Limited Access to Emotion Regulation Strategies Mediates the Association Between Positive Urgency and Sustained Binge Drinking in Patients with Alcohol Use Disorder

Pepe, Maria; Nicola, Marco Di; Moccia, Lorenzo; Franza, Raffaella; Chieffo, Daniela Pia Rosaria; Addolorato, Giovanni; Janiri, Luigi; Sani, Gabriele

doi:10.1007/s11469-022-00807-z

Cited by 6 publications

(3 citation statements)

References 65 publications

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“…These strategies involve increasing positive or decreasing negative emotions through changes in thoughts or behaviours ( 46 ). Limited access to emotion regulation strategies makes managing and controlling emotions difficult, and it is associated with the belief that there is nothing that can be done to effectively regulate emotions ( 2 , 47 ). Improving access to strategies can help patients recover, as the ability to regulate emotions is a key intervention target for various mental health conditions ( 48 ).…”

Section: Discussionmentioning

confidence: 99%

Network analysis of emotion regulation and reactivity in adolescents: identifying central components and implications for anxiety and depression interventions

Ruan,

Chen,

Yang

et al. 2023

Front. Psychiatry

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Difficulties in emotion regulation (DER) and emotion reactivity (ER) are important causes and consequences of psychiatric disorders such as depression and anxiety, and previous research suggests that there are many interactions between them. Understanding the structure of their relationship, and which components may play a key role, will help provide insight into emotion disorders in adolescents and provide guidance for clinical interventions. In this study, we collected data from 483 adolescents and used network analysis methods to explore the relationship between DER and ER, specifically looking for core nodes. The results showed that “limited access to emotion regulation strategies” was the most central node in the network. Furthermore, by adding nodes for depression and anxiety to this network, we found that anxiety had the strongest relationship with ER, while depression had a stronger relationship with DER. Thus, our findings suggest that for anxiety disorders, the strong association with ER highlights a potentially promising area for intervention development, whereas for depression, the association with DER points to the possibility of clarifying emotions and exploring coping strategies, acknowledging the complex interplay between depressive and anxious symptoms.

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Section: Discussionmentioning

confidence: 99%

Network analysis of emotion regulation and reactivity in adolescents: identifying central components and implications for anxiety and depression interventions

Ruan,

Chen,

Yang

et al. 2023

Front. Psychiatry

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“…Fourth, the present study does not further understanding around the role of positive urgency (i.e., rash action in response to heightened positive affect; Cyders & Smith, 2008) and impulsive‐type psychopathology. With some previous findings indicating that positive urgency may play a more important role than NU in binge‐drinking (e.g., Pepe et al, 2022), it is recommended that future research aim to clarify the contexts in which positive urgency poses significant risk and warrants specific intervention. Finally, despite the present study's use of well‐validated psychopathology measures, the present study did not examine actual clinical diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Negative urgency, distress tolerance, and symptoms of substance use, eating, and borderline personality disorders in treatment‐seeking young people

Mattingley,

Youssef,

Graeme

et al. 2023

J Clin Psychol

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ObjectiveNegative urgency (NU) and distress tolerance (DT) are two similar yet distinct constructs with putative transdiagnostic relevance, particularly across psychopathology characterized by impulsivity (e.g., substance use disorders [SUD], eating disorders featuring binging and/or purging ED‐B/P, and borderline personality disorder [BPD]). Yet, there remains a lack of research into NU and DT across SUD, ED‐B/P, and BPD symptomatology in clinical populations. The present study sought to elucidate the transdiagnostic utility of NU and DT across impulsive‐type psychology by examining the unique and interactive roles of NU and DT across SUD, ED‐B/P, and BPD symptomatology within a treatment‐seeking sample of young people.MethodParticipants (N = 385; 62.3% female; aged 16–25 years) were recruited from youth health services across Melbourne, Australia. Participants completed an online survey including self‐report measures of NU and DT as well as SUD, ED‐B/P, and BPD symptoms. Mixed effects logistic regression was used to explore unique and interactive associations of NU and DT with symptoms.ResultsBoth NU (adjusted odds ratio [ORadj] = 1.22; 95% confidence interval [CI] = [1.16, 1.28]) and global DT (ORadj = 0.59; 95% CI = [0.47, 0.74]) uniquely predicted symptoms. However, associations with global DT and most of its components differed across psychopathology types. No significant interactions between NU and DT in predicting symptoms were found.ConclusionsThese results support the transdiagnostic utility of NU across SUD, ED‐B/P, and BPD, while suggesting the role of DT across these disorders is more nuanced. These findings have important implications for NU and DT as potential intervention targets.

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“…Although this finding has not been demonstrated in previous research focusing on simultaneous use of alcohol and cannabis, previous research has speculated that people who may have limited access to emotion regulation strategies may be using multiple substances to modulate emotional experiences ( Weiss et al, 2022 ). Previous research has shown that among individuals with alcohol use disorder, limited access to emotion regulation strategies mediated the association of positive urgency and binge drinking ( Pepe et al, 2022 ). This suggests that among individuals with alcohol use disorder, both impulsive traits and lack of access to emotion regulation strategies may be risk factors for binge drinking.…”

Section: Discussionmentioning

confidence: 99%

Examining Differences in Emotion Dysregulation Between Emerging Adult Alcohol-Only Users, Abstainers, and Simultaneous Users

Moskal,

Teeters,

McCollum

2023

Cannabis

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Objective: Simultaneous use of alcohol and cannabis is associated with more negative consequences than use of either substance alone. Research suggests that emotion dysregulation is linked to alcohol, cannabis, and polysubstance use. However, no previous research has examined whether emotion dysregulation scores differ among individuals without past month substance use (abstainers), individuals who report past-month alcohol use only (no past month cannabis or simultaneous use; alcohol-only users), and individuals who engage in past-month simultaneous alcohol and cannabis use (simultaneous users). Our aim was to examine differences in overall levels of emotion dysregulation and emotion dysregulation subscales between these groups. Methods: The sample included 468 college students. Participants completed an online survey assessing demographics, emotion dysregulation, average number of drinks per week, days of monthly cannabis use, and simultaneous use of alcohol and cannabis. Results: A one-way ANOVA showed significant differences in emotion dysregulation between alcohol-only users, abstainers, and simultaneous users. A Bonferroni post hoc analysis revealed significant differences in emotion dysregulation for simultaneous users (p = .004) compared to alcohol-only users and abstainers. A series of ANOVAs were run to examine emotion dysregulation subscale scores and significant differences were found for impulse control difficulties (p = .003) and limited access to emotion regulation strategies (p = .005) for simultaneous users compared to alcohol-only users and abstainers, and for non-acceptance of emotional responses (p = .018) for simultaneous users compared to and alcohol-only users. Conclusion: These findings indicate that simultaneous users have higher levels of emotion dysregulation, higher levels of impulse control difficulties, greater non-acceptance of emotions, and greater lack of access to emotion regulation strategies compared to abstainers and alcohol-only users.

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Limited Access to Emotion Regulation Strategies Mediates the Association Between Positive Urgency and Sustained Binge Drinking in Patients with Alcohol Use Disorder

Cited by 6 publications

References 65 publications

Network analysis of emotion regulation and reactivity in adolescents: identifying central components and implications for anxiety and depression interventions

Network analysis of emotion regulation and reactivity in adolescents: identifying central components and implications for anxiety and depression interventions

Negative urgency, distress tolerance, and symptoms of substance use, eating, and borderline personality disorders in treatment‐seeking young people

Examining Differences in Emotion Dysregulation Between Emerging Adult Alcohol-Only Users, Abstainers, and Simultaneous Users

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