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Ayaz L, Nazari F. Enhancing Relapse Prevention: Examining the Impact of Experiential Avoidance, Integrative Self-Knowledge, and Basic Psychological Needs in Substance Use Treatment. ADDICTION & HEALTH 2024; 16:69-75. [PMID: 39051040 PMCID: PMC11264483 DOI: 10.34172/ahj.2024.1359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 04/15/2024] [Indexed: 07/27/2024]
Abstract
Background The harmful effects of drug relapse have always been one of the major challenges in addiction treatment. The present study aimed to predict drug relapse in addicted men under treatment based on experiential avoidance, integrative self-knowledge, and basic psychological needs. Methods The present study was a correlational one. The statistical population included all addicted men in Choubindar prison in Qazvin in 2021, among whom 200 individuals were selected randomly. Then, the participants filled out the Relapse Prediction Scale (RPS), Multidimensional Experiential Avoidance Questionnaire (MEAQ), Integrative Self-Knowledge Scale (ISK), and Basic Psychological Needs Scale (BPNS). Data were analyzed using stepwise regression via SPSS software (version 25). Findings The results of the study demonstrated that some of the components of experiential avoidance including distraction, distress endurance, behavioral avoidance, and distress aversion could account for 14.0% of the variance of the relapse in the addicts (P<0.05). Moreover, the obtained results considering the reflective self-knowledge component and the overall score of integrative self-knowledge could explain 15.0% of the variance in relapse in the addicts. Among the basic psychological needs, communication could predict 3.8% of the variance in relapse. Conclusion Based on the results of the present study, it is suggested that through addiction treatment and prevention of relapse programs, psychologists reduce drug relapse in addicts by decreasing distractions and behavioral avoidance, increasing distress endurance, enhancing self-knowledge, and improving efficient relationships.
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Affiliation(s)
- Leila Ayaz
- Faculty of Humanities and Arts, Islamic Azad University, Zanjan Branch, Zanjan, Iran
| | - Fatemeh Nazari
- Department of Psychology, Faculty of Humanities and Arts, Islamic Azad University, Zanjan Branch, Zanjan, Iran
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Cao Y, Liu Q, Yu Q, Fan J, Wang X, Yao R, Zhu X. Depression mediates the relationship of experiential avoidance and internet addiction: a cross-lagged mediation analysis. CURRENT PSYCHOLOGY 2023:1-11. [PMID: 37359623 PMCID: PMC10091337 DOI: 10.1007/s12144-023-04511-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2023] [Indexed: 06/28/2023]
Abstract
Previous research has identified the contemporaneous association between experiential avoidance, depression, and Internet addiction. However, the mechanisms underlying this association are not well acknowledged. The present study aimed to use cross-lagged panel modeling to examine whether depression mediates the relation between experiential avoidance and Internet addiction and whether gender plays a role in the relation. A total of 2731 participants (934 male, Meanage=18.03) were recruited from a university at the baseline study (December 2019). Data was collected at all 3 time points across one year (2019?2020), using 6-month intervals. Experiential avoidance, depression and Internet addiction were assessed using the Acceptance and Action Questionnaire-II (AAQ-II), the Beck Depression Inventory-II (BDI-II) questionnaire, and Young?s Internet Addiction Test (IAT), respectively. Cross-lagged panel models were used to evaluate the longitudinal association and the mediating effect. Multigroup analyses were conducted to examine gender differences in the models.Cross-lagged models indicated that experiential avoidance significantly predicted subsequent depression, and depression significantly predicted subsequent Internet addiction. Furthermore, mediation analyses showed that depression has a mediating effect in the relation between experiential avoidance and Internet addiction (? = 0.010, 95%CI[0.003, 0.018], p>0.001). Multigroup analyses demonstrated that the pattern of structural relations stayed consistent across gender. The findings indicated that experiential avoidance is indirectly related to Internet addiction through depression, suggesting that treatments targeted at reducing experiential avoidance could help relieve depression and thus decrease the risk of Internet addiction. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-023-04511-6.
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Affiliation(s)
- Yanyuan Cao
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
| | - Qian Liu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
| | - Quanhao Yu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
| | - Jie Fan
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
| | - Xiang Wang
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
| | - Rui Yao
- Center for Psychological Development and Service, Hunan University of Chinese Medicine, Changsha, Hunan 410208 China
| | - Xiongzhao Zhu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Renmin Middle Road 139#, Furong District, Changsha, Hunan 410011 China
- Medical Psychological Institute of Central South University, Changsha, Hunan China
- National Clinical Research Center for Mental Disorders, Changsha, Hunan China
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Indulging in Smartphones in Times of Stress: A Moderated Mediation Model of Experiential Avoidance and Trait Mindfulness. Behav Sci (Basel) 2022; 12:bs12120485. [PMID: 36546968 PMCID: PMC9774252 DOI: 10.3390/bs12120485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 11/14/2022] [Accepted: 11/22/2022] [Indexed: 12/05/2022] Open
Abstract
Although previous studies have shown that perceived stress is positively related to problematic smartphone use, knowledge of mediating and moderating mechanisms underpinning this relationship is quite limited. In this study, we explored whether experiential avoidance mediated the relationship between perceived stress and problematic smartphone use and whether trait mindfulness moderated this mediating process. A total of 763 Chinese college students completed the measures of perceived stress, experiential avoidance, problematic smartphone use, and trait mindfulness. The results indicate that perceived stress was positively related to problematic smartphone use and this relation was partially mediated by experiential avoidance. Furthermore, moderated mediation analysis showed that trait mindfulness moderated the linkage between perceived stress and problematic smartphone use via experiential avoidance. This link became weaker for college students with higher levels of trait mindfulness. The results highlight the value of identifying the underlying mechanisms between perceived stress and college students' problematic smartphone use.
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Binge eating and alcohol consumption: an integrative review. Eat Weight Disord 2021; 26:759-769. [PMID: 32424561 DOI: 10.1007/s40519-020-00923-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 05/06/2020] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE To identify the relationship between binge eating and alcohol consumption. METHODS This is an integrative literature review of publications from 2015 to 2019, using the Pubmed, Cinhahl, Psynet, Lilacs, Embase and Web of Science virtual databases and the descriptors ("Binge-Eating" OR "Bulimia") AND Alcohol* in English, Spanish and Portuguese. RESULTS A total of 964 articles were found. After reading the titles and abstracts and excluding duplicates, 36 articles were included in the final sample (35 in English and one in Portuguese). They were grouped into three thematic categories: "sample profile and characterization", "genetic and environmental factors", and "emotions and behavior". CONCLUSIONS The data indicate the existence of a relationship between binge eating and alcohol use, and some factors were associated with this comorbidity. Still, there were few publications on the theme at the national level, indicating the need for developing more research. These findings may support therapeutic actions and strategies for identification of cases, embracing approaches and more effective treatments to meet the individual's biopsychosocial demands. LEVEL OF EVIDENCE Level V, narrative review.
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Michael ML, Juarascio A. Differences in eating disorder symptoms and affect regulation for residential eating disorder patients with problematic substance use. Eat Weight Disord 2020; 25:1805-1811. [PMID: 31612371 DOI: 10.1007/s40519-019-00789-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 09/27/2019] [Indexed: 11/24/2022] Open
Abstract
PURPOSE The aim of the current study was to investigate differences in treatment outcomes for residential eating disorder (ED) treatment patients diagnosed with comorbid substance use disorders (SUDs), particularly differences in ED pathology and affect dysregulation. METHOD Secondary data analysis was conducted on data from a previous study of 140 patients at a residential ED facility. SUD was diagnosed by a staff psychiatrist upon admission, and SUD diagnosis was extracted from electronic health records for the current study. Self-report measures of eating pathology and affect dysregulation from pre-treatment and post-treatment assessments were analyzed. RESULTS 20.1% of the sample (n = 29) were diagnosed with a substance use disorder at the start of treatment. Contrary to hypotheses, those with comorbid SUD did not significantly differ in eating pathology severity, depression symptoms, emotion dysregulation, or psychological acceptance at baseline. Also contrary to hypotheses, individuals with comorbid SUD and ED evidenced slightly larger improvements in certain areas of eating pathology and affect dysregulation throughout treatment than those with ED diagnosis only. CONCLUSIONS These findings suggest that residential ED treatment is an appropriate treatment choice for individuals with comorbid SUD. The observed improvements in affect dysregulation combined with a period of forced abstinence from maladaptive affect regulation behaviors may explain these positive results, though more research is needed to test the mechanisms of action of residential treatment for this population. LEVEL OF EVIDENCE IV, multiple time series analysis.
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Affiliation(s)
- Megan L Michael
- Center for Weight and Lifestyle Sciences, Drexel University, Philadelphia, PA, 19104, USA.
| | - Adrienne Juarascio
- Department of Psychology, Drexel University, Philadelphia, PA, 19104, USA
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