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09-06-2016 | Original Article

Anxiety Sensitivity and Alcohol Use Among Acute-Care Psychiatric Inpatients: The Mediating Role of Emotion Regulation Difficulties

Auteurs: Daniel J. Paulus, Anka A. Vujanovic, Margaret C. Wardle

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2016

Abstract

There is strong empirical support for the association between anxiety sensitivity and alcohol use, although this has not been investigated in psychiatric inpatients. Further, little is known about mechanisms mediating these associations, such as emotion regulation difficulties. Self-report questionnaires measuring anxiety sensitivity, difficulties regulating emotion, and alcohol use were administered to 119 adults admitted to an acute-care inpatient psychiatric hospital. The current study examined emotion regulation difficulties as a mediator in the anxiety sensitivity–alcohol use severity association. Exploratory analyses separately examined effects with regard to alcohol consumption in terms of number of days drinking and drinking to intoxication as well as alcohol problems in terms of number of days experiencing problems and degree of bother resulting from alcohol problems. Emotion regulation difficulties significantly mediated the associations between anxiety sensitivity and alcohol use severity, days drinking to intoxication, days experiencing alcohol-related problems, and degree of bother caused by alcohol problems. Indirect associations were medium sized. There were no direct associations of anxiety sensitivity with any outcome, controlling for emotion regulation difficulties. Anxiety sensitivity may be indirectly (via emotion regulation difficulties) related to alcohol consumption and alcohol problems with no significant direct associations after accounting for emotion regulation difficulties.

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Analyses were also conducted without covariates due to non-significant associations, consistent with statistical recommendations (e.g., Pocock et al. 2002). The pattern of results did not change and can be obtained by contacting the corresponding author.

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Titel: Anxiety Sensitivity and Alcohol Use Among Acute-Care Psychiatric Inpatients: The Mediating Role of Emotion Regulation Difficulties
Auteurs: Daniel J. Paulus
Anka A. Vujanovic
Margaret C. Wardle
Publicatiedatum: 09-06-2016
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-016-9792-y

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