Lower Emotion Regulation Competencies Mediate the Association between Impulsivity and Craving during Alcohol Withdrawal Treatment

Reichl, Daniela; Enewoldsen, Niklas; Weisel, Kiona K.; Saur, Sebastian; Fuhrmann, Lukas; Lang, Caroline; Berking, Matthias; Zink, Mathias; Ahnert, Andreas; Falkai, Peter; Kraus, Thomas; Hillemacher, Thomas; Müller, Felix-N; Lins, Stephan; Bönsch, Dominikus; Kerkemeyer, Linda; Steins‐Loeber, Sabine

doi:10.1080/10826084.2022.2034878

Cited by 5 publications

(4 citation statements)

References 34 publications

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“…Similar results were obtained in a later study, which showed that the inability to plan ahead, react consciously to emotions and direct attention to specific aspects of a situation were all risk factors for ineffective emotion regulation. As observed, lower competence in emotion regulation mediates between impulsivity and substance craving during AUD treatment [95]. Importantly, developed emotion regulation skills have been shown to attenuate the association between impulsivity and alcohol use disorders [94].…”

Section: Impulsivity and Emotion Regulation In Audmentioning

confidence: 65%

“…Podobne wyniki otrzymano w późniejszym badaniu, które wykazało, że niezdolność do planowania z wyprzedzeniem, świadomego reagowania na emocje, a także kierowania uwagi na określone aspekty sytuacji są czynnikami ryzyka nieefektywnej regulacji emocji. Jak zaobserwowano, niższe kompetencje w zakresie regulacji emocji pośredniczą między impulsywnością a głodem substancji podczas leczenia AUD [95]. Co ważne, wykazano, że rozwinięte zdolności regulacji emocji osłabiają związek między impulsywnością a zaburzeniami związanymi z używaniem alkoholu [94].…”

Section: Sleep and Emotion Regulation In Audunclassified

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The regulation of emotions and problematic alcohol use: a review of literature

Rydzewska,

Zaorska,

Jakubczyk

2023

ain

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Section: Impulsivity and Emotion Regulation In Audmentioning

confidence: 65%

Section: Sleep and Emotion Regulation In Audunclassified

The regulation of emotions and problematic alcohol use: a review of literature

Rydzewska,

Zaorska,

Jakubczyk

2023

ain

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show abstract

“…The symptomatologic proximity of BN to problems related to impulsivity and emotional dysregulation [ 124 , 125 , 126 ] observed in clinical practice is supported by several fMRI studies (e.g., the studies by Schienle et al [ 88 ] and Wonderlich [ 93 ]) showing higher activation of the INS, AMG, FG and STR. All these structures are involved in mediating the motor inhibition process and appear to play a role in impulsive behavior [ 127 , 128 , 129 ]. Regarding activation of neocortical structures, the BN group was found to exhibit greater activation of the medial PFC compared to the AN group but less activation of the lateral PFC compared to the control subjects.…”

Section: Discussionmentioning

confidence: 99%

Brain Correlates of Eating Disorders in Response to Food Visual Stimuli: A Systematic Narrative Review of FMRI Studies

et al. 2023

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This article summarizes the results of studies in which functional magnetic resonance imaging (fMRI) was performed to investigate the neurofunctional activations involved in processing visual stimuli from food in individuals with anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). A systematic review approach based on the PRISMA guidelines was used. Three databases—Scopus, PubMed and Web of Science (WoS)—were searched for brain correlates of each eating disorder. From an original pool of 688 articles, 30 articles were included and discussed. The selected studies did not always overlap in terms of research design and observed outcomes, but it was possible to identify some regularities that characterized each eating disorder. As if there were two complementary regulatory strategies, AN seems to be associated with general hyperactivity in brain regions involved in top-down control and emotional areas, such as the amygdala, insula and hypothalamus. The insula and striatum are hyperactive in BN patients and likely involved in abnormalities of impulsivity and emotion regulation. Finally, the temporal cortex and striatum appear to be involved in the neural correlates of BED, linking this condition to use of dissociative strategies and addictive aspects. Although further studies are needed, this review shows that there are specific activation pathways. Therefore, it is necessary to pay special attention to triggers, targets and maintenance processes in order to plan effective therapeutic interventions. Clinical implications are discussed.

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“…Furthermore, the exposure to the alcohol-related stimuli during the training may induce craving which in turn might affect inhibition. Only recently, a study demonstrated an association between impulsive behavior and craving in Alcohol Use Disorder which is mediated by emotion regulation competencies (Reichl et al, 2022 ). Thus, there may be a complex interaction of these processes during IC trainings, and future studies are warranted to further investigate the working mechanism of such trainings.…”

Section: Discussionmentioning

confidence: 99%

Pilot testing of an adaptive, individualized inhibitory control training for binge drinking: first evidence on feasibility, acceptance, and efficacy

Reichl

Enewoldsen²,

Müller³

et al. 2022

Psychological Research

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Background Deficits in inhibitory control seem to promote habit behavior and therefore play an important role in the development and maintenance of addictive diseases. Although several training approaches have been suggested, there is a considerable lack of knowledge about the best way to improve inhibitory control. Based on a literature review regarding shortcomings of existing trainings, an individualized, adaptive inhibitory control training was developed. We aimed to assess feasibility and acceptance of this training and to provide preliminary results on its efficacy regarding inhibitory control and binge drinking. Methods Sixty-one individuals (30 female) with binge drinking behavior were randomly allocated to either an experimental group receiving three sessions of the inhibitory control training or a waitlist control group receiving no training. Before and after the training, the participants performed a Go/NoGo task to assess inhibitory control (commission errors and false reaction time), completed a questionnaire on drinking-related self-control, and reported drinking behavior. Results Although the training was feasible and accepted by participants, it did not affect self-control over drinking, inhibitory control or drinking behavior. The relationship between session number and false reaction time was linear for alcohol stimuli, but squared for neutral stimuli. Conclusion Although our findings have to be interpreted in the light of some shortcomings, they demonstrate that further research is needed to enhance our understanding of how to improve inhibitory control and which factors might moderate this process.

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Lower Emotion Regulation Competencies Mediate the Association between Impulsivity and Craving during Alcohol Withdrawal Treatment

Cited by 5 publications

References 34 publications

The regulation of emotions and problematic alcohol use: a review of literature

The regulation of emotions and problematic alcohol use: a review of literature

Brain Correlates of Eating Disorders in Response to Food Visual Stimuli: A Systematic Narrative Review of FMRI Studies

Pilot testing of an adaptive, individualized inhibitory control training for binge drinking: first evidence on feasibility, acceptance, and efficacy

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