Effects of a Family Education Program for Families of Pathological Gamblers

Jungah Hong; Soo Yang

doi:10.4040/jkan.2013.43.4.497

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Hong and Yang: Effects of a Family Education Program for Families of Pathological Gamblers

Original Article

Journal of Korean Academy of Nursing 2013; 43(4): 497-506.

Published online: 30 August 2013

DOI: https://doi.org/10.4040/jkan.2013.43.4.497

Effects of a Family Education Program for Families of Pathological Gamblers

Jungah Hong, Soo Yang

College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Yang, Soo. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7407, Fax: +82-2-2258-7772, sooy@catholic.ac.kr

Received 11 March 2013 Accepted 13 June 2013

Abstract

Purpose

This study was done to examine the intervention effects on the family of a family education program for pathological gamblers based on Community Reinforcement and Family Training (CRAFT).

Methods

A quasi-experimental, nonequivalent control group pretest-posttest design was used. The participants were 44 families of pathological gamblers from G center in Gyung-gi Province and 5 Gam-Anon groups in Seoul City and Gyung-gi Province. The experimental group (n=22) attended the 6 weekly 2 hour-long CRAFT family education program. The control group (n=22) attended the 12-step program of Gam-Anon. Data were collected from November, 2011 to May, 2012.

Results

Compared with the control group, the experimental group showed significant decrease in depression (p=.001) and state anger (p=.039). There were no significant differences between groups in the level of interpersonal communication, trait anger, the mode of anger expression and self-esteem.

Conclusion

Findings from this study suggest that the CRAFT family education program is effective in decreasing depression and state anger in families of pathological gamblers.

Keywords: Pathological gambling, Family, Depression, Anger, Family education

Figures and Tables

Figure 1

Theoretical framework.

Table 1

Contents of Family Education Program for Families of Pathological Gamblers

min=Minutes; CRAFT=Community reinforcement and family training.

Table 2

General Characteristics of Participants (N=44)

Exp.=Experimental group; Cont.=Control group.

^*Fisher's exact test; ^†Wilcoxon rank sum test.

Table 3

Homogeneity of Measurement Variables between Groups (N=44)

Exp.=Experimental group; Cont.=Control group; BDI-II=Beck depression inventory-II; ICI=Interpersonal communication inventory.

Table 4

Comparison of Changes in Measurement Variables between Groups (N=44)

Exp.=Experimental group (n=22); Cont.=Control group (n=22); BDI-II=Beck depression inventory-II; ICI=Interpersonal communication inventory.

LS M±SE=Least square mean±standard error.

Notes

This manuscript is based on a part of the first author's doctorial dissertation from The Catholic University of Korea.

References

1. Abbott DA, Cramer SL, Sherrets SD. Pathological gambling and the family: Practice implications. Fam Soc. 1995; 76(4):213–219.

2. Beck AT, Steer RA, Brown GK. Manual for the Beck depression inventory-II. 2nd ed. San Antonio, TX: Psychological Corporation;1996.

3. Bienvenu MJ. An interpersonal communication inventory. J Commun. 1971; 21(4):381–388. http://dx.doi.org/10.1111/j.1460-2466.1971.tb02937.x.

4. Choi KH. The effect of a parent group education on parents' interpersonal communication and children's perception to their parents. Ulsan: Ulsan University;1993. Unpublished master's thesis.

5. Choi MK, Lee YH. Depression, powerlessness, social support, and socioeconomic status in middle aged community residents. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19(2):196–204.

6. Chon KK. Development of the Korean state-trait anger expression inventory (II). Korean J Rehabil Psychol. 1996; 3(1):53–69.

7. Ciarrocchi JW. Counselling problem gamblers: A self-regulation manual for individual and family therapy. San Diego, CA: Academic Press;2002.

8. Ciarrocchi JW, Reinert DF. Family environment and length of recovery for married male members of Gamblers Anonymous and female members of GamAnon. J Gambl Stud. 1993; 9(4):341–352.

9. Grant JE, Kushner MG, Kim SW. Pathological gambling and alcohol use disorders. Alcohol Res Health. 2002; 26(2):143–150.

10. Han YO, Jeong JY, Kim HW. Preliminary study for developing of pathological gambler's family intervention program. Korean J Health Psychol. 2011; 16(2):263–277.

11. Heineman M. A comparison: The treatment of wives of alcoholics with the treatment of wives of pathological gamblers. J Gambl Behav. 1987; 3(1):27–40.

12. Jang MH, Won JS. Association of anger and anger expression, social support, self-esteem, and depression in elderly. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(3):259–268.

13. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11(1):107–130.

14. Kim KH, Kwon SJ. Psychological characteristics and predictors of pathological gamblers. Korean J Health Psychol. 2003; 8(2):261–277.

15. Kim MS, Lee IS, Lee CS. The validation study I of Korean BDI-II: In female university students sample. Korean J Clin Psychol. 2007; 26(4):997–1014.

16. Lee JS. A study on the development and effectiveness of a coping skill improvement program for significant family members of alcoholics. Seoul: Ewha Womans University;2004. Unpublished doctoral dissertation.

17. Lorenz VC, Shuttlesworth DE. The impact of pathological gambling on the spouse of the gambler. J Community Psychol. 1983; 11(1):67–76. http://dx.doi.org/10.1002/1520-6629(198301)11:1<67::AID-JCOP2290110107>3.0.CO;2-O.

18. Lorenz VC, Yaffee RA. Pathological gambling: Psychosomatic, emotional and marital difficulties as reported by the spouse. J Gambl Behav. 1988; 4(1):13–26.

19. Makarchuk K, Hodgins DC, Peden N. Development of a brief intervention for concerned significant others of problem gamblers. Addict Disord Their Treat. 2002; 1(4):126–134.

20. Mazzoleni MH, Gorenstein C, Fuentes D, Tavares H. Wives of pathological gamblers: Personality traits, depressive symptoms and social adjustment. Rev Bras Psiquiatr. 2009; 31(4):332–337.

21. Robson PJ. Self-esteem-a psychiatric view. Br J Psychiatry. 1988; 153:6–15.

22. Rosenberg M. Society and adolescent self-image. Princeton, NJ: Princeton University Press;1965.

23. Rychtarik RG, McGillicuddy NB. Preliminary evaluation of a coping skills training program for those with a pathological-gambling partner. J Gambl Stud. 2006; 22(2):165–178. http://dx.doi.org/10.1007/s10899-006-9008-6.

24. Seo SG. Cognitive factors related to anger and their therapeutic implications. Seoul: Seoul National University;2004. Unpublished doctoral dissertation.

25. Shin KC, Choi YS, Park EJ, Choi YS, Chung SY, Kim SH. Research for family treatment program of pathological gambler. Seoul: The National Gambling Control Commission;2010.

26. Spielberger CD. Professional manual for the State Trait Anger Expression Inventory (STAXI). Odessa, FL: Psychological Assessment Resources;1988.

27. The National Gambling Control Commission. The service system establishment plan for national gambling addiction prevention and recovery. Seoul: Author;2012.

28. Yoo CY, Park SY, Son HI. JE Smith RJ Meyers . Motivating substance abusers to enter treatment. Goyang: Dragon Publishing Co;2009. (Original work published 2004).

29. Zion MM, Tracy E, Abell N. Examining the relationship between spousal involvement in Gam-Anon and relapse behaviors in pathological gamblers. J Gambl Stud. 1991; 7(2):117–131.

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