Top

Optie A:

Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
Optie B:

Deel de link per e-mail
Link delen

vorige artikel Cognitive Bias Modification to Enhance Resilien...

volgende artikel Impaired De Novo Fear Conditioning in Opiate-De...

Tip

Swipe om te navigeren naar een ander artikel

09-06-2016 | Original Article | Uitgave 6/2016

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

Tijdschrift:: Cognitive Therapy and Research > Uitgave 6/2016

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

» Toegang tot de volledige tekst krijgen

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.

Log in om toegang te krijgen

Hier inloggen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijft u als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen uw vak. Met het online abonnement heeft u toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Meer informatie

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: APA. CrossRef

Arbuckle, J. L. (2011). IBM ^® SPSS ^® Amos™ 20 User’s Guide.

Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. C. (2014). The impact of childhood abuse on inpatient substance users: Specific links with risky sex, aggression, and emotion dysregulation. Child Abuse and Neglect, 38(5), 928–938. doi: 10.1016/j.chiabu.2013.12.007. PubMedPubMedCentralCrossRef

Berking, M., Margraf, M., Ebert, D., Wupperman, P., Hofmann, S. G., & Junghanns, K. (2011). Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence. Journal of Consulting and Clinical Psychology, 79(3), 307–318. doi: 10.1037/a0023421. PubMedPubMedCentralCrossRef

Bowers, L., Allan, T., Simpson, A., Jones, J., Van Der Merwe, M., & Jeffery, D. (2009). Identifying key factors associated with aggression on acute inpatient psychiatric wards. Issues in Mental Health Nursing, 30(4), 260–271. doi: 10.1080/01612840802710829. PubMedCrossRef

Boyd-Ball, A. J., Manson, S. M., Noonan, C., & Beals, J. (2006). Traumatic events and alcohol use disorders among American Indian adolescents and young adults. Journal of Traumatic Stress, 19(6), 937–947. doi: 10.1002/jts.20176. PubMedCrossRef

Brown, T. A., & Naragon-Gainey, K. (2013). Evaluation of the unique and specific contributions of dimensions of the triple vulnerability model to the prediction of DSM-IV anxiety and mood disorder constructs. Behavior Therapy, 44(2), 277–292. doi: 10.1016/j.beth.2012.11.002. PubMedCrossRef

Chavarria, J., Allan, N. P., Boffa, J. W., Albanese, B. J., Schmidt, N. B., & Zvolensky, M. J. (2015). Decomposing the relationship between anxiety sensitivity and alcohol use. Journal of Studies on Alcohol and Drugs. doi: 10.15288/jsad.2015.76.957. PubMed

Chen, K. W., Banducci, A. N., Guller, L., Macatee, R. J., Lavelle, A., Daughters, S. B., & Lejuez, C. W. (2011). An examination of psychiatric comorbidities as a function of gender and substance type within an inpatient substance use treatment program. Drug and Alcohol Dependence, 118(2–3), 92–99. doi: 10.1016/j.drugalcdep.2011.03.003. PubMedPubMedCentralCrossRef

Connor, J. P., Gullo, M. J., White, A., & Kelly, A. B. (2014). Polysubstance use: diagnostic challenges, patterns of use and health. Current Opinion in Psychiatry, 27(4), 269–275. doi: 10.1097/YCO.0000000000000069. PubMedCrossRef

Darcin, A. E., Nurmedov, S., Noyan, C. O., Yilmaz, O., & Dilbaz, N. (2015). Psychiatric comorbidity among inpatients in an addiction clinic and its association with the process of addiction. Dusunen Adam, 28(3), 196. CrossRef

Deane, F. P., Kelly, P. J., Crowe, T. P., Coulson, J. C., & Lyons, G. C. B. (2013). Clinical and reliable change in an Australian residential substance use program using the addiction severity index. Journal of Addictive Diseases, 32(2), 194–205. doi: 10.1080/10550887.2013.795470. PubMedCrossRef

DeHaas, R. A. B., Calamari, J. E., & Bair, J. P. (2002). Anxiety sensitivity and the situational antecedents to drug and alcohol use: An evaluation of anxiety patients with substance use disorders. Cognitive Therapy & Research, 26(3), 335–353. CrossRef

DeHaas, R. A. B., Calamari, J. E., Bair, J. P., & Martin, E. D. (2001). Anxiety sensitivity and drug or alcohol use in individuals with anxiety and substance use disorders. Addictive Behaviors, 26(6), 787–801. doi: 10.1016/S0306-4603(01)00237-4. PubMedCrossRef

DeMartini, K. S., & Carey, K. B. (2011). The role of anxiety sensitivity and drinking motives in predicting alcohol use: A critical review. Clinical Psychology Review, 31(1), 169–177. doi: 10.1016/j.cpr.2010.10.001. PubMedCrossRef

Dvorak, R. D., Sargent, E. M., Kilwein, T. M., Stevenson, B. L., Kuvaas, N. J., & Williams, T. J. (2014). Alcohol use and alcohol-related consequences: Associations with emotion regulation difficulties. The American Journal of Drug and Alcohol Abuse, 40(2), 125–130. doi: 10.3109/00952990.2013.877920. PubMedCrossRef

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. doi: 10.1016/0022-3956(75)90026-6. PubMedCrossRef

Forbes, M. K., Flanagan, J. C., Barrett, E. L., Crome, E., Baillie, A. J., Mills, K. L., & Teesson, M. (2015). Smoking, posttraumatic stress disorder, and alcohol use disorders in a nationally representative sample of Australian men and women. Drug and Alcohol Dependence, 156, 176–183. doi: 10.1016/j.drugalcdep.2015.09.007. PubMedCrossRef

Gammeter, R., Nay, C., Bissery, A., Leutwyler, J., Bonsack, C., Besson, J., & Daeppen, J.-B. (2006). Frequency of alcohol use disorders in patients admitted in a psychiatric hospital according to admission diagnosis. Schweizer Archiv Für Neurologie Und Psychiatrie, 157(6), 290–296.

Gelkopf, M., Roe, D., Werbeloff, N., Hasson-Ohayon, I., Mueser, K. T., Caspi, A., & Weiser, M. (2013). The prevalence of full and partial posttraumatic stress disorder among people with severe mental illness in Israel. The Journal of Nervous and Mental Disease, 201(3), 244–250. doi: 10.1097/NMD.0b013e3182848d1e. PubMedCrossRef

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. doi: 10.1023/B:JOBA.0000007455.08539.94. CrossRef

Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the life events checklist. Assessment, 11(4), 330–341. doi: 10.1177/1073191104269954. PubMedCrossRef

Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modelling [White paper].

Hinde, J. M., Bray, J. W., Aldridge, A., & Zarkin, G. A. (2015). The impact of a mandated trauma center alcohol intervention on readmission and cost per readmission in Arizona. Medical Care, 53(7), 639–645. doi: 10.1097/MLR.0000000000000381. PubMedCrossRef

Johns, M., Inzlicht, M., & Schmader, T. (2008). Stereotype threat and executive resource depletion: Examining the influence of emotion regulation. Journal of Experimental Psychology: General, 137(4), 691–705. doi: 10.1037/a0013834. CrossRef

Johnson, K. A., Farris, S. G., Schmidt, N. B., & Zvolensky, M. J. (2012). Anxiety sensitivity and cognitive-based smoking processes: Testing the mediating role of emotion dysregulation among treatment-seeking daily smokers. Journal of Addictive Diseases, 31(2), 143–157. doi: 10.1080/10550887.2012.665695. PubMedPubMedCentralCrossRef

Keough, M. E., & Schmidt, N. B. (2012). Refinement of a brief anxiety sensitivity reduction intervention. Journal of Consulting and Clinical Psychology, 80(5), 766–772. doi: 10.1037/a0027961. PubMedPubMedCentralCrossRef

Kushner, M. G., Abrams, K., & Borchardt, C. (2000). The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and findings. Clinical Psychology Review, 20(2), 149–171. doi: 10.1016/S0272-7358(99)00027-6. PubMedCrossRef

Leonhard, C., Mulvey, K., Gastfriend, D. R., & Shwartz, M. (2000). The addiction severity index a field study of internal consistency and validity. Journal of Substance Abuse Treatment, 18(2), 129–135. PubMedCrossRef

Liangpunsakul, S., Lai, X., Ross, R. A., Yu, Z., Modlik, E., Westerhold, C., & Witzmann, F. (2015). Novel serum biomarkers for detection of excessive alcohol use. Alcoholism, Clinical and Experimental Research, 39(3), 556–565. doi: 10.1111/acer.12654. PubMedPubMedCentralCrossRef

Mäkelä, K. (2004). Studies of the reliability and validity of the addiction severity index. Addiction, 99(4), 398–410. PubMedCrossRef

McCarthy, E., & Petrakis, I. (2010). Epidemiology and management of alcohol dependence in individuals with post-traumatic stress disorder. CNS Drugs, 24(12), 997–1007. PubMedCrossRef

McDonell, M. G., Skalisky, J., Leickly, E., McPherson, S., Battalio, S., Nepom, J. R., & Ries, R. K. (2015). Using ethyl glucuronide in urine to detect light and heavy drinking in alcohol dependent outpatients. Drug and Alcohol Dependence, 157, 184–187. doi: 10.1016/j.drugalcdep.2015.10.004. PubMedCrossRef

McLellan, T. A., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., & Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199–213. doi: 10.1016/0740-5472(92)90062-S. PubMedCrossRef

Mennin, D. S., Fresco, D. M., Ritter, M., & Heimberg, R. G. (2015). An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and Anxiety, 32(8), 614–623. doi: 10.1002/da.22377. PubMedPubMedCentralCrossRef

OECD. (2011). Divided we stand: Why inequality keeps rising. Paris: OECD Publishing.

Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin, 135(6), 974–999. doi: 10.1037/a0017428. PubMedCrossRef

Olthuis, J. V., Watt, M. C., Mackinnon, S. P., & Stewart, S. H. (2015). CBT for high anxiety sensitivity: alcohol outcomes. Addictive Behaviors, 46, 19–24. doi: 10.1016/j.addbeh.2015.02.018. PubMedCrossRef

Ortiz, I., & Cummins, M. (2011). Global inequality: Beyond the bottom billion—A rapid review of income distribution in 141 countries. Available at SSRN 1805046. Retrieved from http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1805046.

Paulus, D. J., Bakhshaie, J., Lemaire, C., Garza, M., Ochoa-Perez, M., Valdivieso, J., & Zvolensky, M. J. (2016a). Negative affectivity and problematic alcohol use among latinos in primary care: The role of emotion dysregulation. Journal of Dual Diagnosis,. doi: 10.1080/15504263.2016.1172897. PubMed

Paulus, D. J., Vanwoerden, S., Norton, P. J., & Sharp, C. (2016b). Emotion dysregulation, psychological inflexibility, and shame as explanatory factors between neuroticism and depression. Journal of Affective Disorders, 190, 376–385. doi: 10.1016/j.jad.2015.10.014. PubMedCrossRef

Pickett, K. E., & Wilkinson, R. G. (2015). Income inequality and health: A causal review. Social Science and Medicine, 128, 316–326. doi: 10.1016/j.socscimed.2014.12.031. PubMedCrossRef

Pocock, S. J., Assmann, S. E., Enos, L. E., & Kasten, L. E. (2002). Subgroup analysis, covariate adjustment and baseline comparisons in clinical trial reporting: current practice and problems. Statistics in Medicine, 21(19), 2917–2930. doi: 10.1002/sim.1296. PubMedCrossRef

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. PubMedCrossRef

Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. doi: 10.1037/a0022658. PubMedCrossRef

Redonnet, B., Chollet, A., Fombonne, E., Bowes, L., & Melchior, M. (2012). Tobacco, alcohol, cannabis and other illegal drug use among young adults: The socioeconomic context. Drug and Alcohol Dependence, 121(3), 231–239. doi: 10.1016/j.drugalcdep.2011.09.002. PubMedCrossRef

Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootsin (Eds.), Theoretical issues in behavior therapy (pp. 107–121). San Diego, CA: Academic Press.

Rifkin, L. S., Beard, C., Hsu, K. J., Garner, L., & Björgvinsson, T. (2015). Psychometric properties of the anxiety sensitivity index-3 in an acute and heterogeneous treatment sample. Journal of Anxiety Disorders, 36, 99–102. doi: 10.1016/j.janxdis.2015.09.010. PubMedCrossRef

Ritschel, L. A., Tone, E. B., Schoemann, A. M., & Lim, N. E. (2015). Psychometric properties of the difficulties in emotion regulation scale across demographic groups. Psychological Assessment, 27(3), 944–954. doi: 10.1037/pas0000099. PubMedCrossRef

Schmidt, N. B., Buckner, J. D., & Keough, M. E. (2007). Anxiety sensitivity as a prospective predictor of alcohol use disorders. Behavior Modification, 31(2), 202–219. doi: 10.1177/0145445506297019. PubMedCrossRef

Simioni, N., Cottencin, O., & Rolland, B. (2015). Interventions for increasing subsequent alcohol treatment utilisation among patients with alcohol use disorders from somatic inpatient settings: A systematic review. Alcohol and Alcoholism (Oxford, Oxfordshire), 50(4), 420–429. doi: 10.1093/alcalc/agv017. CrossRef

Sippel, L. M., Jones, R. E., Bordieri, M. J., Dixon, L. J., May, A. C., Malkin, M. L., & Coffey, S. F. (2015). Interactive effects of anxiety sensitivity and difficulties in emotion regulation: An examination among individuals in residential substance use treatment with comorbid posttraumatic stress disorder. Cognitive Therapy and Research, 39(2), 245–252. doi: 10.1007/s10608-014-9648-2. PubMedCrossRef

Stewart, S. H., & Conrod, P. J. (2008). Anxiety disorder and substance use disorder co-morbidity: Common themes and future directions. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and Substance Use Disorders (pp. 239–257). US: Springer. CrossRef

Stewart, S. H., & Kushner, M. G. (2001). Introduction to the special issue on “Anxiety Sensitivity and Addictive Behaviors”. Addictive Behaviors, 26(6), 775–785. PubMedCrossRef

Stewart, S. H., Samoluk, S. B., & MacDonald, A. B. (1999). Anxiety sensitivity and substance use and abuse. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 287–319). Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers.

Stewart, S. H., Zvolensky, M. J., & Eifert, G. H. (2001). Negative-reinforcement drinking motives mediate the relation between anxiety sensitivity and increased drinking behavior. Personality and Individual Differences, 31(2), 157–171. doi: 10.1016/S0191-8869(00)00213-0. CrossRef

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. PubMedCrossRef

Thomas McLellan, A., Cacciola, J. C., Alterman, A. I., Rikoon, S. H., & Carise, D. (2006). The addiction severity index at 25: Origins, contributions and transitions. American Journal on Addictions, 15(2), 113–124. PubMedCrossRef

Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935. doi: 10.1111/j.1532-5415.1992.tb01992.x. PubMedCrossRef

Tull, M. T., & Aldao, A. (2015). Editorial overview: New directions in the science of emotion regulation. Current Opinion in Psychology, 3, 4–10. doi: 10.1016/j.copsyc.2015.03.009. CrossRef

Vujanovic, A. A., Zvolensky, M. J., & Bernstein, A. (2008). The interactive effects of anxiety sensitivity and emotion dysregulation in predicting anxiety-related cognitive and affective symptoms. Cognitive Therapy and Research, 32(6), 803–817. doi: 10.1007/s10608-007-9148-8. CrossRef

Waldrop, A. E., & Cohen, B. E. (2014). Trauma exposure predicts alcohol, nicotine, and drug problems beyond the contribution of PTSD and depression in patients with cardiovascular disease: Data from the heart and soul study. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions,. doi: 10.1111/j.1521-0391.2013.12053.x.

Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM- 5 (LEC- 5). Instrument available from the National Center for PTSD at www.ptsd.va.gov.

West, S. G., & Aiken, L. S. (1997). Toward understanding individual effects in multicomponent prevention programs: Design and analysis strategies. In K. J. Bryant, M. Windle, & S. G. West (Eds.), The science of prevention: Methodological advances from alcohol and substance abuse research (pp. 167–209). Washington, DC, US: American Psychological Association. CrossRef

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., & Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575–1586. doi: 10.1016/S0140-6736(13)61611-6. PubMedCrossRef

Zack, M., Poulos, C. X., Aramakis, V. B., Khamba, B. K., & MacLeod, C. M. (2007). Effects of drink-stress sequence and gender on alcohol stress response dampening in high and low anxiety sensitive drinkers. Alcoholism, Clinical and Experimental Research, 31(3), 411–422. doi: 10.1111/j.1530-0277.2006.00322.x. PubMedCrossRef

Zhang, J., Harvey, C., & Andrew, C. (2011). Factors associated with length of stay and the risk of readmission in an acute psychiatric inpatient facility: a retrospective study. Australian and New Zealand Journal of Psychiatry, 45(7), 578–585. doi: 10.3109/00048674.2011.585452. PubMedPubMedCentralCrossRef

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
DOI: https://doi.org/10.1007/s10608-016-9792-y
Uitgeverij: Springer US
Tijdschrift: Cognitive Therapy and Research
Uitgave 6/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Abstract

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Andere artikelen Uitgave 6/2016

Interactions Between Reappraisal and Emotional Nonacceptance in Psychopathology: Examining Disability and Depression Symptoms in Generalized Anxiety Disorder

Emotion Regulation in Women with Premenstrual Syndrome (PMS): Explicit and Implicit Assessments

An Examination of the Specific Associations Between Facets of Difficulties in Emotion Regulation and Posttraumatic Stress Symptom Clusters

Effects of Childhood Abuse on Overgeneral Autobiographical Memory in Current Major Depressive Disorder

Cognitive Bias Modification to Enhance Resilience to a Panic Challenge

Impaired De Novo Fear Conditioning in Opiate-Dependent Outpatients