Journal of Gambling Studies

, Volume 25, Issue 2, pp 253–262 | Cite as

Pathological Gambling: Influence of Quality of Life and Psychological Distress on Abstinence After Cognitive-Behavioral Inpatient Treatment

  • Wiebke Sander
  • Anne Peters
Original Paper


The aim of this study is to understand the influence of psychological distress and quality of life on the maintenance of therapy success during a 1 year follow-up in pathological gamblers after inpatient cognitive-behavioral treatment. In a sample of 281 pathological gamblers (247 men, 34 women) the following measures were taken: psychological distress (beginning and end of treatment, and follow up), quality of life and abstinence from gambling. The results showed that relapsed pathological gamblers suffer of higher psychological distress at discharge and of lower quality of life during follow-up than abstinent gamblers. In a mediator analysis the causal relations between the three variables could be clarified: psychological distress has an impact on abstinence during follow-up, and quality of life can be considered a mediator variable for the relation between psychological distress and abstinence from pathological gambling.


Pathological gambling Cognitive-behavioral-treatment Psychological distress Quality of life Mediator-analysis 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.AHG Klinik Schweriner SeeLübstorfGermany

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