Sander Wiebke, Peters Anne
AHG Klinik Schweriner See, Lübstorf, Germany.
J Gambl Stud. 2009 Jun;25(2):253-62. doi: 10.1007/s10899-009-9128-x. Epub 2009 Apr 9.
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.
本研究的目的是了解心理困扰和生活质量对住院认知行为治疗后的病态赌徒在1年随访期间维持治疗成功的影响。在281名病态赌徒（247名男性，34名女性）的样本中，采取了以下措施：心理困扰（治疗开始、结束时以及随访时）、生活质量和戒赌情况。结果显示，与戒赌的赌徒相比，复吸的病态赌徒在出院时心理困扰程度更高，随访期间生活质量更低。在中介分析中，可以阐明这三个变量之间的因果关系：心理困扰对随访期间的戒赌情况有影响，生活质量可被视为心理困扰与病态赌博戒赌之间关系的中介变量。
