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Psychological Well-Being as an Additional Outcome Parameter in the Treatment of Patients with Gambling Disorder: Results from a Clinical Multicenter Follow-Up Study

Author

Listed:
  • Kai W. Müller

    (Johannes Gutenberg University Mainz)

  • Lisa Naab

    (Johannes Gutenberg University Mainz)

  • Klaus Wölfling

    (Johannes Gutenberg University Mainz)

  • Manfred E. Beutel

    (Johannes Gutenberg University Mainz)

  • Ulrike Dickenhorst

    (Bernhard-Salzmann-Klinik)

  • Andreas Koch

    (Bundesverband für Stationäre Suchtkrankenhilfe e.V. (‚buss’))

Abstract

According to the World Health Organization well-being has been defined as one outcome parameter indicating successful recovery from diseases. One disease causing significant psychosocial problems and distress is Gambling Disorder that is being characterized as a poorly controlled excessive engagement in gambling activities. While there are several studies investigating treatment-effects in patients with Gambling Disorder, the role of well-being as a complementary treatment outcome has not been studied so far. In our research project it was aimed to fill this gap by gathering data on changes of eudaimonic dimensions of well-being from 76 patients with Gambling Disorder before and 1 year after receiving inpatient treatment. At both waves (pretreatment and follow-up) we collected data regarding well-being (Ryff Scales of Well-being), psychopathological symptoms (SCL-9), and diagnostic criteria for Gambling Disorder (Lie/Bet-Questionnaire). We found some dimensions of well-being changing 1 year after treatment and that patients recovered from Gambling Disorder displayed significant increments in Autonomy and Environmental Mastery. In contrast, patients still meeting criteria for Gambling Disorder displayed well-being increments only in Environmental Mastery and decreases in Personal Growth and Positive Relations with Others. Only changes in Environmental Mastery and Self-Acceptance were significantly associated with decreases in psychosocial distress indicating that well-being is an additional indicator for treatment outcome. It was also intended to identify factors predicting increments in well-being. However, no relationships were found regarding demographics, clinical variables, or treatment parameters. It is proposed to acknowledge well-being as an additional indicator for treatment effects and suggested to implement therapeutic strategies for an early enhancement of well-being.

Suggested Citation

  • Kai W. Müller & Lisa Naab & Klaus Wölfling & Manfred E. Beutel & Ulrike Dickenhorst & Andreas Koch, 2017. "Psychological Well-Being as an Additional Outcome Parameter in the Treatment of Patients with Gambling Disorder: Results from a Clinical Multicenter Follow-Up Study," Journal of Happiness Studies, Springer, vol. 18(4), pages 1045-1059, August.
    • Handle: RePEc:spr:jhappi:v:18:y:2017:i:4:d:10.1007_s10902-016-9766-5
    DOI: 10.1007/s10902-016-9766-5
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    References listed on IDEAS

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    1. Edward Deci & Richard Ryan, 2008. "Hedonia, eudaimonia, and well-being: an introduction," Journal of Happiness Studies, Springer, vol. 9(1), pages 1-11, January.
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