The Association of Emotion Dysregulation with the Co-Occurrence of PTSD and SUD: A Systematic Review of Recent Literature.

IF 4.6 2区医学 Q1 SUBSTANCE ABUSE

Current Addiction Reports Pub Date : 2026-01-01 Epub Date: 2026-03-06 DOI:10.1007/s40429-026-00720-8

Eileen Barden, Craig Polizzi, Robyn Ellis, Cathryn Glanton Holzhauer

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Abstract

Purpose of review: This review focused on literature from the past five years that examined the role of emotion dysregulation in co-occurring symptoms of posttraumatic stress disorder (PTSD) and substance use disorder (SUD) among adults.

Recent findings: Evidence from recent studies indicates that emotion dysregulation operates directly by exacerbating symptoms of PTSD and SUD and functions as both a moderator and mediator in the PTSD-SUD relation. Greater emotion dysregulation tends to strengthen the association between PTSD and SUD symptoms. Moreover, evidence supports emotion dysregulation as a key target in trauma- and SUD-focused treatments, with reductions in emotion dysregulation contributing to better clinical outcomes across diverse treatment settings.

Summary: Emotion dysregulation is a critical factor that underlies the co-occurrence of PTSD and SUD. Understanding the nuanced role of emotion dysregulation in co-occurring PTSD-SUD offers critical insights for alleviating PTSD symptoms and SUD behaviors, especially intrusive memories and using substances as avoidance.

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情绪失调与PTSD和SUD共发的关系：近期文献的系统综述。

综述目的：本综述集中于过去五年的文献，这些文献研究了情绪失调在成人创伤后应激障碍（PTSD）和物质使用障碍（SUD）共发症状中的作用。最近的研究发现：最近的研究证据表明，情绪失调直接通过加剧PTSD和SUD的症状而起作用，并在PTSD-SUD的关系中起调节和调节作用。更严重的情绪失调倾向于加强PTSD和SUD症状之间的联系。此外，有证据支持情绪失调是创伤和sud治疗的关键目标，减少情绪失调有助于在不同的治疗环境中获得更好的临床结果。总结：情绪失调是PTSD和SUD共同发生的关键因素。了解情绪失调在PTSD-SUD共同发生中的微妙作用，为减轻PTSD症状和SUD行为，特别是侵入性记忆和使用物质作为回避提供了重要的见解。

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

Current Addiction Reports Psychology-Clinical Psychology

CiteScore

6.60

自引率

4.70%

发文量

期刊介绍： This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.