Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.27(4) > 1122527

Lee and Hong: Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems

Abstract

Purpose

The purpose of this study was to test the mediating effect of depression on the relationship between gambling severity and cognitive distortion in Koreans with a gambling disorder.

Methods

Secondary data from a comprehensive assessment of problematic gambling between 2015 and 2017 on Korea Center on Gambling Problems were used. The subjects in this study were 254 Koreans with that gambling disorder. Data were collected with self-report structured questionnaires which included individual characteristics, the Korean version of Problem Gambling Severity Index, the Center for the Epidemiologic Studies Depression, and the Gambling Related Cognitions Scale. Data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA with the Scheffé test, Pearson's correlation coefficients, and a mediation analysis of the Baron and Kenny method with the SPSS 22.0 program.

Results

Significant correlations emerged among the three variables, gambling severity, depression, and cognitive distortion. Depression exerted a partial mediating effect (β=.20, p<.001) on the relationship between gambling severity and cognitive distortion (Sobel test: z=2.33, p=.012).

Conclusion

Based on this study's findings, nursing intervention programs focused on managing gambling severity and decreasing depression are highly recommended to alleviate cognitive distortion in people with a gambling disorder.

Figures and Tables

Figure 1

Mediating effect of depression on the relationship between gambling severity and gambling related cognition.

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Table 1

Gambling Severity, Depression, and Gambling Related Cognition according to the Characteristics of Participants (N=254)

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Table 2

Correlations among Gambling Severity, Depression, and Gambling Related Cognition (N=254)

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Table 3

Mediating Effect of Depression on the Relationship between Gambling Severity and Gambling Related Cognition (N=254)

jkapmhn-27-370-i003

Notes

CONFLICTS OF INTEREST The authors declared no conflicts of interest.

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TOOLS
ORCID iDs

Keelyong Lee
https://orcid.org/0000-0001-5185-6827

Jungah Hong
https://orcid.org/0000-0003-3667-4886

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