Emotional dysregulation in relation to substance use and behavioral addictions: Findings from five separate meta-analyses

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology Pub Date : 2024-07-01 DOI:10.1016/j.ijchp.2024.100502

Alba González-Roz , Yasmina Castaño , Andrea Krotter , Angie Salazar-Cedillo , Elena Gervilla

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引用次数: 0

Abstract

Background/objective

Emotional dysregulation (ED) is a transdiagnostic variable underlying various psychiatric disorders, including addictive behaviors (ABs). This meta-analysis examines the relationship between ED and ABs (alcohol, tobacco, cannabis, gambling, and gaming), and indicators of AB engagement (frequency, quantity/time of use, severity, and problems).

Method

Searches were conducted in PubMed, Scopus, WoS, and PsycINFO. Five separate meta-analysis were run using random-effects models. Moderators (age, sex, continental region, and sample type; community vs. clinical), and publication bias were evaluated.

Results

A total of 189 studies (N = 78,733; 51.29 % women) were identified. ED was significantly related to all ABs. Problems and severity indicators exhibited the largest effects (r’s .118-.372, all p <.023). There were larger effect sizes for cannabis problems (r = .372), cannabis severity (r = .280), gaming severity (r = .280), gambling severity (r = .245), gambling problems (r = .131), alcohol problems (r = .237), alcohol severity (r = .204), and severity of nicotine dependence (r = .118). Lack of impulse control exhibited some of the largest effects in relation to ABs. Clinical samples of cannabis users vs. community-based exhibited larger magnitude of associations.

Conclusions

Interventions targeting ABs should address lack of strategies and impulsive behaviors as an emotion regulation strategy specifically, as it is a common risk factor for ABs.

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情绪失调与药物使用和行为成瘾的关系：五项独立荟萃分析的结果

背景/目的情绪失调（ED）是导致包括成瘾行为（ABs）在内的各种精神疾病的一个跨诊断变量。本荟萃分析研究了 ED 与成瘾行为（酒精、烟草、大麻、赌博和游戏）之间的关系，以及成瘾行为的参与指标（使用频率、数量/时间、严重程度和问题）。使用随机效应模型分别进行了五项荟萃分析。对调节因素（年龄、性别、大陆地区和样本类型；社区与临床）和发表偏差进行了评估。结果共发现 189 项研究（N = 78,733; 51.29 % 为女性）。ED与所有ABs均有明显关系。问题和严重程度指标的影响最大（r's .118-.372, all p <.023）。大麻问题（r = .372）、大麻严重程度（r = .280）、游戏严重程度（r = .280）、赌博严重程度（r = .245）、赌博问题（r = .131）、酒精问题（r = .237）、酒精严重程度（r = .204）和尼古丁依赖严重程度（r = .118）的效应较大。冲动控制能力的缺乏对 ABs 的影响最大。结论针对ABs的干预措施应特别针对作为情绪调节策略的缺乏策略和冲动行为，因为这是ABs的常见风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.