Drinking motives mediate emotion regulation difficulties and problem drinking in college students

Aurora, Pallavi; Klanecky, Alicia K.

doi:10.3109/00952990.2015.1133633

Cited by 48 publications

(34 citation statements)

References 48 publications

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“…On the other hand, confirming the core hypothesis of the current study, however, results showed that daily stress had not only the direct effect on impaired control, but also indirectly affected on it via emotion dysregulation and drinking motives in serial. Consistent with recent studies (Aurora & Klanecky, 2016;Messman-Moore & Ward, 2014), these results showed that emotion dysregulation can be precursor to drinking motives.…”

Section: Discussionsupporting

confidence: 92%

“…Second, this study used self-report questionnaires, which their reliability could be lowered due to the respondents' social desirability. Especially in the case of the DERS, there may be an enormous difference between the respondents' perception of emotional regulation ability and their actual ability (Aurora & Klanecky, 2016). Finally, considering findings that the self-medication hypothesis was supported in cross-sectional than in prospective analyses (Read, Merrill, Griffin, Bachrach, & Khan, 2014), it needs to confirm whether the present results can also be replicated in the longitudinal study.…”

Section: Discussionmentioning

confidence: 71%

“…A recent study found that coping motives to drink were most commonly expressed in adult patients seeking treatment for problematic alcohol use (Hammarberg, Öster, & Nehlin, 2017). Furthermore, some studies showed that coping motives to drink mediate the relationship between the emotion dysregulation and problematic drinking in college samples (Aurora & Klanecky, 2016; Messman-Moore & Ward, 2014), suggesting that emotion dysregulation can contribute to drinking motives.…”

Section: Although Impaired Control Consists Of Three Componets Inclumentioning

confidence: 99%

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The Influence of Daily Stress on Impaired Control through Emotion Dysregulation and Drinking Motives

Won¹

2017

kjcp

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Alcohol use disorder (AUD) can be explained by some emotion-based hypotheses such as the self-medication hypothesis and negative reinforcement model. Accordingly, the aim of this study was to explore the dynamic relationships between daily stress, emotion dysregulation and drinking motives in the prediction of impaired control to drink alcohol in a clinical male sample. Male patients with AUD (n= 193) were recruited from alcohol centers of four psychiatric hospitals in South Korea. All participants completed a questionnaire that included the Hassles and Uplifts Scale, the Difficulties in Emotion Regulation Scale (DERS), the Drinking Motives Questionnaire (DMQ), and the Impaired Control Scale (ICS). The serial multiple mediation model analyses showed that daily stress resulted in impaired control through emotional dysregulation and drinking motives in order. Specifically, both emotional dysregulation and drinking motives in turn had partial mediation effects on the relationship between daily stress and impaired control on alcohol. Moreover, when drinking motives were entered as a mediator individually, the size of the indirect effect for coping motives was larger than that of enhancement motives was, suggesting that there might be no gender difference related to drinking motives. These results suggest that daily stress as a precursor indirectly influences impaired control through emotion dysregulation and drinking motives among patients with AUD. Considering the connection between stress and impaired control on alcohol via emotion dysregulation and drinking motives, future interventions need to focus on providing an individualized intervention that includes stress management and adaptive emotion regulation strategies.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 71%

Section: Although Impaired Control Consists Of Three Componets Inclumentioning

confidence: 99%

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The Influence of Daily Stress on Impaired Control through Emotion Dysregulation and Drinking Motives

Won¹

2017

kjcp

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“…Further, because depressed students who drank to cope did not necessarily drink heavily, there appears to be a need to investigate other factors influencing risk outcomes beyond intoxification itself. Further, the significant direct link between drinking to cope and alcohol problems in both samples points to the need for skills training for emerging adults who rely on drinking to cope and may lack the emotional regulation or volitional control known to protect them from alcohol-related harm, irrespective of drinking levels (Aurora & Klanecky, 2016). For example, college students who drink to cope are shown to use protective behavioral strategies that are less effective in reducing alcohol-related consequences (Patrick, Lee, & Larimer, 2011) such as those aimed at limiting consumption as opposed to more effective strategies for reducing serious harm (e.g., use designated driver) or avoiding high-risk situations (e.g., avoid drinking games) (Napper, Kenney, Lac, Lewis, & LaBrie, 2014; Pearson, Kite, & Henson, 2012).…”

Section: Discussionmentioning

confidence: 99%

Drinking to cope mediates the relationship between depression and alcohol risk: Different pathways for college and non-college young adults

Kenney

Anderson

Stein

2018

Addictive Behaviors

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“…In a study with 200 American college students, the aim was to investigate if drinking motives (conceptualized in the four-dimension model: drinking to cope, drinking to enhance emotional experience, drinking for social reasons and drinking to conform) (Cooper, 1994) mediated the link between emotion regulation deficits and problem drinking (Aurora & Klanecky, 2016). The results showed that drinking to cope motives fully mediated the emotion regulation/problem drinking relationship and enhancement motives partially mediated the relationship.…”

Section: The Role Of Emotion In Substance Use Disordermentioning

confidence: 99%

Psychotherapy for Substance Use Disorders – the importance of affects

Frankl¹

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Substance use disorder (SUD) is a serious disorder with severe consequences for the individual, the family and for society. Comorbidity is common in the SUD population and the diversity of the disorder calls for a multiplicity of treatment options.The overall aim of this thesis was to explore the role of affects in psychotherapy for SUD. Further aims were to investigate affect-focused therapeutic orientations, demonstrate the importance of common factors and evaluate a measure of affect phobia.In Study I a naturalistic design was employed to examine how the discrepancy between patients' expectations and experience of psychotherapy related to alliance in 41 patients: 24 in individual therapy and 17 in group. An additional analysis concerned whether different dimensions of role expectations predicted retention in psychotherapy. Study II was the first psychometric evaluation of the Affect phobia test -a test developed to screen the ability to experience, express and regulate emotions. Data were collected from two samples: A clinical sample of 82 patients with depression and/or anxiety participating in a randomized controlled trial of Internet-based affectfocused treatment, and a university student sample of 197 students. Data analysed included internal consistency, test-retest reliability, factor analysis and calculation of an empirical cut-off. Study III focused on the feasibility of individual 10 week Affect Phobia Therapy (APT) for patients diagnosed with mild to moderate alcohol use disorder (AUD) and problematic affective avoidance in a nonconcurrent multiple baseline design. Study IV comprised an evaluation of the feasibility and preliminary effectiveness of APT adapted to a structured group format for patients (n=22) with comorbid substance use disorder and ADHD with core features of affective avoidance/emotion dysregulation in an open design.In Study I an overall discrepancy between role expectations and experiences was significantly related to a lower level of therapeutic alliance in group therapy. This relationship was not found in individual therapy. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention, even when controlling for waiting time for therapy. In Study II the internal consistency for the total score on the Affect phobia test was satisfactory but it was not for the affective domains, Anger/Assertion, Sadness/Grief, and Attachment/Closeness. Test retest reliability was satisfactory. The exploratory factor analysis resulted in a six-factor solution and only moderately matched the test´s original affective domains. An empirical cutoff between the clinical and the university student sample were calculated -3 -and yielded a cut-off of 72 points. In Study III patients reported no adverse events due to the treatment and finished the whole study period. The patients had different trajectories of alcohol consumption and craving and the hypothesis that heavy episodic drinking would subside during the time in therapy did not hold true. In ...

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Drinking motives mediate emotion regulation difficulties and problem drinking in college students

Cited by 48 publications

References 48 publications

The Influence of Daily Stress on Impaired Control through Emotion Dysregulation and Drinking Motives

The Influence of Daily Stress on Impaired Control through Emotion Dysregulation and Drinking Motives

Drinking to cope mediates the relationship between depression and alcohol risk: Different pathways for college and non-college young adults

Psychotherapy for Substance Use Disorders – the importance of affects

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