Gambling-related cognitive distortions mediate the relationship between depression and disordered gambling severity

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art_SCHLUTER_Gamblingrelated_cognitive_distortions_mediate_the_relationship_between_depression_2019.PDF (312.95 KB)
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2019
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PERGAMON-ELSEVIER SCIENCE LTD
Autores
SCHLUTER, Magdalen G.
KIM, Hyoun S.
POOLE, Julia C.
HODGINS, David C.
MCGRATH, Daniel S.
DOBSON, Keith S.
Citação
ADDICTIVE BEHAVIORS, v.90, p.318-323, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background and objectives: Symptoms of depression are highly prevalent among individuals with gambling disorder, and severity of depression is associated with severity of gambling problem. Yet, little is known about the psychological mechanisms by which symptoms of depression lead to greater gambling severity. In this study, we tested whether cognitive distortions represent one such mechanism, as cognitive distortions are key characteristics in both depression and gambling disorder and have been shown to be associated with gambling severity. Methods: A mediation model was tested among 345 treatment-seeking individuals with gambling disorder in Sao Paulo, Brazil. The diagnosis of gambling disorder was made using semi-structured clinical interviews and participants completed psychometrically sound self-report measures of depression symptoms (Beck Depression Inventory-I), gambling-related cognitive distortions (Gamblers' Beliefs Questionnaire), and gambling severity (Gambling Symptom Assessment Scale). Results: As hypothesized, increased symptoms of depression were significantly associated with both increased disordered gambling severity and increased gambling-related cognitive distortions. Further, gambling-related cognitive distortions predicted greater disordered gambling severity when controlling for depression symptomology. Results from the bootstrapping method indicated that the relationship between symptoms of depression and increased disordered gambling severity is mediated by gambling-related cognitive distortions. Conclusions: Consistent with our predictions, gambling-related cognitive distortions mediated the relationship between depression symptoms and gambling severity among a sample of treatment-seeking disordered gamblers. These results suggest that cognitive distortions may be a key intervention target for the treatment of concurrent depression and gambling disorder.
Palavras-chave
Gambling disorder, Depression, Cognitive distortions, Mediation, Concurrent disorders
URI
https://observatorio.fm.usp.br/handle/OPI/30893
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - LIM/21