Indicators Of Psychosocial Well-being Research Articles

Born in Belgium Professionals, shared platform towards integrated care.

Introduction: The first 1000 days of life (i.e. 270 days of a pregnancy and 2 years of 365 days each) are crucial for a healthy growth and development of a child. Meanwhile this period is one of the largest transitions into a woman’s and man’s life with different physiological, psychological and social changes. The transition into parenthood can be seen as an important period of imprinting, impacting later health and wellbeing.
 It is a vulnerable period where attention to psychosocial well-being is of great importance. Born in Belgium Professionals, which is a National Institute of Health and Disability (NIHD) project, is committed to an increased focus on questioning each pregnant woman and offering tailor-made care.
 Target Community: Born in Belgium professionals is a digital platform developed by and for care providers that offers support in the needs assessment and follow-up of psychosocial well-being in the perinatal period.
 Involvement & Engagement: More than 100 organisations were involved in the development phase.
 Intervention: The digital platform offers an overview of the care providers involved; The care needs are mapped by means of a questionnaire tool; The answers in the tool lead to proposals for customised care; The platform facilitates referrals through integration with databases of the NIHD, Social Brussels, Social map Flanders, VVKP, VRGT, Fares,... ; The platform enables multidisciplinary consultation across primary and secondary care organisations; The platform is offered free of charge by the NIHD; The platform forms a shared file. The platform is integrated into the various Electronic Files or can be accessed via a web link.
 The platform is aimed at all care actors working in the perinatal period: GP, gynaecologist, midwife, psychologist, social worker, non-profit organisation, .... Informative webinars and training around asking sensitive questions are offered.
 Results: More than 1,500 women have already been followed up in the platform, the first results show a clear need for an integrated care approach.
 Less than 1% of women refuse to participate, in over 95% of the cases all 13 indicators of psychosocial wellbeing are filled. Over 87% of the women report at least one vulnerability. Proposed care pathways, including referrals, are used.
 
 Lessons learned: Women are open to answering questions about their psychosocial wellbeing in a shared digital platform.
 Integrated care pathways are initiated through the platform, all stakeholders involved have an overview of the current situation.
 The concept of Born in Belgium Professionals can be extended to other care pathways and other stages of life.
 Next steps: In terms of evaluation, we are planning a thorough analysis of entire care pathways. In terms of implementation, we will analyse the use of the platform along with barriers and facilitators to its use in practice, this will allow us to develop appropriate implementation strategies.
 We plan the further roll-out of the platform in Flanders, Brussels and Wallonia.

Communicative Fluency and the Experience of Stuttering: A Viewpoint.

Despite ambiguity in meaning and usage, "fluency" has played a central role in the understanding and treatment of developmental stuttering. The appropriateness of the term fluency in association with so-called fluency disorders, such as stuttering, has recently been questioned. The purpose of this article is to propose that fluency is best conceptualized as the efficiency of goal-directed action through cybernetic function. Spoken utterances are examples of sequences of action for the fulfillment of a hierarchy of nested and increasingly abstract social goals, including behaviors (e.g., introducing oneself) and values (e.g., being a sociable person). In contrast, some moments of speech disfluency, such as stuttering disfluencies, are inefficiencies in goal-directed action that may or may not hinder the fulfillment of higher level communicative behaviors and values, described here as communicative fluency. The concept of communicative fluency refers to the continual, reliable, and upward fulfillment of increasingly abstract social goals in the form of communicative actions, behaviors, and values. This expanded conceptualization of fluency beyond simply speech production has the potential to be a useful indicator of psychosocial well-being for individuals who stutter.

Individual level peer interventions for gay and bisexual men who have sex with men between 2000 and 2020: A scoping review.

BackgroundPeer-led interventions are central to the global HIV response for gay and bisexual men who have sex with men [GBMSM]. Since the year 2000, technological advancements in HIV and an increased response to the health disparities faced by GBMSM outside of HIV, have contributed to the expanding scope of their content and delivery. This review sets out to characterise the evidence base for individual level peer interventions for GBMSM, overview approaches to implementing and evaluating them and identify future priorities for their delivery and evaluation.MethodsA scoping review methodology was applied and evaluations of peer programs for GBMSM published in peer reviewed journals were identified via subject heading and keyword searches across five electronic databases. Titles and abstracts were reviewed, and full texts were assessed against eligibility criteria. A coding framework was used to extract data from included studies against intervention implementation and evaluation components.ResultsA total of 38 studies evaluating peer led interventions against effectiveness outcomes were deemed eligible for inclusion and coded into four intervention modalities; peer counselling [n = 6], groupwork programs [n = 15], peer navigation [n = 7] and peer education [n = 10]. Most addressed HIV [n = 32] and across intervention modalities, evaluations demonstrated compelling evidence of significant effect. Intervention effects on broader indicators of psychosocial wellbeing were not extensively evaluated. Expertise regarding the implementation and evaluation of peer interventions addressing HIV among GBMSM ought to be leveraged to expand the scope of peer intervention to meet the diverse health and wellbeing needs of GBMSM.

Treatment Regret, Mental and Physical Health Indicators of Psychosocial Well-Being among Prostate Cancer Survivors.

Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients’ autonomy in treatment decisions and recognizing this process’ vulnerability in health care contexts is warranted.

Latent profiles and transition of perceived parental control and their relationship with the psychosocial well-being among rural-to-urban migrant adolescents.

The present study examined what, if any, patterns of parental control are associated with multiple indicators of psychosocial well-being and whether changes in these patterns over time predict subsequent psychosocial well-being. Latent profile analyses and latent transition analyses were applied to identify subgroups of parental control and transitions of these patterns over time among rural-to-urban migrant adolescents who participated in two waves of surveys with 6-month interval in 2014 (NT1 =660, NT2 =553). Multivariate logistic regression was conducted to explore their relationship with psychosocial well-being. Four latent profiles were identified based on levels of parental control at wave 1 and wave 2, respectively. The high psychological and behavioral control (HPHB) group was associated with worse psychosocial well-being whereas the low psychological control and high behavioral control (LPHB) group exhibited opposite relationships. Six transitioning groups were identified: "stably low-risk" (14.92%), "stably medium-risk" (7.37%), "stably high-risk" (24.49%), "floating LPHB" (26.52%), "high-decreasing" (15.10%), and "low-increasing" (11.60%) groups. The "stably high-risk" and "low-increasing" groups showed a higher risk in psychosocial well-being. Youth exhibiting higher risks of parental control (i.e. individuals in HPHB groups and higher-risk transition patterns over time) should prioritize for interventions and services.

Life Satisfaction and Subsequent Physical, Behavioral, and Psychosocial Health in Older Adults.

Several intergovernmental organizations (Organisation for Economic Co-operation and Development, World Health Organization, United Nations) are urging countries to use well-being indicators (e.g., life satisfaction) in addition to traditional economic indicators when making important policy decisions. As the number of governments implementing this new approach grows, so does the need to continue evaluating the health and well-being outcomes we might observe from policies aimed at improving life satisfaction. We evaluated whether positive change in life satisfaction (between t0 ;2006/2008 and t1 ;2010/2012) was associated with better outcomes on 35 indicators of physical, behavioral, and psychosocial health and well-being (in t2 ;2014/2016). Data were from 12,998 participants in the University of Michigan's Health and Retirement Study-a prospective and nationally representative cohort of US adults over age 50. Participants with the highest (versus lowest) life satisfaction had better subsequent outcomes on some physical health indicators (lower risk of pain, physical functioning limitations, and mortality; lower number of chronic conditions; and higher self-rated health) and health behaviors (lower risk of sleep problems and more frequent physical activity), and nearly all psychosocial indicators (higher positive affect, optimism, purpose in life, mastery, health mastery, financial mastery, and likelihood of living with spouse/partner; and lower depression, depressive symptoms, hopelessness, negative affect, perceived constraints, and loneliness) over the 4-year follow-up period. However, life satisfaction was not subsequently associated with many specific health conditions (i.e., diabetes, hypertension, stroke, cancer, heart disease, lung disease, arthritis, overweight/obesity, or cognitive impairment), other health behaviors (i.e., binge drinking or smoking), or frequency of contact with children, family, or friends. These results suggest that life satisfaction is a valuable target for policies aiming to enhance several indicators of psychosocial well-being, health behaviors, and physical health outcomes.

World Trade Center Exposure and Posttraumatic Growth: Assessing Positive Psychological Change 15 Years after 9/11.

We evaluated the presence of posttraumatic growth (PTG) among survivors of the 9/11 terrorist attack and how indicators of psychosocial well-being, direct 9/11-related exposure, and posttraumatic stress symptoms (PTSS) relate to PTG. PTG was examined among 4934 participants using the Posttraumatic Growth Inventory (PTGI). A confirmatory factor analysis (CFA) was conducted to determine if the original factor structure of the PTGI fits our data and principal component analysis (PCA) to identify the appropriate factor structure. Multivariable linear regression models were used to examine the association between PTG and indicators of psychosocial well-being, 9/11-related exposure, and PTSS, controlling for covariates. CFA identified a two-factor structure of the PTGI as a better fit than the original five-factor model. Participants who experienced very high 9/11-related exposure level (ß = 7.72; 95% CI: 5.75–9.70), higher PTSS at waves 1 (ß = 0.13; 95% CI: 0.08–0.18) and 2 (ß = 0.09; 95% CI: 0.05–0.14), high social integration (ß = 5.71; 95% CI: 4.47, 6.96), greater social support (ß = 0.49; 95% CI: 0.37, 0.61), and higher self-efficacy (ß = 1.26; 95% CI: 1.04, 1.48) had higher PTGI scores. Our findings suggest PTG is present, 15 years following the 9/11 terrorist attack. Very high-level 9/11 exposure, PTSS, and indicators of psychosocial well-being were associated with PTG.

Problematic Internet Use and Psychosocial Well-being: Role of Mindfulness Mediated by Self-Control and Negative Affect

With the growing concern about excessive Internet use and accompanying adverse psychosocial outcomes, unveiling the underlying mechanisms related to problematic Internet use has become an important topic to study. The present study examines the relationship between dispositional mindfulness and psychosocial well-being through problematic Internet use. An attempt has also been made to investigate whether negative affect and self-control are useful in explaining the relationship between dispositional mindfulness and problematic Internet use or not. The data was derived from a questionnaire survey of 246 postgraduate management students from a leading business school (approximately 48% females) and structural equation modelling technique was used for data analysis. The results suggest that higher mindfulness is associated with lower problematic Internet use, and the relationship is partially mediated by negative affect and self-control. Problematic Internet use partially mediate the relationship between mindfulness and depression/loneliness (indicators of psychosocial well-being). The study outcomes may prove helpful in empirical understanding of previously unidentified mediating mechanisms through which mindfulness may impact problematic Internet use, which further influences psychosocial well-being. Limitations and future directions, as well as potential implications, are also discussed.

Discrimination and Psychosocial Well-Being of Migrants in Spain: The Moderating Role of Sense of Community.

The discrimination migrants perceive during their adaptation process is one of the main sources of stress and it affects their well-being, health and integration severely. The present study analyses how the sense of community (SOC) can have a protective effect against the perception of discrimination and its negative consequences by verifying the following theoretical model: discrimination predicts three indicators of psychosocial well-being (psychological distress, satisfaction with life and feelings of social exclusion). Furthermore, the theoretical model proposed also considers the hypothesis that SOC has a moderating role on the effect of perceived discrimination regarding the three variables mentioned above. 1714 migrants from Eastern Europe, Africa and Latin America who live in Málaga, Spain, participated in the study. Data were collected using random-route sampling and survey methodology. After carrying out multiple regression analyses, using the PROCESS tool in SPSS 20, the theoretical model was verified: SOC reduces the negative effects of perceived discrimination for the variables psychological distress, satisfaction with life and social exclusion feelings. Therefore, migrants who have a greater SOC experience fewer negative consequences, as compared to those with a lower SOC, for whom the consequences of such variables are more negative. These results highlight the importance for migrants to rebuild social networks in the host country and develop a good SOC. Results also allow the development of intervention patterns to favor positive interactions between native population and migrants.

“Nobody cares about you as a group of people”: a mixed methods study of women living in congregate social housing in Ontario, Canada

ABSTRACT Guided by the social model of disability, we carried out this exploratory study to understand the health and psychosocial needs of women living in social housing in Ontario, Canada. Using a sequential, mixed-methods design, we interviewed 19 women using a 126-item quantitative interview including six standardized measures exploring indicators of psychosocial well-being. From these findings, we designed a qualitative interview protocol and returned to participants. We calculated descriptive statistics for quantitative variables and analyzed qualitative data using thematic analysis. Participants reported a median of six unmet basic psychosocial needs (range 1–16; IQR = 6), a high prevalence of health conditions and associated disability with scores falling above the 80th percentile on all subtests of a disability measure. Qualitative findings revealed that participants were living in an environment that made it challenging to meet their basic needs and felt abandoned by community supports. A persistent lack of safety led to self-isolation, which negatively influenced mental well-being. Social housing is aimed at alleviating poverty and its associated harms, yet women face multiple barriers to meeting their basic needs through existing supports and continue to experience poverty. Social housing can be disabling environments for women living in poverty.

Spiritually Motivated Self-Forgiveness and Divine Forgiveness, and Subsequent Health and Well-Being Among Middle-Aged Female Nurses: An Outcome-Wide Longitudinal Approach.

Background: Interest in the relationship between forgiveness and health is steadily growing across disciplines within the research community. While there are multiple forms of forgiveness, past research has focused principally on studying forgiveness of others, whereas longitudinal evidence on the associations between other forms of forgiveness and health remains scarce.Methods: Using longitudinal data from the Nurses’ Health Study II (from the 2008 Trauma Exposure and Post-traumatic Stress Supplementary Survey to 2015 questionnaire wave), this study employed an outcome-wide analytic approach to prospectively examine the association between two forms of religiously or spiritually motivated forgiveness, namely, self-forgiveness and divine forgiveness, and a wide array of subsequent psychosocial well-being, mental health, health behavior, and physical health outcomes among middle-aged female nurses (N = 54,703 for self-forgiveness; N = 51,661 for divine forgiveness). All models controlled for sociodemographic factors, prior religious service attendance, and prior values of all outcome variables wherever data were available. Bonferroni correction was used to account for multiple testing.Results: Self-forgiveness was strongly associated with greater psychosocial well-being (e.g., for top vs. bottom level of self-forgiveness, β = 0.23, 95% CI: 0.20, 0.25 for positive affect) and lower psychological distress (e.g., β = −0.21, 95% CI: −0.23, −0.18 for depressive symptoms). To a lesser extent, divine forgiveness was also associated with higher levels of psychological well-being and lower psychological distress. For both forgiveness types, there was little evidence of association with physical health or health behavior outcomes, though possible marginal evidence for an association of self-forgiveness with increased mortality.Discussion: This study provides novel evidence that religiously or spiritually motivated self-forgiveness and divine forgiveness are both positively related to several indicators of psychosocial well-being and inversely associated with psychological distress outcomes, whereas the associations with physical health and health behaviors are less clear. Further longitudinal investigation of the dynamics between these types of forgiveness and health and well-being is warranted.

Digital Phenotyping to Quantify Psychosocial Well-Being Trajectories After Spinal Cord Injury.

The aim of the study was to explore feasibility of smartphone-based digital phenotyping methods to examine depression and its relation to psychosocial well-being indicators after spinal cord injury. Smartphone research platform obtained smartphone sensor and survey data among community-living adult wheelchair users with spinal cord injury. Weekly measurements for 4 mos included Patient Health Questionnaire 8, Spinal Cord Injury-Quality of Life Satisfaction with and ability to participate in social roles and activities, global positioning system-derived community mobility metrics, health conditions, and physical activity. Forty-three individuals were enrolled. Study retention was higher among individuals offered financial incentives (78%) compared with participants enrolled before incentives (50%). Participants who dropped out more commonly had nontraumatic or acute spinal cord injury, were older, and had less satisfaction and lower participation in social roles and activities. Among 15 individuals with complete data, half had 1 wk or more of mild depression. Those with depression had frequent health issues, less satisfaction, and lower participation in social roles and activities. Those without depression experienced increased social engagement over time. Average community mobility was similar across depression groups. Relationships were typically in-phase but also varied by individual. Smartphone-based digital phenotyping of psychosocial well-being after spinal cord injury is feasible but not without attrition challenges. Individual differences in depression patterns highlight clinical utility of scaling these methods.

Delayed gratification and psychosocial wellbeing among high-risk youth in rehabilitation: A latent change score analysis

This multiwave longitudinal study investigated the dynamic relationship between gratification delay and three facets of well-being among a group of high-risk youth in a residential therapeutic community: life satisfaction, life flourishing, and lack of depressive symptoms. We collected four waves of data from 111 Hong Kong youths (75.7% male, mean age = 17.7) over one year. We employed latent change score analysis to examine the univariate and bivariate changes of levels of gratification delay and well-being indicators, accounting for gender, drug history, and duration of stay. Results suggest a positive growth trajectory in gratification delay and psychosocial well-being. Delayed gratification was associated with subsequent changes in all three psychosocial well-being indicators and had a reciprocal effect with life flourishing. The findings shed light on delayed gratification as a possible predictor of well-being in high-risk youth and highlight the potential contribution of incorporating training of gratification delay in their rehabilitation.

Changes in the quality of life of children after surgical treatment for drug-resistant temporal lobe epilepsy

Objective : to evaluate the impact of surgical treatment for drug-resistant temporal lobe epilepsy in children on seizure frequency and quality of life. Patients and methods . Examinations were made in 80 children aged 2–17 years with drug-resistant temporal lobe epilepsy, who had undergone surgery in 2011–2016. To assess its outcomes, the investigators used the Quality of Life Childhood Epilepsy, QOLCE questionnaire for patients' parents and the Engel Epilepsy Surgery Outcomes Scale. Results and discussion . In the long-term period after surgical treatment, 54.5% of the children with drug-resistant temporal lobe epilepsy achieved a favorable outcome (Engel class I); there were significant (p<0.05) positive changes in quality of life subdomains, such as speech, physical limitations, energy levels/weakness, and overall quality of life. Comparison of quality of life before and after surgical treatment established its positive impact on subdomains, such as social contacts and activity, behavior, physical limitations, attentiveness, memory, and speech. In general, there was a neutral or beneficial effect of the treatment on most of the quality of life subdomains. Conclusion . To make recommendations based on high-level evidence, there is a need for further multicenter prospective studies of large patient populations with a detailed analysis of the relationship of factors influencing the outcome of surgery and indicators of psychosocial well-being of a child. The preoperative and postoperative changes in health and quality of life indicators cannot be more accurately assessed in patients without standardizing their preoperative examination algorithm and using equivalent psychometric tools.

Weight bias internalization across weight categories among school-aged children. Validation of the Weight Bias Internalization Scale for Children

Anti-fat bias is widespread and is linked to the internalization of weight bias and psychosocial problems. The purpose of this study was to examine the internalization of weight bias among children across weight categories and to evaluate the psychometric properties of the Weight Bias Internalization Scale for Children (WBIS-C). Data were collected from 1484 primary school children and their parents. WBIS-C demonstrated good internal consistency (α = .86) after exclusion of Item 1. The unitary factor structure was supported using exploratory and confirmatory factor analyses (factorial validity). Girls and overweight children reported higher WBIS-C scores in comparison to boys and non-overweight peers (known-groups validity). Convergent validity was shown by significant correlations with psychosocial problems. Internalization of weight bias explained additional variance in different indicators of psychosocial well-being. The results suggest that the WBIS-C is a psychometrically sound and informative tool to assess weight bias internalization among children.

Psychosocial Well-Being Indicators of Pregnant Women of the Ethnic Mexican Teenek

Psychosocial Well-Being Indicators of Pregnant Women of the Ethnic Mexican Teenek

Introduction of a new instrument to measure motivation for gaming: the electronic gaming motives questionnaire

To adapt the four-dimensional Gambling Motives Questionnaire-Revised (GMQ-R) to measure the motivation for engaging in electronic gaming, and to validate the internal structure and investigate the criterion validity of the new Electronic Gaming Motives Questionnaire (EGMQ). The GMQ-R was adapted to measure motivation for playing video games and the new instrument was tested on a sample of Norwegian conscripts selected randomly from the pool of conscripts who started their military service between 2013 and 2015. The questionnaire was administered to all those who had played video games during the last 6 months and consisted of 853 gamers (86.8% men, mean age=19.4years). All participants completed the EGMQ, as well as other measures of gaming behaviour, gaming problems, boredom, loneliness and depression. The confirmatory factor analyses showed that the proposed EGMQ (measuring enhancement, coping, social and self-gratification motives) displayed satisfactory fit and internal consistency. Hierarchical regression analyses showed that gender emerged as a significant predictor (P<0.001) of all the dependent variables (variety, hours weekly gaming, loss of control and gaming problems) and the first step explained between 1 and 6.1% of the variance in the gaming behaviours. In the second step the four motivational dimensions explained an additional 5.8-38.8% of the variance. Coping and self-gratification predicted gaming problems (P<0.001) and coping alone predicted loss of control (P<0.001). The four motivational dimensions were also predicted differentially by indicators of psychosocial wellbeing, indicating divergent validity of the four motives. The four-dimensional Electronic Gaming Motives Questionnaire is a valid instrument for measuring motives for gaming.

Análisis psicométrico de la Escala de Ajuste Escolar Percibido por el Profesor (PROF-A)

Teachers’ perception of their students’ school adjustment can be an important indicator of psychosocial well-being and provide useful information for the development of interventions to improve their psychosocial adjustment. This is the reason why it is essential within the school adjustment to consider not only students’ academic achievement but also their level of social integration in the classroom, the quality of their relationship with the teacher, and the level of family involvement in their education. The objective of this research is to provide a reliable instrument for measuring a full school adjustment and analyze its relationship with two important indicators of psychosocial adjustment, self-concept and attitudes toward authority. This study involved 87 teachers who assessed the school adjustment of students (N = 2378 adolescents) using the PROF-A scale. Findings show that this scale consists of four factors, social integration, academic competence, family involvement, and teacher-student relationship, showing significant positive correlations with self-concept and positive attitudes toward authority.

Associations between psychosocial functioning and smiling intensity in patients with head and neck cancer

Increasing attention is being given to developing quantitative measures of facial expression. This study used quantitative facial expression analysis to examine associations between smiling intensity and psychosocial functioning in patients with head and neck cancer (HNC). Smiling intensity of 95 HNC patients was measured using 48 quantitative measures calculated from facial photographs with and without a smile. We computed a composite smiling intensity score for each patient representing the degree of similarity to healthy controls. A lower composite score indicates that the person is less expressive, on average, than healthy controls. Patients also completed self-report measures assessing domains of body image and quality of life (QOL). Spearman rank correlations were computed to examine relationships between composite scores and psychosocial functioning. Composite scores were significantly correlated with multiple measures of body image and QOL. Specifically, decreased smiling intensity was associated with feelings of dissatisfaction with one’s body, perceived negative social impact of body image, increased use of avoidance as a body image-coping strategy, reduced functional well-being, and greater head and neck cancer-specific issues. To the best of our knowledge, this is the first study to demonstrate associations between an objectively quantified facial expression (i.e. smiling) and psychosocial functioning. Most previous studies have measured facial expression qualitatively. These findings indicate that smiling intensity may serve as an important clinical indicator of psychosocial well-being and warrants further clinical investigation.

The moderating role of psychosocial well-being on the relationship between escapism and excessive online gaming

The purpose of this study was to empirically test the proposed theory of compensatory internet use, suggesting that people who play online games excessively are motivated to do so because they need to cope with psychosocial problems (Kardefelt-Winther, 2014a; Kardefelt-Winther, 2014b). The study used survey data from players of World of Warcraft (WoW), a popular MMO game. The indicators of psychosocial problems were high stress and low self-esteem and the motivation was escapism. The empirical analysis investigated interaction effects between indicators of psychosocial well-being and motivations. It was hypothesized that the relationship between escapism and negative outcomes would be positive for individuals with high stress or low self-esteem, which would be indicative of escapist online gaming as a coping strategy. However, this was only expected for individuals who experience more negative outcomes from their online gaming, which would highlight an important difference between those who experience many problems and those who experience few. The results showed that both stress and self-esteem moderated the relationship between escapism and negative outcomes as expected. In both cases, the relationship between escapism and negative outcomes was positive in the presence of more psychosocial problems (i.e. high stress or low self-esteem) for those who experience many negative outcomes, but not for those who experience few. The results support the theory of compensatory internet use and suggest that excessive online gaming may be a coping strategy for life problems rather than a mental disorder as proposed in DSM-V.