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Erschienen in: International Journal of Mental Health and Addiction 4/2012

01.08.2012

An Exploration of Quality of Life and its Predictors in Patients with Addictive Disorders: Gambling, Alcohol and Drugs

verfasst von: Victoria Manning, Brenda Gomez, Song Guo, Yee Deng Low, Puay Kee Koh, Kim Eng Wong

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 4/2012

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Abstract

The study set out to examine Quality of Life (QoL), specifically subjective well being in three different addiction populations (260 alcohol-dependent, 282 drug-dependent, and 132 pathological gambling outpatients) at their first visit to treatment, using the Personal Well being Index (PWI). The mean PWI score for all patients was significantly below (i.e., 15 points) Asian norms. Despite reporting a greater addiction severity, alcohol patients scored significantly higher on the PWI compared with drug patients. Despite having demographic characteristics associated with higher functioning, gambling patients did not have the highest QoL; falling in between the alcohol and drug patients. Being married was the only significant predictor of normal personal wellbeing, whilst having debts, a past/current psychiatric morbidity, and a higher addiction severity significantly predicted an abnormal personal wellbeing. Treatment services should pay close attention and target the specific life domains where poor satisfaction is reported by the different addiction populations.
Literatur
Zurück zum Zitat Bonomi, A., Patrick, D., Bushnell, D., & Martin, M. (2000). Validation of the United States’ version of the World Health Organization Quality of Life (WHOQOL) instrument. Journal of Clinical Epidemiology, 53(1), 1–12.PubMedCrossRef Bonomi, A., Patrick, D., Bushnell, D., & Martin, M. (2000). Validation of the United States’ version of the World Health Organization Quality of Life (WHOQOL) instrument. Journal of Clinical Epidemiology, 53(1), 1–12.PubMedCrossRef
Zurück zum Zitat Castellani, B., & Rugle, L. (1995). A comparison of pathological gamblers to alcoholics and cocaine misusers on impulsivity, sensation seeking, and craving. Substance Use & Misuse, 30(3), 275–289.CrossRef Castellani, B., & Rugle, L. (1995). A comparison of pathological gamblers to alcoholics and cocaine misusers on impulsivity, sensation seeking, and craving. Substance Use & Misuse, 30(3), 275–289.CrossRef
Zurück zum Zitat Chambers, R., & Potenza, M. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of Gambling Studies, 19, 53–84.PubMedCrossRef Chambers, R., & Potenza, M. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of Gambling Studies, 19, 53–84.PubMedCrossRef
Zurück zum Zitat Chambers, R., Taylor, J., & Potenza, M. (2003). Developmental neurocircuitry of motivation in adolescence: A critical period of addiction vulnerability. American Journal of Psychiatry, 160(6), 1041–1052.PubMedCrossRef Chambers, R., Taylor, J., & Potenza, M. (2003). Developmental neurocircuitry of motivation in adolescence: A critical period of addiction vulnerability. American Journal of Psychiatry, 160(6), 1041–1052.PubMedCrossRef
Zurück zum Zitat Chen, Z., & Davey, G. (2009). Subjective quality of life in Zhuhai City, South China: A public survey using the International Wellbeing Index. Social Indicators Research, 91(2), 243–258.CrossRef Chen, Z., & Davey, G. (2009). Subjective quality of life in Zhuhai City, South China: A public survey using the International Wellbeing Index. Social Indicators Research, 91(2), 243–258.CrossRef
Zurück zum Zitat Ciarrocchi, J., Kirschner, N., & Fallik, F. (1991). Personality dimensions of male pathological gamblers, alcoholics, and dually addicted gamblers. Journal of Gambling studies, 7(2), 133–141.CrossRef Ciarrocchi, J., Kirschner, N., & Fallik, F. (1991). Personality dimensions of male pathological gamblers, alcoholics, and dually addicted gamblers. Journal of Gambling studies, 7(2), 133–141.CrossRef
Zurück zum Zitat Cummins, R. (2003). Normative life satisfaction: Measurement issues and a homeostatic model. Social Indicators Research, 64(2), 225–256.CrossRef Cummins, R. (2003). Normative life satisfaction: Measurement issues and a homeostatic model. Social Indicators Research, 64(2), 225–256.CrossRef
Zurück zum Zitat Cummins, R., Eckersley, R., Pallant, J., Van Vugt, J., & Misajon, R. (2003). Developing a national index of subjective wellbeing: The Australian Unity Wellbeing Index. Social Indicators Research, 64(2), 159–190.CrossRef Cummins, R., Eckersley, R., Pallant, J., Van Vugt, J., & Misajon, R. (2003). Developing a national index of subjective wellbeing: The Australian Unity Wellbeing Index. Social Indicators Research, 64(2), 159–190.CrossRef
Zurück zum Zitat Daeppen, J., Krieg, M., Burnand, B., & Yersin, B. (1998). MOS-SF-36 in evaluating health-related quality of life in alcohol-dependent patients. The American Journal of Drug and Alcohol Abuse, 24(4), 685–694.PubMedCrossRef Daeppen, J., Krieg, M., Burnand, B., & Yersin, B. (1998). MOS-SF-36 in evaluating health-related quality of life in alcohol-dependent patients. The American Journal of Drug and Alcohol Abuse, 24(4), 685–694.PubMedCrossRef
Zurück zum Zitat de Castro, V., Fong, T., Rosenthal, R., & Tavares, H. (2007). A comparison of craving and emotional states between pathological gamblers and alcoholics. Addictive behaviors, 32(8), 1555–1564.PubMedCrossRef de Castro, V., Fong, T., Rosenthal, R., & Tavares, H. (2007). A comparison of craving and emotional states between pathological gamblers and alcoholics. Addictive behaviors, 32(8), 1555–1564.PubMedCrossRef
Zurück zum Zitat De Preux, E., Dubois-Arber, F., & Zobel, F. (2004). Current trends in illegal drug use and drug related health problems in Switzerland. Swiss Medical Weekly, 134, 313–321.PubMed De Preux, E., Dubois-Arber, F., & Zobel, F. (2004). Current trends in illegal drug use and drug related health problems in Switzerland. Swiss Medical Weekly, 134, 313–321.PubMed
Zurück zum Zitat Dietze, P., Stoove, M., Miller, P., Kinner, S., Bruno, R., Alati, R., & Burns, L. (2010). The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction, 105, 2141–2148.PubMedCrossRef Dietze, P., Stoove, M., Miller, P., Kinner, S., Bruno, R., Alati, R., & Burns, L. (2010). The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction, 105, 2141–2148.PubMedCrossRef
Zurück zum Zitat Donovan, D., Mattson, M., Cisler, R., Longabaugh, R., & Zweben, A. (2005). Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol, 15, 119–139. Donovan, D., Mattson, M., Cisler, R., Longabaugh, R., & Zweben, A. (2005). Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol, 15, 119–139.
Zurück zum Zitat Gossop, M., Marsden, J., Stewart, D., & Treacy, S. (2002). Change and stability of change after treatment of drug misuse: 2-year outcomes from the National Treatment Outcome Research Study (UK). Addictive Behaviors, 27(2), 155–166.PubMedCrossRef Gossop, M., Marsden, J., Stewart, D., & Treacy, S. (2002). Change and stability of change after treatment of drug misuse: 2-year outcomes from the National Treatment Outcome Research Study (UK). Addictive Behaviors, 27(2), 155–166.PubMedCrossRef
Zurück zum Zitat Grant, J., & Kim, S. (2005). Quality of life in kleptomania and pathological gambling. Comprehensive psychiatry, 46, 34–37.PubMedCrossRef Grant, J., & Kim, S. (2005). Quality of life in kleptomania and pathological gambling. Comprehensive psychiatry, 46, 34–37.PubMedCrossRef
Zurück zum Zitat Grant, J., Kushner, M., & Kim, S. (2002). Pathological gambling and alcohol use disorder. Alcohol Research & Health, 26(2), 143–151. Grant, J., Kushner, M., & Kim, S. (2002). Pathological gambling and alcohol use disorder. Alcohol Research & Health, 26(2), 143–151.
Zurück zum Zitat Hambley, J., Arbour, S., & Sivagnanasundaram, L. (2010). Comparing outcomes for alcohol and drug abuse clients: A 6-month follow-up of clients who completed a residential treatment programme. Journal of Substance Use, 15(3), 184–200.CrossRef Hambley, J., Arbour, S., & Sivagnanasundaram, L. (2010). Comparing outcomes for alcohol and drug abuse clients: A 6-month follow-up of clients who completed a residential treatment programme. Journal of Substance Use, 15(3), 184–200.CrossRef
Zurück zum Zitat Jarusiewicz, B. (2000). Spirituality and addiction: Relationship to recovery and relapse. Alcoholism Treatment Quarterly, 18(4), 99–110.CrossRef Jarusiewicz, B. (2000). Spirituality and addiction: Relationship to recovery and relapse. Alcoholism Treatment Quarterly, 18(4), 99–110.CrossRef
Zurück zum Zitat Kim, S., Grant, J., Potenza, M., Blanco, C., & Hollander, E. (2009). The Gambling Symptom Assessment Scale (G-SAS): A reliability and validity study. Psychiatry research, 166, 76–84.PubMedCrossRef Kim, S., Grant, J., Potenza, M., Blanco, C., & Hollander, E. (2009). The Gambling Symptom Assessment Scale (G-SAS): A reliability and validity study. Psychiatry research, 166, 76–84.PubMedCrossRef
Zurück zum Zitat Lau, A., Cummins, R., & McPherson, W. (2005). An investigation into the cross-cultural equivalence of the Personal Wellbeing Index. Social Indicators Research, 72(3), 403–430.CrossRef Lau, A., Cummins, R., & McPherson, W. (2005). An investigation into the cross-cultural equivalence of the Personal Wellbeing Index. Social Indicators Research, 72(3), 403–430.CrossRef
Zurück zum Zitat Laudet, A., Morgen, K., & White, W. (2006). The role of social supports, spirituality, religiousness, life meaning and affiliation with 12-Step fellowships in quality of life satisfaction among individuals in recovery from alcohol and drug problems. Alcoholism Treatment Quarterly, 24, 33–73.PubMedCrossRef Laudet, A., Morgen, K., & White, W. (2006). The role of social supports, spirituality, religiousness, life meaning and affiliation with 12-Step fellowships in quality of life satisfaction among individuals in recovery from alcohol and drug problems. Alcoholism Treatment Quarterly, 24, 33–73.PubMedCrossRef
Zurück zum Zitat Laudet, A., Becker, J., & White, W. (2009). Don’t wanna go through that madness no more: Quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Substance Use & Misuse, 44(2), 227–252.CrossRef Laudet, A., Becker, J., & White, W. (2009). Don’t wanna go through that madness no more: Quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Substance Use & Misuse, 44(2), 227–252.CrossRef
Zurück zum Zitat Lesieur, H., & Blume, S. (1993). Pathological gambling, eating disorders, and the psychoactive substance use disorders. Journal of Addictive Diseases, 12(3), 89–102.PubMedCrossRef Lesieur, H., & Blume, S. (1993). Pathological gambling, eating disorders, and the psychoactive substance use disorders. Journal of Addictive Diseases, 12(3), 89–102.PubMedCrossRef
Zurück zum Zitat Maccallum, F., & Blaszczynski, A. (2002). Pathological gambling and comorbid substance use. Australasian Psychiatry, 36(3), 411–415. Maccallum, F., & Blaszczynski, A. (2002). Pathological gambling and comorbid substance use. Australasian Psychiatry, 36(3), 411–415.
Zurück zum Zitat Martin, P., & Petry, N. (2005). Are non-substance-related addictions really addictions? American Journal on Addictions, 14, 1–7.PubMedCrossRef Martin, P., & Petry, N. (2005). Are non-substance-related addictions really addictions? American Journal on Addictions, 14, 1–7.PubMedCrossRef
Zurück zum Zitat McLellan, A., Cacciola, J., & Zanis, D. (1997). The Addiction Severity Index-Lite (ASI-Lite). Center for the Studies of Addiction, University of Pennsylvania, Philadelphia VA Medical Center. McLellan, A., Cacciola, J., & Zanis, D. (1997). The Addiction Severity Index-Lite (ASI-Lite). Center for the Studies of Addiction, University of Pennsylvania, Philadelphia VA Medical Center.
Zurück zum Zitat Nielsen, I., Smyth, R., & Zhai, Q. (2009). Subjective well-being of China’s off-farm migrants. Development Research Unit Working Paper Series. Nielsen, I., Smyth, R., & Zhai, Q. (2009). Subjective well-being of China’s off-farm migrants. Development Research Unit Working Paper Series.
Zurück zum Zitat Norman, R., Malla, A., McLean, T., Voruganti, L., Cortese, L., McIntosh, E., et al. (2000). The relationship of symptoms and level of functioning in schizophrenia to general wellbeing and the Quality of Life Scale. Acta Psychiatrica Scandinavica, 102(4), 303–309.PubMedCrossRef Norman, R., Malla, A., McLean, T., Voruganti, L., Cortese, L., McIntosh, E., et al. (2000). The relationship of symptoms and level of functioning in schizophrenia to general wellbeing and the Quality of Life Scale. Acta Psychiatrica Scandinavica, 102(4), 303–309.PubMedCrossRef
Zurück zum Zitat Nower, L., & Blaszczynski, A. (2008). Recovery in pathological gambling: An imprecise concept. Substance Use & Misuse, 43, 1844–1864.CrossRef Nower, L., & Blaszczynski, A. (2008). Recovery in pathological gambling: An imprecise concept. Substance Use & Misuse, 43, 1844–1864.CrossRef
Zurück zum Zitat Parker, P., Baile, W., De Moor, C., & Cohen, L. (2003). Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-oncology, 12(2), 183–193.PubMedCrossRef Parker, P., Baile, W., De Moor, C., & Cohen, L. (2003). Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-oncology, 12(2), 183–193.PubMedCrossRef
Zurück zum Zitat Petry, N. (2005). Gamblers anonymous and cognitive-behavioral therapies for pathological gamblers. Journal of Gambling Studies, 21(1), 27–33.PubMedCrossRef Petry, N. (2005). Gamblers anonymous and cognitive-behavioral therapies for pathological gamblers. Journal of Gambling Studies, 21(1), 27–33.PubMedCrossRef
Zurück zum Zitat Piderman, K., Schneekloth, T., Pankratz, V., Maloney, S., & Altchuler, S. (2007). Spirituality in alcoholics during treatment. American Journal on Addictions, 16(3), 232–237.PubMedCrossRef Piderman, K., Schneekloth, T., Pankratz, V., Maloney, S., & Altchuler, S. (2007). Spirituality in alcoholics during treatment. American Journal on Addictions, 16(3), 232–237.PubMedCrossRef
Zurück zum Zitat Piedmont, R. (2004). Spiritual transcendence as a predictor of psychosocial outcome from an outpatient substance abuse program. Psychology of Addictive Behaviors, 18(3), 213–222.PubMedCrossRef Piedmont, R. (2004). Spiritual transcendence as a predictor of psychosocial outcome from an outpatient substance abuse program. Psychology of Addictive Behaviors, 18(3), 213–222.PubMedCrossRef
Zurück zum Zitat Poage, E., Ketzenberger, K., & Olson, J. (2004). Spirituality, contentment, and stress in recovering alcoholics. Addictive Behaviors, 29(9), 1857–1862.PubMedCrossRef Poage, E., Ketzenberger, K., & Olson, J. (2004). Spirituality, contentment, and stress in recovering alcoholics. Addictive Behaviors, 29(9), 1857–1862.PubMedCrossRef
Zurück zum Zitat Ponizovsky, A., Margolis, A., Heled, L., Rosca, P., Radomislensky, I., & Grinshpoon, A. (2010). Improved quality of life, clinical, and psychosocial outcomes among heroin-dependent patients on ambulatory buprenorphine maintenance. Substance Use & Misuse, 45, 288–313.CrossRef Ponizovsky, A., Margolis, A., Heled, L., Rosca, P., Radomislensky, I., & Grinshpoon, A. (2010). Improved quality of life, clinical, and psychosocial outcomes among heroin-dependent patients on ambulatory buprenorphine maintenance. Substance Use & Misuse, 45, 288–313.CrossRef
Zurück zum Zitat Potenza, M. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101, 142–151.PubMedCrossRef Potenza, M. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101, 142–151.PubMedCrossRef
Zurück zum Zitat Rajaratnam, R., Sivesind, D., Todman, M., Roane, D., & Seewald, R. (2009). The aging methadone maintenance patient: Treatment adjustment, long-term success, and quality of life. Journal of opioid management, 5, 27–37.PubMed Rajaratnam, R., Sivesind, D., Todman, M., Roane, D., & Seewald, R. (2009). The aging methadone maintenance patient: Treatment adjustment, long-term success, and quality of life. Journal of opioid management, 5, 27–37.PubMed
Zurück zum Zitat Smith, K., & Larson, M. (2003). Quality of life assessments by adult substance abusers receiving publicly funded treatment in Massachusetts. American journal of drug and alcohol abuse, 29(2), 323–335.PubMedCrossRef Smith, K., & Larson, M. (2003). Quality of life assessments by adult substance abusers receiving publicly funded treatment in Massachusetts. American journal of drug and alcohol abuse, 29(2), 323–335.PubMedCrossRef
Zurück zum Zitat Spunt, B., Dupont, I., Lesieur, H., Liberty, H., & Hunt, D. (1998). Pathological gambling and substance misuse: A review of the literature. Substance Use & Misuse, 33(13), 2535–2560.CrossRef Spunt, B., Dupont, I., Lesieur, H., Liberty, H., & Hunt, D. (1998). Pathological gambling and substance misuse: A review of the literature. Substance Use & Misuse, 33(13), 2535–2560.CrossRef
Zurück zum Zitat Tan, E., Lim, L., Leong, J., Lim, J., Lee, A., Yang, J., et al. (2010). Alcohol and aldehyde dehydrogenase polymorphisms in Chinese and Indian populations. Substance Use & Misuse, 45(2), 1–14.CrossRef Tan, E., Lim, L., Leong, J., Lim, J., Lee, A., Yang, J., et al. (2010). Alcohol and aldehyde dehydrogenase polymorphisms in Chinese and Indian populations. Substance Use & Misuse, 45(2), 1–14.CrossRef
Zurück zum Zitat Te Vaarwerk, M., & Gaal, E. (2001). Psychological distress and quality of life in drug-using and non-drug-using HIV-infected women. The European Journal of Public Health, 11, 109–115.CrossRef Te Vaarwerk, M., & Gaal, E. (2001). Psychological distress and quality of life in drug-using and non-drug-using HIV-infected women. The European Journal of Public Health, 11, 109–115.CrossRef
Zurück zum Zitat The Betty Ford Institute Consensus Panel, B. (2007). What is recovery? A working definition from the Betty Ford Institute. Journal of Substance Abuse Treatment, 33(3), 221–228.CrossRef The Betty Ford Institute Consensus Panel, B. (2007). What is recovery? A working definition from the Betty Ford Institute. Journal of Substance Abuse Treatment, 33(3), 221–228.CrossRef
Zurück zum Zitat Walsh, J., Ciarrocchi, J., Piedmont, R., & Haskins, D. (2007). Spiritual transcendence and religious practices in recovery from pathological gambling: Reducing pain or enhancing quality of life? Research in the Social Scientific Study of Religion, 18, 155–175.CrossRef Walsh, J., Ciarrocchi, J., Piedmont, R., & Haskins, D. (2007). Spiritual transcendence and religious practices in recovery from pathological gambling: Reducing pain or enhancing quality of life? Research in the Social Scientific Study of Religion, 18, 155–175.CrossRef
Zurück zum Zitat Wilson, I., & Cleary, P. (1995). Linking clinical variables with health-related quality of life. Journal of the American Medical Association, 273(1), 59–65.PubMedCrossRef Wilson, I., & Cleary, P. (1995). Linking clinical variables with health-related quality of life. Journal of the American Medical Association, 273(1), 59–65.PubMedCrossRef
Zurück zum Zitat Wong, K., Anantha, S., Lim, R., & Lee, K. (2010). Don’t gamble your life away!: Help for pathological gamblers. Singapore: Straits Times. Wong, K., Anantha, S., Lim, R., & Lee, K. (2010). Don’t gamble your life away!: Help for pathological gamblers. Singapore: Straits Times.
Metadaten
Titel
An Exploration of Quality of Life and its Predictors in Patients with Addictive Disorders: Gambling, Alcohol and Drugs
verfasst von
Victoria Manning
Brenda Gomez
Song Guo
Yee Deng Low
Puay Kee Koh
Kim Eng Wong
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 4/2012
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-011-9349-y

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