Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.26(3) > 1058126

Lee and Hong: Influences of Cognitive Distortion and Depression on Gambling Severity in Koreans with Gambling Disorders

Abstract

Purpose

The purpose of this study was to identify levels of cognitive distortion, depression, and gambling severity and to identify the influences of cognitive distortion and depression on gambling severity in Koreans with a gambling disorder.

Methods

The participants in this study were 150 Koreans with a gambling disorder. Data were collected using self-report structured questionnaires which included individual characteristics, the Gambling Related Cognitions Scale, the Center for the Epidemiologic Studies Depression, and the Problem Gambling Severity Index. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression.

Results

Gambling severity had a significant correlation with gambling related cognitions scale-perceived inability to stop gambling (r=.29, p<.001) and depression (r=.34, p<.001). Among predictors, depression (β=.24, p=.035) and type of housing tenure (β=.26, p=.022) had statistically significant influence on gambling severity. The explanatory power of this regression model was 17.0% (F=3.72, p=.003).

Conclusion

The findings from this study indicate that interventions to decrease depression are essential to decrease the gambling severity of Koreans with gambling disorder.

Figures and Tables

Table 1

General Characteristics of the Participants (N=150)

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Table 2

Descriptive Statistics of Variables (N=150)

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TMS=Total score mean; GMS=Grade point mean; GRCS-TOT=Gambling related cognitions scale-total; GRCS-GE=Gambling related cognitions scale-gambling related expectancies; GRCS-IS=Gambling related cognitions scale-perceived inability to stop gambling; GRCS-PC=Gambling related cognitions scale-predictive control; GRCS-IB=Gambling related cognitions scale-interpretative bias; GRCS-IC=Gambling related cognitions scale-illusion of control.

Table 3

Gambling Severity by General Characteristics (N=150)

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Table 4

Correlations among Variables (N=150)

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GRCS-TOT=Gambling related cognitions scale-total; GRCS-GE= Gambling related cognitions scale-gambling related expectancies; GRCS-IS=Gambling related cognitions scale-perceived inability to stop gambling; GRCS-PC=Gambling related cognitions scale-predictive control; GRCS-IB=Gambling related cognitions scale-interpretative bias; GRCS-IC=Gambling related cognitions scale-illusion of control.

Table 5

Predictors of Gambling Severity (N=150)

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Dummy variables (One's own house=1, Lease=0, Monthly rent=0); GRCS-IS=Gambling related cognitions scale-perceived inability to stop gambling.

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing Inc;2013. p. 991.
2. Ciccarelli M, Griffiths MD, Nigro G, Cosenza M. Decision making, cognitive distortions and emotional distress: a comparison between pathological gamblers and healthy controls. J Behav Ther Exp Psychiatry. 2017; 54:204–210. DOI: 10.1016/j.jbtep.2016.08.012.
crossref
3. Barrault S, Varescon I. Cognitive distortions, anxiety, and depression among regular and pathological gambling online porker players. Cyberpsychol Behav Soc Netw. 2013; 16(3):183–188. DOI: 10.1089/cyber.2012.0150.
crossref
4. Rømer Thomsen K, Callesen MB, Linnet J, Kringerlbach ML, Mølle A. Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behav Pharmacol. 2009; 20(5-6):527–536. DOI: 10.1097/FBP.0B013E3283305E7A.
crossref
5. Oei TP, Lin J, Raylu N. The relationship between gambling cognitions psychological states and gambling: a cross-cultural study of Chinese and Caucasians in Australia. J Cross Cult Psychol. 2008; 39(2):147–161.
6. Lee HP. The effect of irrational gambling belief to the pathological gambling. Korean J Clin Psychol. 2003; 22(2):415–434.
7. Yang KH, Chang MS, Kwak HW, Koo BH. The effects of irrational gambling belief and reports of wins on gambling behavior. Korean J Health Psychol. 2012; 17(2):371–384.
crossref
8. Källmen H, Anderson P, Andren A. Are irrational beliefs and depressive mood more common among problem gamblers than non-gamblers? a survey study of Swedish problem gamblers and controls. J Gambl Stud. 2008; 24:441–450. DOI: 10.1007/s10899-008-9101-0.
crossref
9. Quigely L, Yakovenko I, Hodgins DC, Dobson KS, El-Guebaly N, Casey DM, et al. Comorbid problem gambling and major depression in a community sample. J Gambl Stud. 2015; 31(4):1135–1152. DOI: 10.1007/S10899-014-9488-8.
crossref
10. Wood RTA, Griffiths MD. A qualitative investigation of problem gambling as an escape-based coping strategy. Psychol Psychother. 2007; 80(1):107–125. DOI: 10.1348/147608306X107881.
crossref
11. Fortune EE, Goodie AS. Cognitive distortions as a component and treatment focus of pathological gambling: a review. Psychol Addict Behav. 2012; 26(2):298–310. DOI: 10.1037/a0026422.
crossref
12. Steenbergh TA, Meyers AW, May RK, Whlean JP. Development and validation of the gamblers' beliefs questionnaire. Psychol Addict Behav. 2002; 16(2):143–149. DOI: 10.1037/0893-164X.16.2.143.
crossref
13. Toeneatto T. Cognitive psychopathology of problem gambling. Subst Use Misuse. 1999; 34(11):1593–1604. DOI: 10.3109/10826089909039417.
crossref
14. Raylu N, Oei TP. The gambling related cognitions scale (GRCS): development, confirmatory factor validation and psychometric properties. Addiction. 2004; 99(6):757–769. DOI: 10.1111/j.1360-0443.2004.00753.x.
crossref
15. Kim KH. The stage of change of problem gamblers for gambling abstinence, motivation for change of gambling abstinence, gambling cognitive errors, and gambling refusal selfefficacy [dissertation]. Daegu: Daegu University;2013. 120.
16. Sharp L, Tarrier N. Towards a cognitive-behavioral theory of problem gambling behavior. Br J Psychiatry. 1993; 162(3):407–412. DOI: 10.1192/bjp.162.3.407.
17. Kim SW, Grant JE, Eckert ED, Faris PL, Hartman BK. Pathological gambling and mood disorders: clinical associations and treatment implications. J Affect Disord. 2006; 92(1):109–116.
crossref
18. Lister JJ, Milosevic A, Ledgerwood DM. Psychological characteristics of problem gamblers with and without mood disorder. Can J Psychiatry. 2015; 60(8):369–376.
crossref
19. Han YO, Kim HJ, Lee YS, Kim HW, Kim TW, Lee JG. Psychological characteristics of the gambler visiting gambling treatment center. Korean J Health Psychol. 2012; 17(2):353–369.
crossref
20. The National Gambling Control Commission of Korea. Survey on the gambling industry using state. [internet]. Seoul: The National Gambling Control Commission of Korea;2010. cited 2010 Sep 3. Available from: http://www.ngcc.go.kr/data/pds.do.
21. Oei TPS, Lin J, Raylu N. Validation of the Chinese version of the Gambling Related Congnitions Scale (GRCS-C). J Int Gambl Stud. 2007; 7(1):101–111. DOI: 10.1007/s10899-006-9040-6.
22. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean J Health Psychol. 2001; 6(1):59–76.
23. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliabilty and validity study of geriatric depression scale. J Korean Neuropsychiatr Assoc. 1997; 36(1):103–112.
24. Hong JA. Factors influencing recognition of motivation for change in pathological gamblers. J Korean Acad Psychiatr Ment Health Nurs. 2016; 25(3):227–236. DOI: 10.12934/jkpmhn.2016.25.3.227.
crossref
25. Ferris J, Wynne H. The Canadian Problem Gambling Index. Final Report. Canadian Centre on Substance Abuse. 2001. February.
26. Leonard CA, Williams RJ. The relationship between gambling fallacies and problem gambling. Psychol Addict Behav. 2016; 30(6):694–704.
crossref
27. Park CY, Kim YY, Yoo YH, Hur TK. Psychological and social factors in problem gambling. J Leis Studs. 2009; 7(2):113–136.
28. Lee CM. The relationship between irrational gambling belief, self-esteem and social gambling abstinence period of pathological gambler-with emphasis on participants of gamblers anonymous. Koran Acad Prac Human Welf. 2015; 14:93–106.
29. Petry NM, Ammerman Y, Bohl J, Doersch A, Gay H, Kadden R, et al. Cognitive-behavioral therapy for pathological gamblers. J Consult Clin Psychol. 2006; 74(3):555–567. DOI: 10.1037/0022-006X.74.3.555.
crossref
30. Yang S, Hong JA. Factors influencing family-function in families of pathological gamblers. J Korean Acad Psychiatr Ment Health Nurs. 2015; 24(3):196–206. DOI: 10.12934/jkpmhn.2015.24.3.196.
crossref
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