Emotion dysregulation across levels of substance use

Garke, Maria; Isacsson, Nils Hentati; Sörman, Karolina; Bjureberg, Johan; Hellner, Clara; Gratz, Kim L.; Berghoff, Christopher R.; Sinha, Rajita; Tull, Matthew T.; Jayaram‐Lindström, Nitya

doi:10.1016/j.psychres.2020.113662

Cited by 46 publications

(28 citation statements)

References 43 publications

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“…In line with recent research [ 34 ] on the predictive relationship between mental health and self-control, the level of mental health symptoms and not variability predicted the subsequent self-control levels. This adds to the current knowledge from cross-sectional studies of substance use populations, where perceived self-control has been found to be associated with mental distress [ 32 , 35 ]. In addition, self-control outperformed mental health variables in predicting craving intensity and relapse status in time-lagged models in this sample, suggesting that self-control plays an important role as both targets for research, monitoring, and intervention.…”

Section: Discussionmentioning

confidence: 94%

Predicting Relapse in Substance Use: Prospective Modeling Based on Intensive Longitudinal Data on Mental Health, Cognition, and Craving

2022

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Patients with severe substance use disorders are often characterized by neurocognitive impairments and elevated mental health symptom load, typically associated with craving intensity and substance use relapse. There is a need to improve the predictive capabilities of when relapse occurs in order to improve substance use treatment. The current paper contains data from 19 patients (seven females) in a long-term inpatient substance use treatment setting over the course of several weeks, with up to three weekly data collections. We collected data from 252 sessions, ranging from 1 to 24 sessions per subject. The subjects reported craving, self-control, and mental health on each occasion. Before starting the repeated data collection, a baseline neuropsychological screening was performed. In this repeated-measures prospective study, the mixed-effects models with time-lagged predictors support a model of substance use craving and relapse being predicted by the baseline reaction time as well as the temporal changes and variability in mental health symptom load, self-control, and craving intensity with moderate to high effect sizes. This knowledge may contribute to more personalized risk assessments and treatments for this group of patients.

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Section: Discussionmentioning

confidence: 94%

Predicting Relapse in Substance Use: Prospective Modeling Based on Intensive Longitudinal Data on Mental Health, Cognition, and Craving

2022

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“…Research provides strong evidence of heightened emotion dysregulation among individuals with substance use problems (Prosek et al, 2018; Wilens et al, 2013), which is often interpreted through the lens of a self-medication model wherein people struggling with negative affect use substances to down-regulate emotional distress or aversive psychological symptoms (Khantzian, 1997). Studies show that people with (vs. without) substance use problems have greater difficulties with emotional awareness and clarity, less access to effective emotion regulation strategies, and greater difficulties controlling impulsive behaviors when distressed (Dingle et al, 2018; Fox et al, 2008; Garke et al, 2021). Likewise, emotion dysregulation is positively associated with substance use severity (Cavicchioli et al, 2019; Garke et al, 2021; Paulus et al, 2018; Tull et al, 2015) and plays a role in continued use of alcohol during and after substance use treatment (Berking et al, 2011).…”

Section: Treatment-relevant Factors Among People On Probationmentioning

confidence: 99%

Treatment-relevant factors among adults receiving court-mandated substance use treatment: The role of emotion dysregulation.

Moore¹,

Clemens²,

Gratz³

et al. 2024

Psychological Services

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Despite often being mandated to substance use treatment after release, many people on probation do not complete treatment. Several historical factors have been identified as relevant to substance use treatment in this population (i.e., past substance use, treatment history, and criminal history); however, less is known about the psychological characteristics, such as emotion dysregulation, that influence treatment-relevant factors among people in the criminal justice system. The present study used cross-sectional data to examine whether emotion dysregulation was associated with past-year substance use severity, engagement in prior drug and alcohol use treatments (yes/no, number of prior treatments), and previous criminal charges (total number of charges, number of charge types) in a sample of adults on probation who were receiving courtmandated substance use treatment (N = 163). We also examined whether these relationships varied across sex. Results showed that overall emotion dysregulation was more strongly linked to substance use severity and criminal charges for females than males. Emotion dysregulation dimensions of difficulties engaging in goal-directed behaviors and controlling impulsive behaviors when distressed were associated with more severe past-year substance use, more prior drug treatments, and a greater number of lifetime criminal charges and charge types. Emotion dysregulation plays a role in substance use treatment-relevant factors among people on probation. Sex-specific clinical implications of targeting emotion dysregulation in the context of mandated treatment in order to prevent treatment failures are discussed. Impact StatementPeople on probation, especially females, with emotion regulation problems have more complex criminal and substance use histories and may struggle in court-mandated substance use treatment.

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“…Por su parte, la desregulación emocional se caracteriza por la ausencia de estrategias de adaptación junto con el uso de estrategias disfuncionales para regular respuestas emocionales (Aldao et al, 2010). La disfunción de la regulación se ha asociado con múltiples trastornos emocionales y del comportamiento, entre los que se encuentran las autolesiones, el trastorno límite de la personalidad y el consumo de sustancias psicoactivas, entre otros (Cerpa & Muñoz, 2005;Garke et al, 2021;Garland et al, 2020;Marín et al, 2012;Parolin et al, 2017;Rodríguez, et al, 2017). Además, la desregulación emocional influye tanto en el desarrollo, como en el mantenimiento y tratamiento del consumo de SPA, y actúa como factor de riesgo para sufrir recaídas (Blanco & Jiménez, 2015;Rezaie et al, 2021;Wegen et al, 2017;Zavala & López, 2012).…”

Section: Regulación Emocionalunclassified

Desregulación emocional y nivel de riesgo por consumo de sustancias psicoactivas en universitarios colombianos

et al. 2022

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El consumo de sustancias psicoactivas [SPA] es un problema de salud pública, y constituye uno de los principales factores de riesgo para la salud. Se ha observado que el consumo de SPA está mediado por diferentes variables, una de ellas es la desregulación emocional, y se requiere mayor investigación del comportamiento de esta variable y su relación con los niveles de riesgo asociado al consumo. El objetivo del presente estudio fue determinar si existen diferencias en la desregulación emocional según el nivel de riesgo asociado al consumo de sustancias en una muestra de universitarios. Para tal efecto se adelantó un estudio descriptivo por comparación de grupos con una muestra de 721 estudiantes. Los resultados indicaron altas prevalencias de consumo de SPA; diferencias en los puntajes de desregulación emocional según el nivel de riesgo para tranquilizantes y cocaína, y que, a nivel general, aquellos universitarios con menor nivel de riesgo son quienes presentan menores puntajes de desregulación emocional, lo que sugiere que la desregulación emocional es una variable predictora de un mayor nivel de riesgo asociado al consumo de SPA.

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Emotion dysregulation across levels of substance use

Cited by 46 publications

References 43 publications

Predicting Relapse in Substance Use: Prospective Modeling Based on Intensive Longitudinal Data on Mental Health, Cognition, and Craving

Predicting Relapse in Substance Use: Prospective Modeling Based on Intensive Longitudinal Data on Mental Health, Cognition, and Craving

Treatment-relevant factors among adults receiving court-mandated substance use treatment: The role of emotion dysregulation.

Desregulación emocional y nivel de riesgo por consumo de sustancias psicoactivas en universitarios colombianos

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