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Cognitive Therapy and Research

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17-04-2020 | Original Article

Dampening of Positive Affect Predicts Substance Use During Partial Hospitalization

Auteurs: Andrew D. Peckham, R. Kathryn McHugh, Elizabeth T. Kneeland, Thröstur Björgvinsson, Courtney Beard

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2020

Abstract

Background

Elevated positive affect is associated with craving for substances of abuse, yet little is known about regulation of positive emotion in substance use disorders. This study tested if the emotion regulation strategy of dampening (deliberately down-regulating positive affect) contributes to substance use outcomes in a transdiagnostic sample.

Methods

Participants (N = 120) were adults endorsing risky substance use, recruited from an acute psychiatric treatment program that requires abstinence during treatment. Craving and dampening were assessed at admission.

Results

A logistic regression to evaluate likelihood of substance use during treatment yielded a significant interaction between dampening and frequency of substance use in the previous month: odds of use during treatment were higher among those with heavier pre-treatment use, but only at high levels of dampening.

Conclusions

This study provides preliminary evidence that dampening increases risk for substance use among those with high levels of pre-treatment substance use. Findings are limited by the use of a general psychiatric sample, which did not include individuals seeking treatment for substance use disorders; future studies are needed to replicate this effect in individuals with substance use disorders. Results point to the need for interventions to enhance healthy regulation of positive affect in substance-using populations.

vorige artikel The Effects of Alcohol and Depressive Symptoms on Positive and Negative Post-Event Rumination in Social Anxiety

volgende artikel Interpretation Bias in Online and Offline Social Environments and Associations with Social Anxiety, Peer Victimization, and Avoidance Behavior

Given the need for brief measures in an acute clinical setting, branching logic was used in the DAST measure, such that if participants denied any drug use during the past year (DAST Question #1), the remainder of the DAST measure (questions 2–10) was not administered.

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Titel: Dampening of Positive Affect Predicts Substance Use During Partial Hospitalization
Auteurs: Andrew D. Peckham
R. Kathryn McHugh
Elizabeth T. Kneeland
Thröstur Björgvinsson
Courtney Beard
Publicatiedatum: 17-04-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10101-8

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Abstract

Background

Methods

Results

Conclusions

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