| Contributors: |
Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Psychiatry (Lund), Clinical addiction research unit, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Psykiatri, Lund, Enheten för klinisk beroendeforskning, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Psychiatry (Lund), Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Psykiatri, Lund, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Innovations in pediatric mental health, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Innovations in pediatric mental health, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Originator |
| Description: |
Negative consequences of gambling problems have primarily been examined in terms of symptoms and impairment, with less focus on well-being, a key indicator of intra- and interpersonal functioning and a critical outcome in treatment. Additionally, the role of co-occurring psychopathology in this relation remains unclear. This study examined the relation between gambling problems and well-being in a large population-based sample of individuals who gamble (N = 1005; 52.4% men, aged 18 to over 60). Relations between gambling problems and well-being were assessed both overall and across well-being dimensions—self-acceptance, clear thinking, competence, positive emotions, and positive relationships—while accounting for major symptom dimensions of co-occurring psychopathology. Structural equation modeling revealed that gambling problems were significantly and moderately associated with lower overall well-being (β = -0.49; p < .001), including clear thinking and positive emotions (β = -0.48; p < .001), positive relationships (β = -0.44; p < .001), and self-acceptance and competence (β = -0.43; p < .001). When accounting for externalizing, internalizing, and obsessive-compulsive symptoms separately, gambling problems remained significantly associated with lower well-being (β = -0.21 to -0.32; p < .001). However, when accounting for thought disorder symptoms, gambling problems were no longer significantly associated with well-being. When accounting for all psychopathological factors alongside gambling problems, internalizing, thought disorder, and externalizing symptoms were significantly associated with lower well-being, while gambling problems and obsessive-compulsive symptoms were not. Although limited by its cross-sectional design, these findings highlight the important role of co-occurring psychopathology in understanding well-being related to gambling problems. |
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