Skip to main content
Top
Gepubliceerd in:

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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Voetnoten
1
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.
 
Literatuur
go back to reference Cyders, M. A., Littlefield, A. K., Coffey, S. F., & Karyadi, K. A. (2014). Examination of a short version of the UPPS-P Impulsive Behavior Scale. Addictive Behaviors,39(9), 1372–1376.CrossRefPubMedPubMedCentral Cyders, M. A., Littlefield, A. K., Coffey, S. F., & Karyadi, K. A. (2014). Examination of a short version of the UPPS-P Impulsive Behavior Scale. Addictive Behaviors,39(9), 1372–1376.CrossRefPubMedPubMedCentral
go back to reference Gilbert, K. E., Nolen-Hoeksema, S., & Gruber, J. (2013). Positive emotion dysregulation across mood disorders: How amplifying versus dampening predicts emotional reactivity and illness course. Behaviour Research and Therapy,51, 736–741.CrossRefPubMed Gilbert, K. E., Nolen-Hoeksema, S., & Gruber, J. (2013). Positive emotion dysregulation across mood disorders: How amplifying versus dampening predicts emotional reactivity and illness course. Behaviour Research and Therapy,51, 736–741.CrossRefPubMed
go back to reference Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). New York: Guilford Press. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). New York: Guilford Press.
go back to reference Kaiser, A., Bonsu, J. A., Charnigo, R., Milich, R., & Lynam, D. R. (2016). Impulsive personality and alcohol use: Bidirectional relations over one year. Journal of Studies on Alcohol and Drugs,77, 473–482.CrossRefPubMedPubMedCentral Kaiser, A., Bonsu, J. A., Charnigo, R., Milich, R., & Lynam, D. R. (2016). Impulsive personality and alcohol use: Bidirectional relations over one year. Journal of Studies on Alcohol and Drugs,77, 473–482.CrossRefPubMedPubMedCentral
go back to reference Lynam, D. R., Whiteside, S. P., Smith, G. T., & Cyders, M. A. (2006). The UPPS-P: Assessing five personality pathways to impulsive behavior. West Lafayette, IN: Purdue University. Unpublished report. Lynam, D. R., Whiteside, S. P., Smith, G. T., & Cyders, M. A. (2006). The UPPS-P: Assessing five personality pathways to impulsive behavior. West Lafayette, IN: Purdue University. Unpublished report.
go back to reference Nolen-Hoeksema, S., & Harrell, Z. A. (2002). Rumination, depression, and alcohol use: Tests of gender differences. Journal of Cognitive Psychotherapy,16(4), 391–403.CrossRef Nolen-Hoeksema, S., & Harrell, Z. A. (2002). Rumination, depression, and alcohol use: Tests of gender differences. Journal of Cognitive Psychotherapy,16(4), 391–403.CrossRef
go back to reference Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology,61(1), 115–121.CrossRefPubMed Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology,61(1), 115–121.CrossRefPubMed
go back to reference Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The MINI-International Neuropsychiatric Interview (M.I.N.I.): The development of a structured diagnostic interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry,59(suppl 20), 22–33.PubMed Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The MINI-International Neuropsychiatric Interview (M.I.N.I.): The development of a structured diagnostic interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry,59(suppl 20), 22–33.PubMed
go back to reference Tiffany, S. T. (1999). Cognitive concepts of craving. Alcohol Research & Health,23(3), 215–224. Tiffany, S. T. (1999). Cognitive concepts of craving. Alcohol Research & Health,23(3), 215–224.
Metagegevens
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