The effect of rumination on craving across the continuum of drinking behaviour

Caselli, Gabriele; Gemelli, Antonella; Querci, Sara; Lugli, Anna Maria; Canfora, Flaviano; Annovi, C.; Rebecchi, Daniela; Ruggiero, Giovanni Maria; Sassaroli, Sandra; Spada, Marcantonio M.; Watkins, Ed

doi:10.1016/j.addbeh.2013.08.023

Cited by 57 publications

(44 citation statements)

References 28 publications

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“…It also accords with prior findings that financial stress can be a major barrier to recovery from addiction (Siahpush et al 2009). Distinct from the other types of stress events was the high frequency of reports brought on by having “just started thinking about stressful things.” These can be taken as instances of ruminative stress, which may be especially deleterious to emotional health (Snyder and Hankin 2016) and is specifically associated with craving (Caselli et al 2010; Caselli et al 2013). In future studies we plan to analyze stress responses as a function of trait differences such as proneness to anxiety.…”

Section: Discussionmentioning

confidence: 99%

Context and craving during stressful events in the daily lives of drug-dependent patients

et al. 2017

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Rationale Knowing how stress manifests in the lives of people with substance-use disorders could help inform mobile “just in time” treatment. Objectives To examine discrete episodes of stress, as distinct from the fluctuations in background stress assessed in most EMA studies. Methods For up to 16 weeks, outpatients on opioid-agonist treatment carried smartphones on which they initiated an entry whenever they experienced a stressful event (SE) and when randomly prompted (RP) three times daily. Participants reported the severity of stress and craving and the context of the report (location, activities, companions). Decomposition of covariance was used to separate within-person from between-person effects; reffect sizes below are within-person. Results Participants (158 of 182; 87%) made 1,787 stress-event entries. Craving for opioids increased with stress severity (reffect = 0.50). Stress events tended to occur in social company (with acquaintances, 0.63, friends, 0.17, or on the phone, 0.41) rather than with family (spouse, −0.14; child, −0.18), and in places with more overall activity (bars, 0.32; outside, 0.28; walking, 0.28) and more likelihood of unexpected experiences (with strangers, 0.17). Being on the internet was slightly protective (−0.22). Our prior finding that being at the workplace protects against background stress in our participants was partly supported in these stressful-event data. Conclusions The contexts of specific stressful events differ from those we have seen in prior studies of ongoing background stress. However, both are associated with drug craving.

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Section: Discussionmentioning

confidence: 99%

Context and craving during stressful events in the daily lives of drug-dependent patients

et al. 2017

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“…These symptoms can be partially ameliorated by pharmacotherapy, but it is increasingly clear that psychological interventions, especially cognitive, behavioural or self-regulation approaches, may be more efficient (McMurrich et al, 2012;Naqvi et al, 2015;Strickland, Reynolds, & Stoops, 2016). Also, symptoms of BD and ASUD may all be precipitated or maintained by dysfunctional cognitive emotional regulation (CER), particularly a negative ruminative response style (Gruber et al, 2011;Caselli et al, 2013;de Silveira & Kauer-Sant'Anna, 2015;Grierson et al, 2016). The exacerbation of mood disorder or ASUD may be, in part, driven by negative rumination.…”

Section: Introductionmentioning

confidence: 99%

“…Rumination may directly increase the likelihood of alcohol or substance misuse, which can act as a mood depressant, but also increase disruptions to sleep and circadian rhythms etc. (Caselli et al, 2013). In BD, risk of relapse may also be increased by positive rumination (Wolkenstein, Zwick, Hautzinger, & Joormann, 2014).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of the ‘HABIT’ Group Programme for Comorbid Bipolar and Alcohol and Substance use Disorders

Biseul

Icick

Séguin

et al. 2016

Clin Psychology and Psychoth

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This small pilot study suggests our intensive group therapy is acceptable and feasible. If findings are replicated, we may have identified a therapy that, for the first time, leads to improvement in both mood and substance use outcomes in clients with difficult-to-treat comorbid BD-ASUD. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message Comorbidity between bipolar and alcohol and substance use disorders (BD-ASUD) is frequent and highly disabling; Therapeutic research on approaches that can simultaneously help BD and ASUD is lacking; Previous research highlights the need for integrated treatment of both conditions but showed improvements limited to either element of the comorbid disorder; This pilot study supports the feasibility and acceptability of an intensive, 14-session group therapy programme that integrates CBT and mindfulness approaches.

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“…Recently, the Emotional Cascade Model (Selby, Anestis & Joiner, ; Selby & Joiner, ; Selby, Anestis, Bender & Joiner, ) has attempted to provide incremental understanding regarding the relationship between emotional and behavioural dysregulation within non‐clinical samples. A particular feature of this model involves a process called ‘rumination’, a form of repetitive thought focused on upsetting emotions and their causes and consequences (Nolen‐Hoeksema, ; Watkins, ), which has received empirical attention as a process increasing negative emotions and enhancing behavioural dyscontrol (Caselli, Bortolai, Leoni, Rovetto & Spada, ; , ; Martino, Caselli, Ruggiero & Sassaroli, ). Rumination may be activated in response to negative events with the intent to self‐regulate intense and unpleasant emotions but may paradoxically increase negative affect (Moberly & Watkins, ; Nolen‐Hoeksema, ).…”

Section: Introductionmentioning

confidence: 99%