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

2016 ◽  
Vol 18 (4) ◽  
pp. 1045-1059
Author(s):  
Kai W. Müller ◽  
Lisa Naab ◽  
Klaus Wölfling ◽  
Manfred E. Beutel ◽  
Ulrike Dickenhorst ◽  
...  
Author(s):  
Fahad Yousef Alaujan ◽  
Amal Hassan A. l. Ghamdi

Aim: To assess the psychological impact of COVID-19 pandemic and estimate the prevalence of depression, anxiety, and stress on individuals during institutional quarantined in 2020 and reassess a year later to compare outcomes and investigates different associated factors. Study Design: An analytical cross-sectional and a follow-up study Place and Duration of Study: An institutional COVID-19 quarantine center, in Jeddah, Saudi Arabia, between May 2020 and July 2021 Methodology: A sample of 138 participants were recruited. After obtaining the participants demographics date and consent, an electronic questionnaire was distributed to assess participants psychological well-being using the 42-item depression, anxiety, and stress scales (DASS) twice, at the end of quarantine period and one year later, to compare outcomes and associated factors. Results: Out of all the sample (n=138), male represented 64.5% while female accounted for 35.5%. Half the participants (50.7%) were married comparing to 40.6% single and bachelor’s or higher degrees holders accounted for 61.6% while 26.8% had high school degree. The psychological health was assessed for all participants twice, resulting with prevalence of depression, anxiety, and stress during quarantine period of 34%, 33%, and 22% respectively and a decreased prevalence a year late (20%, 13%, and 9, respectively). The differences between the two psychological assessments were significant (depression: P = .02, anxiety: P< .001, stress: P = .005). Educational level was associated with stress at time of quarantine (P = .03). Marital status and employment status were significantly associated with participants depression levels a year after quarantine (P = .03, P = .04, respectively). Conclusion and Recommendations: The psychological well-being of quarantined participants was negatively impacted during this unlikable experience. Numerous demographic factors were significantly associated with the undesirable effects. We propose implementing a psychological assessment program in future quarantine centers to prevent further mental health impacts.


2020 ◽  
Vol 9 (3) ◽  
pp. 756-765
Author(s):  
Meng Xuan Zhang ◽  
Hong Mian Yang ◽  
Kwok-Kit Tong ◽  
Anise M. S. Wu

AbstractBackground and aimsGambling disorder (GD) is a mental disorder with a relatively higher prevalence in university students compared to adolescents and adults. Its reciprocity with mental being indicators, such as psychological flourishing, would be expected, but prior to this study had not yet been empirically examined. In addition, the predictive value of purpose in life (PIL) on university students' GD and psychological flourishing also remained unknown. This 1-year longitudinal study was the first to test the potential bidirectional relationships among PIL, self-reported GD symptoms, and psychological flourishing.MethodsIn this study, a total of 283 university students (39.6% females; age = 18–27 years, M = 20.47, SD = 1.15) completed an anonymous questionnaire at both baseline and a year later in a follow-up study.ResultsThe results of our cross-lagged analysis did not show the hypothesized reciprocity between GD symptoms and psychological flourishing (P > 0.05). However, PIL significantly predicted fewer GD symptoms (β = −0.23, P < 0.001) and higher levels of psychological flourishing (β = 0.30, P < 0.001) in the follow-up study. Moreover, psychological flourishing predicted PIL a year later.ConclusionThe findings demonstrate the potential efficacy of purpose/meaning oriented interventions in gambling prevention and in well-being promotion programs.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044747
Author(s):  
Geeta Appannah ◽  
Nor Aishah Emi ◽  
Mugambikai Magendiran ◽  
Zalilah Mohd Shariff ◽  
Azriyanti Anuar Zaini ◽  
...  

IntroductionGrowing evidence suggesting that dietary intakes of adolescents are generally of poor quality but not adequately assessed in relation to the early manifestation of non-communicable diseases. This study aimed; (1) to examine tracking of an empirical dietary pattern (DP) linked to cardiometabolic risk factors and, (2) to assess prospective relationships between a DP characterised by high intakes of dietary energy density (DED) and added sugar, and cardiometabolic risk factors, non-alcoholic fatty liver disease (NAFLD), carotid intima-medial thickness (CIMT) and mental well-being during adolescence.Methods and analysisThe PUTRA-Adol is a prospective follow-up study that builds up from 933 Malaysian adolescents who were initially recruited from three southern states in Peninsular Malaysia in 2016 (aged 13 years then). Two sessions are planned; the first session will involve the collection of socio-economy, physical activity, dietary intakes, mental well-being, body image, risk taking behaviour, sun exposure, family functioning and menstrual (in women) information. The second session of data collection will be focused on direct assessments such as venesection for blood biochemistry, anthropometry and ultrasonography imaging of liver and bilateral carotid arteries. Z-scores for an empirical DP will be identified at 16 years using reduced rank regression. Multilevel modelling will be conducted to assess the tracking of DP and prospective analysis between the DP, cardiometabolic health, NAFLD, CIMT and mental well-being.Ethics and disseminationEthical approval for the conduct of this follow-up study was obtained from the Universiti Putra Malaysia’s Ethics Committee for Research Involving Human Subjects (JKEUPM) (Reference number: JKEUPM-2019–267). The findings from this study will be disseminated in conferences and peer-reviewed journals.DiscussionThe findings gathered from this study will provide evidence on prospective relationships between DPs, cardiometabolic risk factors, NAFLD, early atherosclerosis and mental well-being and that it may be mediated particularly DED and added sugar during adolescence.


2015 ◽  
Vol 117 (6B) ◽  
pp. E10-E19 ◽  
Author(s):  
Eila Watson ◽  
Bethany Shinkins ◽  
Emma Frith ◽  
David Neal ◽  
Freddie Hamdy ◽  
...  

2021 ◽  
pp. 1-12
Author(s):  
Josefine Gehlenborg ◽  
Anja S. Göritz ◽  
Steffen Moritz ◽  
Thies Lüdtke ◽  
Simone Kühn

<b><i>Introduction:</i></b> Imaginal retraining is a self-help technique that adapts the principles of approach bias modification to the imagination. Imaginal retraining has been shown to reduce craving and addictive behaviours in 3 randomized controlled trials (RCTs) on problematic alcohol consumption, overweight, and tobacco use. To date, there have been no studies evaluating the long-term efficacy of the intervention. The aim of the present study was to generate first hypotheses on the long-term efficacy of imaginal retraining in smokers in a controlled 1-year follow-up study. <b><i>Materials and Methods:</i></b> We recontacted the 345 participants who had taken part in an RCT on imaginal retraining for smokers 1 year later. The survey was carried out online and assessed craving for tobacco (primary outcome), smoking behaviour, well-being, and subjective appraisal. Individuals who applied the technique at least once during the previous year were categorized as the training group, whereas participants who never performed the training were categorized as the no-training group. Data were analysed using linear mixed models (LMMs). The study was preregistered as DRKS00021044. <b><i>Results:</i></b> The completion rate was 45.5%. Less than 40% used the intervention at least once in the previous 12 months. LMM analyses showed a significant reduction in craving for tobacco for the training compared to the no-training group after 1 year. No significant group differences emerged in smoking behaviour, depressive symptoms, or quality of life. Subjective appraisal of the intervention was favorable, similar to the initial study. <b><i>Conclusion:</i></b> The present study provides preliminary support for the long-term efficacy of imaginal retraining on craving for tobacco but not on smoking behaviour, highlighting the importance of multimodal treatment concepts in smoking cessation that target a variety of maintaining factors. Future studies need to investigate the long-term efficacy of the intervention in prospective RCTs that test alternative ways of conveying the technique to improve adherence.


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