Emotion regulation difficulties in drug abusers

Zareban, Iraj; Bakhshani, Nour-Mohammad; Bor, Mohsen Hossein; Bakhshani, Saeed

doi:10.4103/atmph.atmph_617_17

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…We conducted six sensitivity analyses (Supporting information, Figure S4.1–S4.6 ). When removing the three studies with imputed total DERS scores [ 49 , 50 , 65 ], the value of the effect size was similar (21.49, 95% CI = 15.76–27.22, P < 0.001) and heterogeneity remained high ( I 2 = 93.2%). After removing the three outlier studies [ 52 , 55 , 62 ], the effect size decreased to 17.43 (95% CI = 14.39–20.47, P < 0.001) and heterogeneity decreased ( I 2 = 77.72%) but remained high.…”

Section: Resultsmentioning

confidence: 98%

“…Of these, 14 failed to meet inclusion criteria [ 16 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; reasons for study exclusion can be found in Supporting information, Table S1.1 . We were left with 22 studies to be included for the primary analysis [ 17 , 27 , 33 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ]. A summary of the systematic review search process is shown in Figure 1 (PRISMA flow‐chart).…”

Section: Resultsmentioning

confidence: 99%

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Emotion regulation in substance use disorders: a systematic review and meta‐analysis

et al. 2022

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Background and aims: The ability to regulate emotions effectively has been associated with resilience to psychopathology. Individuals with substance use disorders (SUDs) have been shown to have higher levels of negative emotionality, with some evidence suggesting impairment in emotion regulation compared with individuals without SUDs. However, no previous attempt has been made to systematically review the literature to assess the magnitude of this difference. We aimed to assess the association between SUD diagnosis and emotion regulation as measured by the Difficulties in Emotion Regulation Scale (DERS) and Emotion Regulation Questionnaire (ERQ) through a systematic review and meta-analysis of existing findings. Methods:The systematic review was conducted using PubMed, PsycINFO and Embase. We examined cross-sectional studies that compared a SUD group with a control group and measured emotion regulation using the DERS or the ERQ. The primary analysis focused on papers using the DERS, as this was the predominant instrument in the literature.Results: Twenty-two studies met our primary analysis criteria, representing 1936 individuals with a SUD and 1567 controls. Individuals with SUDs relative to controls had significantly greater DERS scores, with a mean difference of 21.44 [95% confidence interval (CI) = 16.49-26.40, P < 0.001] and Hedges' g = 1.05 (95% CI = 0.86-1.24, P < 0.001). The difference was robust, remaining significant after removing outliers and studies with high risk of bias. Individuals with SUDs demonstrated poorer emotion regulation on each subscale of the DERS, with the largest deficits in the Strategies and Impulse subscales. The ERQ analysis revealed greater use of expressive suppression in those with SUDs relative to controls (Hedges' g = 0.76, 95% CI = 0.25-1.28, P = 0.004).Conclusions: People with substance use disorders appear to have greater difficulties in emotion regulation than people without substance use disorders.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Emotion regulation in substance use disorders: a systematic review and meta‐analysis

et al. 2022

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“…Drug addicts suffer from rejection of emotional responses, difficulty performing purposeful behaviors, difficulty controlling impulses, limited access to emotion regulation strategies, and lack of emotional clarity, and this provides the basis for continued use (11). Emotional factors are actually risk factors for drug use, and chronic drug use can lead to more emotional disorders with an effect on the reward system, motivation, and stress.…”

Section: Introductionmentioning

confidence: 99%

The Common and Specific Role of Emotional Factors in Current Cravings and Thoughts-Imagination of Consumption in Opioid Dependent Patients

Kooteh

Dolatshahi

Bakhshani

et al. 2021

Int J High Risk Behav Addict

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Background: Craving has an important place in the structure of the literature on consumption disorders. Objectives: The present research investigates the relationship between emotional factors (such as positive and negative effects, emotion regulation, emotion regulation strategies, emotional processing, emotional stimulation, attention to emotional stimuli, emotional separation, and emotional response) with consumption craving. Patients and Methods: The statistical population of current descriptive-correlational research consisted of all opium-dependent patients living in medium-term accommodation centers (camps) in Zahedan, Iran, from 2018 to 2019. Among 21 allowed accommodation centers, 12 were randomly selected. A purposive sampling method was used to select 243 patients. For collecting data, multiple questionnaires were used. Data were analyzed using SPSS-16 software. Results: The results of stepwise regression analysis showed that among emotional factors, emotional excitement could only predict 0.020 of variations in instant craving, and other emotional factors did not have much explanatory power. However, to predict drug carvings and desires, more emotional variables (emotional arousal, emotional processing, affection, emotion regulation, and emotional separation) were entered into the equation, and the set could predict 0.156% of drug carving. Conclusions: Cultural factors play an important role in the discussion of emotion, and it is important to consider them in the field of drug prevention. Concurrent attention is needed to be paid to the biological, psychological, and social dimensions. In addition, concurrent treatment can lead to interdisciplinary collaboration.

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