, J. (1996) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465800016830 · Cited by 203 · see citing works
Hodgins, D. C., Peden, N., & Cassidy, E. (2005) · Journal of Gambling Studies · doi:10.1007/s10899-005-3099-3 · Cited by 129 · see citing works
Quality of life in kleptomania and pathological gambling
Grant, J. E., & Kim, S. W. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.07.022 · Cited by 120 · see citing works
Relapse prevention in the treatment of slot-machine pathological gambling: Long-term outcome
Echeburúa, E., Fernández‐Montalvo, J., & Báez, C. (2000) · Behavior Therapy · doi:10.1016/s0005-7894(00)80019-2 · Cited by 99 · see citing works
Outcome of Minnesota's Gambling Treatment Programs
Stinchfield, R., & Winters, K. C. (2001) · Journal of Gambling Studies · doi:10.1023/a:1012268322509 · Cited by 89 · see citing works
Scherrer, J. F., Xian, H., Shah, K. R., Volberg, R. A., Slutske, W. S., & Eisen, S. A. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.677 · Cited by 85 · see citing works
The SCL-90 factor structure in comorbid substance abusers
Zack, M. H., Toneatto, T., & Streiner, D. L. (1998) · Journal of Substance Abuse · doi:10.1016/s0899-3289(99)80143-6 · Cited by 63 · see citing works
Prevalence and Diagnostic Correlates of DSM-IV Pathological Gambling in Psychiatric Outpatients
Zimmerman, M. A., Chelminski, I., & Young, D. (2006) · Journal of Gambling Studies · doi:10.1007/s10899-006-9014-8 · Cited by 49 · see citing works
Pathological gambling: an overview of assessment and treatment
George, S., & Murali, V. (2005) · Advances in Psychiatric Treatment · doi:10.1192/apt.11.6.450 · Cited by 38 · see citing works
Psychological Distress in Alcohol-Dependent Patients
Sander, W., & Jux, M. (2006) · European Addiction Research · doi:10.1159/000090424 · Cited by 29 · see citing works
Self-citationBehandlungsprävalenz pathologischen Spielens
Queri, S., Erbas, B., & Soyka, M. (2007) · Fortschritte der Neurologie · Psychiatrie · doi:10.1055/s-2007-959154 · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Potenza, M. N., Balodis, I. M., Derevensky, J., Grant, J. E., Petry, N. M., Verdejo-Garcia, A., & Yip, S. W. (2019) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0099-7 · Cited by 437 · see citing works
Dowling, N. A., Cowlishaw, S., Jackson, A. C., Merkouris, S., Francis, K. L., & Christensen, D. R. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415575774 · Cited by 364 · see citing works
Dowling, N. A., Cowlishaw, S., Jackson, A. C., Merkouris, S., Francis, K. L., & Christensen, D. R. (2014) · Journal of Personality Disorders · doi:10.1521/pedi_2014_28_168 · Cited by 137 · see citing works
Can an Industry Be Socially Responsible If Its Products Harm Consumers? The Case of Online Gambling
Yani‐de‐Soriano, M., Javed, U., & Yousafzai, S. (2012) · Journal of Business Ethics · doi:10.1007/s10551-012-1495-z · Cited by 115 · see citing works
Predictors of outcomes of psychological treatments for disordered gambling: A systematic review
Merkouris, S. S., Thomas, S. A., Browning, C. J., & Dowling, N. A. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.06.004 · Cited by 96 · see citing works
“Breen, Kruedelbach, and Walker (2001) 45 USA Obs Face-to-face delivered individual and group inpatient CBT and standard didactic component; 28 days Current antidepressant medication use; Depression (BDI); Gambling symptom severity (GABS and SOGS) Post-treatment Gambling symptom severity (GABS) Multivariate Carlbring e…”
InfluentialMeasuring treatment outcomes in gambling disorders: a systematic review
Pickering, D., Keen, B., Entwistle, G., & Blaszczynski, A. P. (2017) · Addiction · doi:10.1111/add.13968 · Cited by 87 · see citing works
Internet-based treatment of pathological gambling with a three-year follow-up
Carlbring, P., Degerman, N., Jonsson, J., & Andersson, G. (2012) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.689323 · Cited by 78 · see citing works
PARHAMI, I., MOJTABAI, R., ROSENTHAL, R. J., AFIFI, T. O., & FONG, T. W. (2014) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000450320.98988.7c · Cited by 71 · see citing works
Predictors of Dropout in Disordered Gamblers in UK Residential Treatment
Roberts, A., Murphy, R., Turner, J., & Sharman, S. (2019) · Journal of Gambling Studies · doi:10.1007/s10899-019-09876-7 · Cited by 19 · see citing works
Efficacy of a self-help treatment for at-risk and pathological gamblers
Boudreault, C., Giroux, I., Jacques, C., Goulet, A., Simoneau, H., & Ladouceur, R. (2018) · Journal of Gambling Studies · doi:10.1007/s10899-017-9717-z · Cited by 19 · see citing works
Mide, M., Arvidson, E., & Gordh, A. S. (2023) · Journal of Gambling Studies · doi:10.1007/s10899-022-10183-x · Cited by 18 · see citing works
Pfund, R. A., King, S. A., Forman, D. P., Zech, J. M., Ginley, M. K., Peter, S. C., McAfee, N. W., Witkiewitz, K. A., & Whelan, J. (2023) · Psychology of Addictive Behaviors · doi:10.1037/adb0000910 · Cited by 18 · see citing works
Effects of stress and alcohol cues in men with and without problem gambling and alcohol use disorder
Steinberg, L., Tremblay, A.-M., Zack, M. H., Busto, U. E., & Zawertailo, L. A. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.05.011 · Cited by 19 · see citing works
Definitions and assessments of recovery from gambling disorder: A scoping review
Mansueto, A., Challet‐Bouju, G., Hardouin, J.-B., & Grall‐Bronnec, M. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2024.00008 · Cited by 17 · see citing works
Five-year follow-up on a sample of gamblers: predictive factors of relapse
Grall‐Bronnec, M., Guillou-Landréat, M., Caillon, J., Dubertret, C., Romo, L., Codina, I., Chéreau, I., Lançon, C., Auriacombe, M., _, _., et al. (2021) · Journal of Behavioral Addictions · doi:10.1556/2006.2021.00009 · Cited by 16 · see citing works
Galetti, A. M., & Tavares, H. (2016) · Revista Brasileira de Psiquiatria · doi:10.1590/1516-4446-2016-1911 · Cited by 12 · see citing works
Oakes, J., Pols, R. G., & Lawn, S. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16162858 · Cited by 15 · see citing works
Cognitive and Psychosocial Variables Predicting Gambling Behavior in a Clinical Sample
Oei, T. P. S., & Raylu, N. (2015) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-015-9555-0 · Cited by 13 · see citing works
Moayeri, F. (2019) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1080/14737167.2019.1610397 · Cited by 11 · see citing works
Features Linked to Treatment Outcomes in Behavioral Addictions and Related Disorders
Mestre-Bach, G., & Potenza, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20042873 · Cited by 10 · see citing works
Cognitive behavioural group therapy with mindfulness for kleptomania: an open trial
Asami, Y., Nomura, K., Shimada, H., Nakagawa, K., Sugano, M., Koshiba, A., Ohishi, Y., Ohishi, H., & Ohishi, M. (2022) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x22000290 · Cited by 7 · see citing works
Bonnaire, C., Kovess–Masféty, V., Guignard, R., Richard, J., du Roscoät, E., & Beck, F. (2016) · Annals of Clinical Psychiatry · doi:10.1177/104012371602800408 · Cited by 7 · see citing works
Gambling culture and internal control extensiveness
Tan, J., Gao, J. L., & Chan, K. C. (2023) · Journal of International Financial Management and Accounting · doi:10.1111/jifm.12197 · Cited by 6 · see citing works
Hubungan antara Beban Subjektif dengan Kualitas Hidup Pendamping (Caregiver) Skizofrenia
Fitriani, A., & Handayani, A. (2020) · Proyeksi · doi:10.30659/jp.13.1.13-24 · Cited by 6 · see citing works
Disordered gamblers with and without ADHD: the role of coping in elevated psychological distress
Peter, S. C., Whelan, J. P., Ginley, M. K., Pfund, R. A., Wilson, K. K., & Meyers, A. W. (2016) · International Gambling Studies · doi:10.1080/14459795.2016.1231211 · Cited by 4 · see citing works
Gambling Addiction in South Korea, Its Impact on Quality of Life, and Recovery from It
Chun, J. (2024) · International handbooks of quality-of-life · doi:10.1007/978-3-031-65873-0_9 · Cited by 2 · see citing works
Contributions from Neuroscience and Neuropsychology
Goudriaan, A. E., van Holst, R. J., Veltman, D. J., & van den Brink, W. (2013) · Wiley eBooks · doi:10.1002/9781118316078.ch3 · Cited by 2 · see citing works
Soberay, A. (2015) · Digital Commons - DU (University of Denver) · Cited by 1 · see citing works
Assessment and Treatment of Pathological Gambling
Tavares, H. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195389715.013.0091 · Cited by 1 · see citing works
Rule, S. (2023) · Springer eBooks · doi:10.1007/978-3-031-17299-1_1108
Im, J., Silver, S., Donovan, F., Wong, A., Le, E., Goel, A., Tunikipati, A., Ruderman, B., & Fong, T. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1835519
- Authors
- Sander, W., & Peters, A.
- Affiliations
- Leopoldina Krankenhaus Schweinfurt (DE)
- Corresponding author
- Sander, Wiebke
- ORCID
- Peters, Anne
- Venue
- Journal of Gambling Studies
- Published
- 2009-04-09
- Volume
- 25
- Issue
- 2
- Pages
- 253-262
- ISSN
- 1050-5350 (ISSN-L)
- 1573-3602
- OpenAlex
- W2055393925
- Cited by
- 31
- References
- 21
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Gambling Studies (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- gambling addiction, quality of life, psychological distress, relapse, cognitive behavioral therapy, inpatient care, maintenance of treatment effects, mediation
- MeSH terms
- Adult, Female, Follow-Up Studies, Gambling, Germany, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Patient Compliance, Quality of Life, Self Care, Social Environment, Social Support, Cognitive Behavioral Therapy, Behavior, Addictive, Treatment Outcome, Secondary Prevention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
