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González-Roz A, Castaño Y, Krotter A, Salazar-Cedillo A, Gervilla E. Emotional dysregulation in relation to substance use and behavioral addictions: Findings from five separate meta-analyses. Int J Clin Health Psychol 2024; 24:100502. [PMID: 39308782 PMCID: PMC11416520 DOI: 10.1016/j.ijchp.2024.100502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 08/28/2024] [Indexed: 09/25/2024] Open
Abstract
Background/objective Emotional dysregulation (ED) is a transdiagnostic variable underlying various psychiatric disorders, including addictive behaviors (ABs). This meta-analysis examines the relationship between ED and ABs (alcohol, tobacco, cannabis, gambling, and gaming), and indicators of AB engagement (frequency, quantity/time of use, severity, and problems). Method Searches were conducted in PubMed, Scopus, WoS, and PsycINFO. Five separate meta-analysis were run using random-effects models. Moderators (age, sex, continental region, and sample type; community vs. clinical), and publication bias were evaluated. Results A total of 189 studies (N = 78,733; 51.29 % women) were identified. ED was significantly related to all ABs. Problems and severity indicators exhibited the largest effects (r's .118-.372, all p <.023). There were larger effect sizes for cannabis problems (r = .372), cannabis severity (r = .280), gaming severity (r = .280), gambling severity (r = .245), gambling problems (r = .131), alcohol problems (r = .237), alcohol severity (r = .204), and severity of nicotine dependence (r = .118). Lack of impulse control exhibited some of the largest effects in relation to ABs. Clinical samples of cannabis users vs. community-based exhibited larger magnitude of associations. Conclusions Interventions targeting ABs should address lack of strategies and impulsive behaviors as an emotion regulation strategy specifically, as it is a common risk factor for ABs.
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Affiliation(s)
- Alba González-Roz
- Addictive Behaviors Research Group (GCA), Department of Psychology, University of Oviedo, Plaza Feijoo s/n, 33003, Oviedo, Spain
| | - Yasmina Castaño
- Data Analysis Research Team (GRAD), Department of Psychology, University of the Balearic Islands, Cra Valldemossa, km 7.5, 07122, Palma, Spain
| | - Andrea Krotter
- Addictive Behaviors Research Group (GCA), Department of Psychology, University of Oviedo, Plaza Feijoo s/n, 33003, Oviedo, Spain
| | - Angie Salazar-Cedillo
- Data Analysis Research Team (GRAD), Department of Psychology, University of the Balearic Islands, Cra Valldemossa, km 7.5, 07122, Palma, Spain
| | - Elena Gervilla
- Data Analysis Research Team (GRAD), Department of Psychology, University of the Balearic Islands, Cra Valldemossa, km 7.5, 07122, Palma, Spain
- Statistical and Psychometric Procedures Applied in Health Science, Health Research Institute of the Balearic Islands (IdISBa), Cra Valldemossa, 79, Son Espases University Hospital, 07120, Palma, Spain
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You DS, Rassu FS, Meagher MW. Emotion regulation strategies moderate the impact of negative affect induction on alcohol craving in college drinkers: an experimental paradigm. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1538-1546. [PMID: 34242551 PMCID: PMC8785966 DOI: 10.1080/07448481.2021.1942884] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 04/21/2021] [Accepted: 06/09/2021] [Indexed: 06/13/2023]
Abstract
Objectives: Observational studies suggest emotion regulation (ER) as a potential treatment target for problematic college drinking. The primary aim of this laboratory study was to determine whether trait ER strategies would moderate the impact of negative affect induction on alcohol craving in college drinkers. Methods: Participants were randomly assigned to a neutral (n = 74) or a negative affect induction (n = 76) and reported their craving after the affect inductions. Results: Greater use of drinking to cope and less use of cognitive reappraisal predicted greater alcohol craving after the negative affect induction, but not after the neutral condition. In contrast, emotion suppression did not predict alcohol craving in either condition. Conclusion: Our results highlight the role of ER tendencies-particularly the benefits of cognitive reappraisal-on alcohol craving when experiencing emotional distress. Therefore, ER strategies may be an important target for college drinkers to prevent and reduce problematic drinking.
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Affiliation(s)
- Dokyoung S. You
- 230 Psychology Building, Department of psychological & Brain Sciences, 4235 TAMU College Station, TX 77843-4235
| | - Fenan S. Rassu
- 230 Psychology Building, Department of psychological & Brain Sciences, 4235 TAMU College Station, TX 77843-4235
| | - Mary W. Meagher
- 230 Psychology Building, Department of psychological & Brain Sciences, 4235 TAMU College Station, TX 77843-4235
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Sorgi-Wilson KM, McCloskey MS. Emotion regulation strategies among individuals with borderline personality disorder relative to other groups: A review. Clin Psychol Psychother 2022; 29:1655-1678. [PMID: 35366040 DOI: 10.1002/cpp.2738] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 01/28/2022] [Accepted: 03/29/2022] [Indexed: 11/11/2022]
Abstract
Borderline personality disorder (BPD) is associated with difficulties in emotion regulation (ER) abilities. Investigations of ER strategies in BPD have been less robust. This systematic review identified 55 studies comparing ER strategy use between individuals diagnosed with BPD versus psychiatric and non-psychiatric comparison groups. Individuals with BPD reported more frequent maladaptive and less frequent adaptive ER strategy use than non-psychiatric controls. Results were less consistent relative to psychiatric comparison groups, though individuals with BPD reported greater self-criticism and avoidance. Groups responded comparably to instructed use of adaptive (but not maladaptive) ER strategies. This body of research would benefit from further examination of the roles of psychiatric comorbidity and problematic behaviours in the relationship between BPD and ER strategies.
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Affiliation(s)
- Kristen M Sorgi-Wilson
- Department of Psychology and Neuroscience, Temple University, Philadelphia, Pennsylvania, USA
| | - Michael S McCloskey
- Department of Psychology and Neuroscience, Temple University, Philadelphia, Pennsylvania, USA
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Christ NM, Byllesby BM, Elhai JD. The Effect of Cognitive-Affective Factors on PTSD and Alcohol Use Symptoms: An Investigation on Rumination, Suppression, and Reappraisal. Subst Use Misuse 2022; 57:2053-2062. [PMID: 36305851 DOI: 10.1080/10826084.2022.2129997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Background: Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) are mental health conditions that often co-occur. The complexity of this comorbidity is well-documented, though the role of malleable cognitive-affective factors in PTSD/AUD warrants further study. Specifically, attaining a more comprehensive understanding of the role of malleable cognitive-affective factors in individuals with symptoms of PTSD/AUD may have important implications for future research, such as in treatment-seeking individuals. Extant examinations of cognitive-affective factors have demonstrated unique associations of cognitive reappraisal, expressive suppression, and rumination in PTSD symptom severity, though these effects had yet to be explored in subgroups of comorbid PTSD/AUD.Methods: In a sample of trauma-exposed individuals (n = 334) recruited to participate through an internet labor market, we first empirically examined latent subgroups of PTSD/AUD symptoms using latent profile analysis, then included expressive suppression, cognitive reappraisal, and four dimensions in the model to elucidate their role in specific profile patterns of PTSD/AUD symptom typologies.Results: Our results support a four-class model of PTSD/AUD symptoms, with unique predictive effects of expressive suppression, problem-focused thoughts, repetitive thoughts, and anticipatory thoughts on latent profile status.Conclusions: These findings may have important implications for future research focused on examining cognitive-affective patterns as they apply to intervention techniques in treatment-seeking individuals with symptoms of PTSD/AUD.
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Affiliation(s)
- Nicole M Christ
- Department of Psychology, University of Toledo, Toledo, Ohio, USA
| | - Brianna M Byllesby
- Department of Psychology, University of South Dakota, Vermillion, South Dakota, USA
| | - Jon D Elhai
- Department of Psychology, University of Toledo, Toledo, Ohio, USA
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Norberg MM, Barnier E, Weidemann G, Chakerian K, Cornish JL, Rapee RM. Randomised pilot study of cannabis cue exposure: Reducing cue reactivity while building tolerance. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12157] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Melissa M. Norberg
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia,
| | - Ellise Barnier
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia,
| | - Gabrielle Weidemann
- School of Social Sciences and Psychology, Western Sydney University, Sydney, Australia,
| | - Kara Chakerian
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia,
| | - Jennifer L. Cornish
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia,
| | - Ronald M. Rapee
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia,
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Jiang H, Li S, Yang J. Work Stress and Depressive Symptoms in Fishermen With a Smoking Habit: A Mediator Role of Nicotine Dependence and Possible Moderator Role of Expressive Suppression and Cognitive Reappraisal. Front Psychol 2018; 9:386. [PMID: 29632504 PMCID: PMC5879124 DOI: 10.3389/fpsyg.2018.00386] [Citation(s) in RCA: 112] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Accepted: 03/08/2018] [Indexed: 11/13/2022] Open
Abstract
This study examined pathways of influence between work stress, depressive symptoms, nicotine dependence, expressive suppression, and cognitive reappraisal in fishermen with smoking habits in Qionghai, Hainan province, China (N = 1068). These fishermen responded to multiple assessments a week before leaving on a deep-sea fishing trip, including a Mental Stressor Investigation Questionnaire (MSIQ), the Center for Epidemiological Studies Depression Scale (CES-D), the Russell Reason for Smoking Questionnaire (RRSQ), and an Emotion Regulation Questionnaire (ERQ). Structural equation modeling (SEM) analyses of the collected data in Mplus 7 showed that work stress and nicotine dependence were independent predictors of depressive symptoms. The relationship between work stress and depressive symptoms was found to be partially mediated by nicotine dependence and be moderated by cognitive reappraisal. The evidence suggests it advantageous to examine the need of work stress, nicotine dependence, and cognitive reappraisal when attempting to understand depressive symptoms in fishermen with a smoking habit. These findings suggest that improving nicotine dependence through work stress management and training in cognitive reappraisal could be utilized as effective modalities for improving depressive symptoms.
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Affiliation(s)
- Hongjuan Jiang
- Department of Psychology, Hainan Medical University, Haikou, China
| | - Sailan Li
- Hainan Anning Hospital, Haikou, China
| | - Juan Yang
- Department of Psychology, Hainan Medical University, Haikou, China
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Khosravani V, Sharifi Bastan F, Avatefi B, Mofidi F. Alexithymia influences craving through facets of emotion regulation in alcoholic patients. JOURNAL OF SUBSTANCE USE 2017. [DOI: 10.1080/14659891.2017.1333163] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Vahid Khosravani
- Clinical Research Development Center of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Behzad Avatefi
- Arsenjan Health and Treatment Network, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Mofidi
- MSc in Personality Psychology, Islamic Azad University-Karaj Branch, Karaj, Iran
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Pedersen ER. Using the Solid Research Base on Pregaming to Begin Intervention Development: An Epilogue to the Special Issue on Pregaming. Subst Use Misuse 2016; 51:1067-73. [PMID: 27232647 DOI: 10.1080/10826084.2016.1187533] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The pregaming research to date, up to and including the innovative studies included in this special issue, has centered on defining the behavior, learning which students may be most at-risk for pregaming, exploring which contexts may be most risky for pregaming, and quantifying the function of pregaming so that individual-level programs can be developed to target the risky practice. Although there is room for continuing to expand and refine our understanding of pregaming, much of the formative work has been conducted-primarily by the researchers highlighted in this special issue. Now it is time to use the understanding we have of this risky behavior to develop and empirically test programs specifically directed toward reducing or eliminating the behavior, not just at the individual level, but by targeting the social, cultural, economic, environmental, and policy level factors that sustain the behavior in the population. This may include targeting the behavior directly through use of techniques that are shown to be effective for young adult behavior change, but this may also require broadening beyond the psychological literature and utilizing expertise from other domains to affect behavior change.
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Affiliation(s)
- Eric R Pedersen
- a Behavioral and Policy Sciences , RAND Corporation , Santa Monica , California , USA
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