Araştırma Makalesi
Yıl 2022,
Cilt: 8 Sayı: 2, 187 - 201, 31.05.2022
Öz
Kaynakça
- 1. Dutcher CD, Vujanovic AA, Paulus DJ, Bartlett BA. Childhood maltreatment severity and alcohol use in adult psychiatric inpatients: The mediating role of emotion regulation difficulties. Gen Hosp Psychiatry 2017;48:42–50.
- 2. Gross JJ, Richards JM, John OP. Emotion regulation in everyday life. Emot Regul couples Fam Pathways to Dysfunct Heal 2006;2006:13–35.
- 3. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004;26(1):41–54.
- 4. Sloan E, Hall K, Moulding R, Bryce S, Mildred H, Staiger PK. Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical Psychology Review Pergamon 2017; 57: 141–63.
- 5. Petit G, Luminet O, Maurage F, Tecco J, Lechantre S, Ferauge M, et al. Emotion regulation in alcohol dependence. Alcohol Clin Exp Res 2015; 39(12):2471–79.
- 6. Berking M, Margraf M, Ebert D, Wuppermann P, Hofmann S, Junghanns K. Emotion regulation skills as a predictor of relapse during and after treatment of alcohol dependence. J Consult Clin Psychol 2011; 79(3):307–18.
- 7. Greenfield SF, Kolodziej ME, Sugarman DE, Muenz LR, Vagge LM, He DY, et al. History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study. Drug Alcohol Depend 2002;67(3):227–34.
- 8. Schwandt ML, Heilig M, Hommer DW, George DT, Ramchandani VA. Childhood trauma exposure and alcohol dependence severity in adulthood: mediation by emotional abuse severity and neuroticism. Alcohol Clin Exp Res 2013; 37(6):984–92.
- 9. Huang M-CMM-C, Schwandt MLM, Ramchandani VA, George DT, Heilig M, M.-C. H, et al. Impact of Multiple Types of Childhood Trauma Exposure on Risk of Psychiatric Comorbidity Among Alcoholic Inpatients. Alcohol Clin Exp Res 2012; 36(6):1099–107.
- 10. Lotzin A, Haupt L, von Schönfels J, Wingenfeld K, Schäfer I. Profiles of Childhood Trauma in Patients with Alcohol Dependence and Their Associations with Addiction-Related Problems. Alcohol Clin Exp Res 2016; 40(3):543–52.
- 11. Walsh K, McLaughlin KA, Hamilton A, Keyes KM. Trauma exposure, incident psychiatric disorders, and disorder transitions in a longitudinal population representative sample. J Psychiatr Res 2017 ;92:212–18.
- 12. Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv Rev Psychiatry 1997; 4(5):231–44.
- 13. Wolff S, Holl J, Stopsack M, Arens EA, Höcker A, Staben KA, et al. Does Emotion Dysregulation Mediate the Relationship between Early Maltreatment and Later Substance Dependence? Findings of the CANSAS Study. Eur Addict Res 2016 ;22(6):292–300.
- 14. Heleniak C, Jenness JL, Stoep A Vander, McCauley E, McLaughlin KA. Childhood Maltreatment Exposure and Disruptions in Emotion Regulation: A Transdiagnostic Pathway to Adolescent Internalizing and Externalizing Psychopathology. Cognit Ther Res 2016; 40(3):394–415.
- 15. Nieratschker V, Batra A, Fallgatter AJ. Genetics and epigenetics of alcohol dependence. J Mol psychiatry 2013; 1(1):1.
- 16. Stockwell T, Murphy D, Hodgson R. The severity of alcohol dependence questionnaire: its use, reliability and validity. Addiction 1983; 78(2):145–55.
- 17. Akyel B, Aldemir E, Altıntoprak E. Turkish Validity and Reliability of The Severity of Alcohol Dependence Questionnaire 2015; 90(12):33–34.
- 18. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 2003; 27(2):169–90.
- 19. Yargıç LI, Tutkun H, Şar V. Childhood traumatic experiences and dissociative symptoms in adults. J Psychiatry, Psychol Psychopharmacol 1994; 2:338–48.
- 20. Ruganci RN, Gençöz T. Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale J Clin Psychol 2010; 66(4):442-55.
- 21. Ghorbani F, Khosravani V, Sharifi Bastan F, Jamaati Ardakani R. The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative effects, and suicidal risk in alcohol-dependent outpatients. Psychiatry Res 2017; 252:223–30.
- 22. Watkins LE, Schumacher JA, Coffey SF. A preliminary investigation of the relationship between emotion dysregulation and partner violence perpetration among individuals with PTSD and alcohol dependence. J Aggress Maltreatment Trauma 2016; 25(3):305–14.
- 23. Mauss IB, Cook CL, Cheng JYJ, Gross JJ. Individual differences in cognitive reappraisal: experiential and physiological responses to an anger provocation. Int J Psychophysiol 2007; 66(2):116–24.
- 24. Kober H. Emotion regulation in substance use disorders. In: Handbook of emotion regulation. New York, NY, US: Guilford Press; 2014.p.428–46.
- 25. Lejuez CW, Magidson JF, Mitchell SH, Sinha R, Stevens MC, De Wit H. Behavioral and Biological Indicators of Impulsivity in the Development of Alcohol Use, Problems, and Disorders. Alcohol Clin Exp Res 2010; 34(8):1334–45.
- 26. Jakubczyk A, Trucco EM, Kopera M, Kobyliński P, Suszek H, Fudalej S, et al. The association between impulsivity, emotion regulation, and symptoms of alcohol use disorder. J Subst Abuse Treat 2018; 91:49–56.
- 27. Holl J, Wolff S, Schumacher M, Höcker A, Arens EA, Spindler G, et al. Substance use to regulate intense posttraumatic shame in individuals with childhood abuse and neglect. Dev Psychopathol 2017; 29(3):737–49.
- 28. Glassman LH, Weierich MR, Hooley JM, Deliberto TL, Nock MK. Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. Behav Res Ther 2007; 45(10):2483-90.
- 29. Wu NS, Schairer LC, Dellor E, Grella C. Childhood trauma and health outcomes in adults with comorbid substance abuse and mental health disorders. Addict Behav 2010; 35(1):68–71.
- 30. Edwards VJ, Holden GW, Felitti VJ, Anda RF. Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. Am J Psychiatry 2003; 160(8):1453–60.
Emotion Regulation Difficulties and Childhood Trauma are Associated with Alcohol Use Severity: A Comparison with Healthy Volunteers
Öz
Objective: Emotion regulation difficulties and the effect of childhood traumas on the etiology of alcohol use disorder are an important topic in the literature. This study aimed to evaluate patients with alcohol use disorder in terms of emotional control and childhood trauma and the difficulty in trauma and emotion regulation as a risk factor.
Methods: In this study, 37 patients with alcohol use disorder (AUD) and 37 healthy volunteers were included. The participants were assessed with a 35-item sociodemographic data form, Severity of Alcohol Dependence Questionnaire (SADQ-C), Childhood Trauma Questionnaire (CTQ-28), and Difficulties in Emotion Regulation Scale (DERS). All participants were interviewed based on DSM-5.
Results: Participants with AUD had more difficulty in regulating emotions in all areas. clarity, awareness, impulse, nonacceptance, objectives, and strategies were deteriorated (p < 0.05). Patients with AUD had more childhood traumas. All trauma types, especially physical neglect and emotional abuse were more common in participants with AUD. Assessment of the traumas and emotion regulation revealed that emotional abuse increased the risk of AUD by 1.6 times (95% CI 1.025–2.801) and maladaptive emotion regulation strategies are linked to addiction severity.
Conclusion: The maladaptive emotional strategies of patients with AUD were worse than those of healthy volunteers. Patients with AUD experienced more childhood traumas. Particularly, emotional abuse increased the risk of AUD. As a result, childhood traumas were more severe in patients with AUD, and they adversely affected emotion regulation strategies and increased addiction severity.
Anahtar Kelimeler
Kaynakça
- 1. Dutcher CD, Vujanovic AA, Paulus DJ, Bartlett BA. Childhood maltreatment severity and alcohol use in adult psychiatric inpatients: The mediating role of emotion regulation difficulties. Gen Hosp Psychiatry 2017;48:42–50.
- 2. Gross JJ, Richards JM, John OP. Emotion regulation in everyday life. Emot Regul couples Fam Pathways to Dysfunct Heal 2006;2006:13–35.
- 3. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004;26(1):41–54.
- 4. Sloan E, Hall K, Moulding R, Bryce S, Mildred H, Staiger PK. Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical Psychology Review Pergamon 2017; 57: 141–63.
- 5. Petit G, Luminet O, Maurage F, Tecco J, Lechantre S, Ferauge M, et al. Emotion regulation in alcohol dependence. Alcohol Clin Exp Res 2015; 39(12):2471–79.
- 6. Berking M, Margraf M, Ebert D, Wuppermann P, Hofmann S, Junghanns K. Emotion regulation skills as a predictor of relapse during and after treatment of alcohol dependence. J Consult Clin Psychol 2011; 79(3):307–18.
- 7. Greenfield SF, Kolodziej ME, Sugarman DE, Muenz LR, Vagge LM, He DY, et al. History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study. Drug Alcohol Depend 2002;67(3):227–34.
- 8. Schwandt ML, Heilig M, Hommer DW, George DT, Ramchandani VA. Childhood trauma exposure and alcohol dependence severity in adulthood: mediation by emotional abuse severity and neuroticism. Alcohol Clin Exp Res 2013; 37(6):984–92.
- 9. Huang M-CMM-C, Schwandt MLM, Ramchandani VA, George DT, Heilig M, M.-C. H, et al. Impact of Multiple Types of Childhood Trauma Exposure on Risk of Psychiatric Comorbidity Among Alcoholic Inpatients. Alcohol Clin Exp Res 2012; 36(6):1099–107.
- 10. Lotzin A, Haupt L, von Schönfels J, Wingenfeld K, Schäfer I. Profiles of Childhood Trauma in Patients with Alcohol Dependence and Their Associations with Addiction-Related Problems. Alcohol Clin Exp Res 2016; 40(3):543–52.
- 11. Walsh K, McLaughlin KA, Hamilton A, Keyes KM. Trauma exposure, incident psychiatric disorders, and disorder transitions in a longitudinal population representative sample. J Psychiatr Res 2017 ;92:212–18.
- 12. Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv Rev Psychiatry 1997; 4(5):231–44.
- 13. Wolff S, Holl J, Stopsack M, Arens EA, Höcker A, Staben KA, et al. Does Emotion Dysregulation Mediate the Relationship between Early Maltreatment and Later Substance Dependence? Findings of the CANSAS Study. Eur Addict Res 2016 ;22(6):292–300.
- 14. Heleniak C, Jenness JL, Stoep A Vander, McCauley E, McLaughlin KA. Childhood Maltreatment Exposure and Disruptions in Emotion Regulation: A Transdiagnostic Pathway to Adolescent Internalizing and Externalizing Psychopathology. Cognit Ther Res 2016; 40(3):394–415.
- 15. Nieratschker V, Batra A, Fallgatter AJ. Genetics and epigenetics of alcohol dependence. J Mol psychiatry 2013; 1(1):1.
- 16. Stockwell T, Murphy D, Hodgson R. The severity of alcohol dependence questionnaire: its use, reliability and validity. Addiction 1983; 78(2):145–55.
- 17. Akyel B, Aldemir E, Altıntoprak E. Turkish Validity and Reliability of The Severity of Alcohol Dependence Questionnaire 2015; 90(12):33–34.
- 18. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 2003; 27(2):169–90.
- 19. Yargıç LI, Tutkun H, Şar V. Childhood traumatic experiences and dissociative symptoms in adults. J Psychiatry, Psychol Psychopharmacol 1994; 2:338–48.
- 20. Ruganci RN, Gençöz T. Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale J Clin Psychol 2010; 66(4):442-55.
- 21. Ghorbani F, Khosravani V, Sharifi Bastan F, Jamaati Ardakani R. The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative effects, and suicidal risk in alcohol-dependent outpatients. Psychiatry Res 2017; 252:223–30.
- 22. Watkins LE, Schumacher JA, Coffey SF. A preliminary investigation of the relationship between emotion dysregulation and partner violence perpetration among individuals with PTSD and alcohol dependence. J Aggress Maltreatment Trauma 2016; 25(3):305–14.
- 23. Mauss IB, Cook CL, Cheng JYJ, Gross JJ. Individual differences in cognitive reappraisal: experiential and physiological responses to an anger provocation. Int J Psychophysiol 2007; 66(2):116–24.
- 24. Kober H. Emotion regulation in substance use disorders. In: Handbook of emotion regulation. New York, NY, US: Guilford Press; 2014.p.428–46.
- 25. Lejuez CW, Magidson JF, Mitchell SH, Sinha R, Stevens MC, De Wit H. Behavioral and Biological Indicators of Impulsivity in the Development of Alcohol Use, Problems, and Disorders. Alcohol Clin Exp Res 2010; 34(8):1334–45.
- 26. Jakubczyk A, Trucco EM, Kopera M, Kobyliński P, Suszek H, Fudalej S, et al. The association between impulsivity, emotion regulation, and symptoms of alcohol use disorder. J Subst Abuse Treat 2018; 91:49–56.
- 27. Holl J, Wolff S, Schumacher M, Höcker A, Arens EA, Spindler G, et al. Substance use to regulate intense posttraumatic shame in individuals with childhood abuse and neglect. Dev Psychopathol 2017; 29(3):737–49.
- 28. Glassman LH, Weierich MR, Hooley JM, Deliberto TL, Nock MK. Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. Behav Res Ther 2007; 45(10):2483-90.
- 29. Wu NS, Schairer LC, Dellor E, Grella C. Childhood trauma and health outcomes in adults with comorbid substance abuse and mental health disorders. Addict Behav 2010; 35(1):68–71.
- 30. Edwards VJ, Holden GW, Felitti VJ, Anda RF. Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. Am J Psychiatry 2003; 160(8):1453–60.
Toplam 30 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mayıs 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 8 Sayı: 2 |
