Limited Access to Emotion Regulation Strategies Mediates the Association Between Positive Urgency and Sustained Binge Drinking in Patients with Alcohol Use Disorder.
Binge drinking (BD) represents a public health concern because of increasing prevalence, clinical implications, and social consequences. Determinants of BD have been mainly studied in non-clinical samples, but few data in patients with alcohol use disorder (AUD) are available. Our study aimed at ide...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 21; no. 6; pp. 3549 - 3563 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=173850423&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 173850423 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Dec2023 vid: 21 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 173850423 10.1007/s11469-022-00807-z ppf: 3549 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 887KB tig: atl: Limited Access to Emotion Regulation Strategies Mediates the Association Between Positive Urgency and Sustained Binge Drinking in Patients with Alcohol Use Disorder. aug: au: Pepe, Maria Di Nicola, Marco Moccia, Lorenzo Franza, Raffaella Chieffo, Daniela Addolorato, Giovanni Janiri, Luigi Sani, Gabriele affil: https://ror.org/03h7r5v07 Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy https://ror.org/00rg70c39 Department of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy https://ror.org/00rg70c39 Service of Clinical Psychology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy https://ror.org/00rg70c39 Internal Medicine, Columbus-Gemelli Hospital, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy Alcohol Related Disease Unit, CEMAD Digestive Disease Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy su: Alcoholism Social impact Public health Emotion regulation Logistic regression analysis sug: subj: Alcoholism Social impact Public health Health and Welfare Funds Emotion regulation Logistic regression analysis keyword: Alcohol use disorder Binge drinking Emotion dysregulation Impulsivity Personalized medicine Psychopathology Alcohol use disorder Binge drinking Emotion dysregulation Impulsivity Personalized medicine Psychopathology ab: Binge drinking (BD) represents a public health concern because of increasing prevalence, clinical implications, and social consequences. Determinants of BD have been mainly studied in non-clinical samples, but few data in patients with alcohol use disorder (AUD) are available. Our study aimed at identifying risk factors for BD in AUD patients. We evaluated 373 severe AUD outpatients, subdivided according to the presence of a sustained BD pattern in: non-binge drinkers (n = 256, M = 63.3%, 48.8 ± 10.7 years) and sustained binge drinkers (n = 117, M = 65%, 39.7 ± 9.6 years). We collected sociodemographic and clinical information and assessed impulsivity and emotion dysregulation using the short version of the UPPS-P Impulsive Behavior Scale (S-UPPS-P) and the Difficulties in Emotion Regulation Scale (DERS). We conducted a binomial logistic regression to investigate predictors for BD and a mediation analysis to test the effect of impulsivity and emotion dysregulation on BD. One hundred seventeen patients (31.4%) presented a sustained BD pattern. Positive urgency (OR: 2.235; p = 0.018) and limited access to emotion regulation strategies [DERS strategies (OR: 1.553; p = 0.004)] were risk factors for BD. The relationship between positive urgency and BD was significantly mediated by DERS strategies (p = 0.015; bootstrapped LLCI = 0.008, ULCI = 0.044). In our sample, positive urgency and limited access to emotion regulation strategies were risk factors for sustained BD in AUD patients. The effects of impulsivity on BD were mediated by difficulties in emotion regulation. BD patterns have been associated with poor response to treatment and worse outcome in AUD patients; however, the full impact of this problematic drinking pattern is still underinvestigated. Clarifying the underlying psychopathological dimensions is crucial to deliver targeted interventions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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