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      도박문제 심각도와 도박인지오류 간 우울의 매개효과: 도박문제치료 지역센터 자료 이차분석 = Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems

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      https://www.riss.kr/link?id=A105960835

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      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.
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      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 pr...

      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.

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      참고문헌 (Reference)

      1 최덕자, "정신건강문제를 중재한 수용전념치료 연구에 대한 통합적 문헌고찰" 대한스트레스학회 25 (25): 75-85, 2017

      2 권선중, "실제 인터넷 도박행동을 예측하는 인지-정서 모형 개발" 한국건강심리학회 22 (22): 457-470, 2017

      3 양국희, "비합리적 도박신념 및 타인의 승리에 대한 정보가 도박행동에 미치는 영향" 한국건강심리학회 17 (17): 371-384, 2012

      4 홍정아, "병적 도박자의 단도박 변화동기 중 도박문제 인식수준의 영향요인" 정신간호학회 25 (25): 227-236, 2016

      5 김경훈, "문제도박자의 단도박변화단계와 단계별 단도박변화동기, 도박인지오류 도박거절자기효능감" 대구대학교 대학원 2013

      6 이정임, "마음챙김기반인지행동치료가 도박중독의 회복에 미치는 영향: 사례연구" 한국인지행동치료학회 15 (15): 1-28, 2015

      7 이기령, "도박장애 대상자의 도박인지오류와 우울이 도박문제 심각도에 미치는 영향" 정신간호학회 26 (26): 280-290, 2017

      8 최은정, "남자 고등학생의 가족건강성이 비합리적 도박신념에 미치는 영향 - 우울의 매개효과를 중심으로 -" 한국학교사회복지학회 21 : 57-81, 2011

      9 Korea Center on Gambling Problems, "White paper on gambling problems management 2016" Korea Center on Gambling Problems 226-, 2017

      10 Rory A. Pfund, "When Does Premature Treatment Termination Occur? Examining Session-by-Session Dropout Among Clients with Gambling Disorder" Springer Nature 34 (34): 617-630, 2018

      1 최덕자, "정신건강문제를 중재한 수용전념치료 연구에 대한 통합적 문헌고찰" 대한스트레스학회 25 (25): 75-85, 2017

      2 권선중, "실제 인터넷 도박행동을 예측하는 인지-정서 모형 개발" 한국건강심리학회 22 (22): 457-470, 2017

      3 양국희, "비합리적 도박신념 및 타인의 승리에 대한 정보가 도박행동에 미치는 영향" 한국건강심리학회 17 (17): 371-384, 2012

      4 홍정아, "병적 도박자의 단도박 변화동기 중 도박문제 인식수준의 영향요인" 정신간호학회 25 (25): 227-236, 2016

      5 김경훈, "문제도박자의 단도박변화단계와 단계별 단도박변화동기, 도박인지오류 도박거절자기효능감" 대구대학교 대학원 2013

      6 이정임, "마음챙김기반인지행동치료가 도박중독의 회복에 미치는 영향: 사례연구" 한국인지행동치료학회 15 (15): 1-28, 2015

      7 이기령, "도박장애 대상자의 도박인지오류와 우울이 도박문제 심각도에 미치는 영향" 정신간호학회 26 (26): 280-290, 2017

      8 최은정, "남자 고등학생의 가족건강성이 비합리적 도박신념에 미치는 영향 - 우울의 매개효과를 중심으로 -" 한국학교사회복지학회 21 : 57-81, 2011

      9 Korea Center on Gambling Problems, "White paper on gambling problems management 2016" Korea Center on Gambling Problems 226-, 2017

      10 Rory A. Pfund, "When Does Premature Treatment Termination Occur? Examining Session-by-Session Dropout Among Clients with Gambling Disorder" Springer Nature 34 (34): 617-630, 2018

      11 Carrie A. Leonard, "The relationship between gambling fallacies and problem gambling." American Psychological Association (APA) 30 (30): 694-704, 2016

      12 Reuben M. Baron, "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations." American Psychological Association (APA) 51 (51): 1173-1182, 1986

      13 Tian Po Oei, "The Relationship Between Gambling Cognitions, Psychological States, and Gambling" SAGE Publications 39 (39): 147-161, 2008

      14 Namrata Raylu, "The Gambling Related Cognitions Scale (GRCS): development, confirmatory factor validation and psychometric properties" Wiley 99 (99): 757-769, 2004

      15 Kristine Rømer Thomsen, "Severity of gambling is associated with severity of depressive symptoms in pathological gamblers" Ovid Technologies (Wolters Kluwer Health) 20 (20): 527-536, 2009

      16 Justin Pulford, "Reasons for Seeking Help for a Gambling Problem: The Experiences of Gamblers Who Have Sought Specialist Assistance and the Perceptions of Those Who Have Not" Springer Nature 25 (25): 19-32, 2009

      17 David Lévesque, "Psychological Vulnerability and Problem Gambling: The Mediational Role of Cognitive Distortions" Springer Nature 34 (34): 807-822, 2018

      18 Jamey J Lister, "Psychological Characteristics of Problem Gamblers with and without Mood Disorder" SAGE Publications 60 (60): 369-376, 2015

      19 Daniel Fu Keung Wong, "Negative Mood States or Dysfunctional Cognitions: Their Independent and Interactional Effects in Influencing Severity of Gambling Among Chinese Problem Gamblers in Hong Kong" Springer Nature 34 (34): 631-645, 2018

      20 Philip Gee, "Mood state and gambling: Using mobile telephones to track emotions" Wiley 96 (96): 53-66, 2005

      21 Adam S. Goodie, "Measuring cognitive distortions in pathological gambling: Review and meta-analyses" American Psychological Association (APA) 27 (27): 730-743, 2013

      22 Chon KK, "Integrated adaptation of CES-D in Korea" 6 (6): 59-76, 2001

      23 T. P. S. Oei, "Effectiveness of a Self Help Cognitive Behavioural Treatment Program for Problem Gamblers: A Randomised Controlled Trial" Springer Nature 34 (34): 581-595, 2018

      24 Tian P. S. Oei, "Effectiveness of Group and Individual Formats of a Combined Motivational Interviewing and Cognitive Behavioral Treatment Program for Problem Gambling: A Randomized Controlled Trial" Cambridge University Press (CUP) 38 (38): 233-238, 2010

      25 Tony Toneatto, "Does the Treatment of Cognitive Distortions Improve Clinical Outcomes for Problem Gambling?" Springer Nature 39 (39): 221-229, 2009

      26 Chad E. Lakey, "Dispositional mindfulness as a predictor of the severity of gambling outcomes" Elsevier BV 43 (43): 1698-1710, 2007

      27 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders"

      28 Leanne Quigley, "Comorbid Problem Gambling and Major Depression in a Community Sample" Springer Nature 31 (31): 1135-1152, 2015

      29 Håkan Källmén, "Are Irrational Beliefs and Depressive Mood More Common Among Problem Gamblers than Non-Gamblers? A Survey Study of Swedish Problem Gamblers and Controls" Springer Nature 24 (24): 441-450, 2008

      30 Richard T. A. Wood, "A qualitative investigation of problem gambling as an escape-based coping strategy" Wiley 80 (80): 107-125, 2007

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