<p>Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk</p>

Abstract

PurposeUnderstanding how difficulties in emotion regulation can be related to metacognitive beliefs during early abstinence, identifying which factors are associated with craving and relapse risk may be useful in residential rehabilitation treatment of alcohol addiction.MethodsSixty-five patients underwent a 28-day rehabilitation program for alcohol addiction. They underwent a brief semi-structured interview at admission and completed a battery of five self-report questionnaires between days 7 and 10 of alcohol abstinence (T0) and 3 days prior to discharge (T1).ResultsAfter rehabilitation program, all symptoms of psychological distress decreased. We found a significant improvement in all emotional, cognitive and metacognitive scales except for “Cognitive harm” (NAM), “Awareness” (DERS) and a small effect size (low statistical power) for “Emotional clarity” (DERS). Compared to those still abstinent at 1 month from discharge, we found more difficulties in “Emotional clarity” in those who had an early relapse. Difficulties in “Emotional clarity” were observed also in patients with a high level of craving at discharge.ConclusionSignificant differences were observed between the groups “abstinence vs non-abstinence” at 1 month from discharge concerning difficulties in emotion regulation. In particular, we found difficulty in the awareness and understanding of emotion, precisely to identify correctly the emotions. The “Emotional Clarity” seems to be the emotional difficulty that characterized also the group with a high level of craving at discharge and the individuals with early relapse, suggesting the importance of this function as a preliminary factor in emotion regulation.

The Mediating Roles of Emotional Regulation on Negative Emotion and Internet Addiction Among Chinese Adolescents From a Development Perspective

“…Negative emotion of depression and anxiety conducted mediating variables between emotional regulation and Interent addiction. On the one hand, similar to previous research, negative emotion was the partial mediating factor between cognitive reappraisal and Interent addiction (57)(58)(59). Negative emotion are important mechanisms in the relationship between emotional regulation and Interent addiction.…”

Distress tolerance and special alcohol metacognitions behave differently in the association of negative affect with alcohol‐related patterns in men with problematic alcohol use in the abstinence phase

“…CBT, particularly involving emotion regulation strategies, were useful to decrease distress intolerance (McHugh et al, 2014) and to teach individuals with problematic alcohol use to regulate their craving and negative affect effectively (Suzuki et al, 2020). Changing negative affect by combining medication and behavioural interventions, as well as a rehabilitation treatment program (combining medical, nursing, and CBT interventions), were found to be effective in reducing problematic alcohol use (Witkiewitz, Bowen, & Donovan, 2011) and emotional (psychological distress), metacognitive (alcohol‐related metacognitions) and cognitive (alcohol craving) factors in alcohol users during the abstinence phase (Ottonello, Fiabane, Pistarini, Spigno, & Torselli, 2019). Accordingly, future studies could focus on the effects of CBT, MCT, and SIDI and combined treatments on negative affect, alcohol‐related metacognitions, distress intolerance, craving, and problematic alcohol use in alcohol users in the abstinence and active phases.…”

Psychological Distress After Covid-19 Recovery: Reciprocal Effects With Temperament and Emotional Dysregulation. An Exploratory Study of Patients Over 60 Years of Age Assessed in a Post-acute Care Service

“…Nevertheless, the specific relationship between psychological distress and emotional dysregulation has been little investigated in literature. Psychological distress was shown to correlate with all DERS dimensions, save for Awareness, in a sample of university students of medium proportions ( 46 ) and with the Strategies, Impulse, and Clarity subscales in a small sample of patients with alcohol use disorder ( 47 ). Nevertheless, these data are not fully comparable with ours, since despite using the DERS, both these studies differed in the instrument used to assess psychological distress and none used the K10.…”