The Effect of internalized stigma, perceived social support, depression and anxiety levels on treatment motivation in gambling disorder patients

Year 2024, Volume: 41 Issue: 4, 690 - 700, 31.12.2024

Özlem Kapuci , Başak Ünübol

Abstract

Treatment motivation is very important for the prognosis of gambling disorder (GD) patients. Decreased treatment motivation is reported to be one of the most common reasons for poor treatment compliance and relapse after treatment. This study aims to determine whether internalised stigma, perceived social support, depression, and anxiety have an effect on treatment motivation in patients diagnosed with GD and to examine the effect of sociodemographic data on this relationship. The study was conducted in an alcohol and substance abuse treatment centre on the Asian side of Istanbul. A total of 165 patients between the ages of 18-60 who were diagnosed with GD were included in the study. Sociodemographic and clinical data form, internalised stigma scale in mental illness (ISMI), multidimensional perceived social support scale (MSPSS), Beck depression inventory (BDI), Beck anxiety inventory (BAI) and treatment motivation questionnaire (TMQ) were used to collect data. A moderate positive relationship was found between intrinsic motivation and alienation and (ISMI); between extrinsic motivation and depression, anxiety, and confirmation of stereotypes; between (TMQ) and alienation and (ISMI); and a weak negative relationship was found between (MSPS) and (TMQ). It was concluded that alienation, stereotype endorsement, and perceived discrimination explained 34% of the variance in treatment motivation; alienation and (ISMI) explained 30% of the variance in intrinsic motivation; depression, anxiety, and stereotype endorsement explained 31% of the variance in extrinsic motivation; and stereotype endorsement explained 6% of the variance in interpersonal help-seeking. It was concluded that social support had no effect on treatment motivation.

Keywords

Gambling, internalized stigma, social support, depression, anxiety, motivation

Ethical Statement

This study has been derived from doctoral thesis prepared by me under the supervision of Başak UNUBOL In this thesis study that I have prepared in accordance with the Thesis Writing Rules of Hamidiye Institute of Health Sciences, University of Health Sciences; - That the current thesis is my own work, - I have obtained the data, information and documents presented in the thesis within the framework of academic and ethical rules, - I have presented all information, documents, evaluations and results in accordance with the rules of scientific ethics and morality, - I have cited and referenced all of the works I have benefited from in the thesis study, - That I have not violated patent and copyright rights during the study and writing of the present thesis, - I declare that I have not made any changes to the data used, and that I accept all loss of rights that may arise against me in any other case.

Supporting Institution

YEŞİLAY DOKTORA BURSU

Thanks

Araştırmanın yürütülmesinde her daim destek veren danışman hocam Doç. Dr. Başak ÜNÜBOL’a, Prof. Dr. E. Emrem BEŞTEPE’ye, Prof. Dr. Rabia BİLİCİ’ye, Doç. Dr. Merih ALTINTAŞ’a, Dr. Öğretim Üyesi M. Selim ARPACIOĞLU’na, Dr. Öğr. Üyesi Erkal ERZİNCAN’a ve araştırmanın yürütülmesinde doktora bursu kapsamında destek adığım YEŞİLAY’a, sevgili eşim Orhan KAPUCI’ya ve biricik oğullarım İlhami Kadir ve Mehmet Kerem’e teşekkürlerimi bir borç olarak bilirim.

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