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J Korean Acad Psychiatr Ment Health Nurs > Volume 27(4); 2018 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2018;27(4):370-379.
DOI: https://doi.org/10.12934/jkpmhn.2018.27.4.370    Published online January 7, 2019.
Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems.
Keelyong Lee, Jungah Hong
1Associate Professor, Department of Nursing, Suwon Science College, Hwaseong, Korea.
2Assistant Professor, Department of Nursing, The Ansan University, Ansan, Korea. karen3115@naver.com
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.
Key Words: Gambling; Depression; Cognition


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