{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:29:13Z","timestamp":1790101753119,"version":"4.0.1"},"reference-count":94,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2019,1,20]]},"abstract":"<jats:sec sec-type=\"background and aims\">\n          <jats:title>Background and aims<\/jats:title>\n          <jats:p>Problem gambling is characterized by high stigma and self-stigma, making relevant measurement of the burden of the disorder complex. The aim of our qualitative study was to describe health-related quality of life (HRQOL) impacted by problem gambling from the patients\u2019 perspective.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"methods\">\n          <jats:title>Methods<\/jats:title>\n          <jats:p>We conducted 6 focus groups with 25 current or lifetime at-risk problem gamblers to identify key domains of quality of life impacted by problem gambling. A content analysis from the focus groups data was conducted using Alceste<jats:sup>\u00a9<\/jats:sup> software, using descendant hierarchical classification analysis, to obtain stable classes and the significant presences of reduced forms. The class of interest, detailing the core of impacted quality of life, was described using a cluster analysis.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"results\">\n          <jats:title>Results<\/jats:title>\n          <jats:p>Thematic content analysis identified three stable classes. Class 1 contained the interviewers\u2019 speech. Class 3 was composed of the vocabulary related to gambling practice, games and gambling venues (casino, horse betting, etc.). Class 2 described the core of impact of gambling on quality of life and corresponded to 43% of the analyzed elementary context units. This analysis revealed seven key domains of impact of problem gambling: <jats:italic>loneliness<\/jats:italic>, <jats:italic>financial pressure<\/jats:italic>, <jats:italic>relationships deterioration<\/jats:italic>, <jats:italic>feeling of incomprehension<\/jats:italic>, <jats:italic>preoccupation with gambling<\/jats:italic>, <jats:italic>negative emotions<\/jats:italic>, and <jats:italic>avoidance of helping relationships<\/jats:italic>.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"conclusions\">\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>We identified, beyond objective damage, the subjective distress felt by problem gamblers over the course of the disorder and in the helping process, marked in particular by stigma and self-stigma. Four impacted HRQOL areas were new and gambling-specific: <jats:italic>loneliness<\/jats:italic>, <jats:italic>feeling of incomprehension<\/jats:italic>, <jats:italic>avoidance of helping relationships<\/jats:italic>, and <jats:italic>preoccupation with gambling<\/jats:italic>. These results support the relevance of developing, in a next step, a specific HRQOL scale in the context of gambling.<\/jats:p>\n        <\/jats:sec>","DOI":"10.1556\/2006.7.2018.137","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T07:39:25Z","timestamp":1548056365000},"page":"103-113","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":11,"title":["Giving room to subjectivity in understanding and assessing problem gambling: A patient-centered approach focused on quality of life"],"prefix":"10.1556","volume":"8","author":[{"given":"Nicolas A.","family":"Bonfils","sequence":"first","affiliation":[{"name":"1 CESP, UVSQ, INSERM, University Paris-Sud, Universit\u00e9 Paris-Saclay, Villejuif, France"},{"name":"2 Inserm U894, Centre Psychiatrie et Neurosciences, Paris, France"},{"name":"3 AP-HP, Department of Psychiatry and Addictology, H\u00f4pitaux Universitaires Paris Ouest, Paris, France"},{"name":"4 Sorbonne Paris Cit\u00e9, Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Grall-Bronnec","sequence":"additional","affiliation":[{"name":"5 Addictology and Psychiatry Department, CHU Nantes, Nantes, France"},{"name":"6 Universit\u00e9 de Tours, Inserm U1246, Universit\u00e9 de Nantes, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Caillon","sequence":"additional","affiliation":[{"name":"5 Addictology and Psychiatry Department, CHU Nantes, Nantes, France"},{"name":"6 Universit\u00e9 de Tours, Inserm U1246, Universit\u00e9 de Nantes, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Limosin","sequence":"additional","affiliation":[{"name":"2 Inserm U894, Centre Psychiatrie et Neurosciences, Paris, France"},{"name":"3 AP-HP, Department of Psychiatry and Addictology, H\u00f4pitaux Universitaires Paris Ouest, Paris, France"},{"name":"4 Sorbonne Paris Cit\u00e9, Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amine","family":"Benyamina","sequence":"additional","affiliation":[{"name":"1 CESP, UVSQ, INSERM, University Paris-Sud, Universit\u00e9 Paris-Saclay, Villejuif, France"},{"name":"7 APHP, H\u00f4pitaux Universitaires Paris-Sud, Villejuif, France"},{"name":"8 Facult\u00e9 de M\u00e9decine Paris Sud, Universit\u00e9 Paris XI, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri-Jean","family":"Aubin","sequence":"additional","affiliation":[{"name":"1 CESP, UVSQ, INSERM, University Paris-Sud, Universit\u00e9 Paris-Saclay, Villejuif, France"},{"name":"7 APHP, H\u00f4pitaux Universitaires Paris-Sud, Villejuif, France"},{"name":"8 Facult\u00e9 de M\u00e9decine Paris Sud, Universit\u00e9 Paris XI, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandine","family":"Luquiens","sequence":"additional","affiliation":[{"name":"1 CESP, UVSQ, INSERM, University Paris-Sud, Universit\u00e9 Paris-Saclay, Villejuif, France"},{"name":"7 APHP, H\u00f4pitaux Universitaires Paris-Sud, Villejuif, France"},{"name":"8 Facult\u00e9 de M\u00e9decine Paris Sud, Universit\u00e9 Paris XI, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref151","doi-asserted-by":"crossref","first-page":"711","DOI":"10.7326\/0003-4819-64-3-711","article-title":"Medicine and the quality of life","volume":"64","author":"Elkinton","year":"1966","journal-title":"Annals of Internal Medicine,"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1136\/bmj.322.7296.1240","article-title":"Measuring quality of life: Is quality of life determined by expectations or 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