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Volume 24, Issue 3 (Autumn 2022)                   JHC 2022, 24(3): 193-204 | Back to browse issues page

Ethics code: IR.ARUMS.REC.1400.074


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Ahmadi S, Basharpoor S, Atadokht A, Narimani M, Hasani F. Pattern of Structural Relationships between Dysfunctional Personality Beliefs and Dependence Severity in Substance Dependent People: Mediated by difficulty in Emotion Regulation. JHC 2022; 24 (3) :193-204
URL: http://hcjournal.arums.ac.ir/article-1-1388-en.html
Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
Abstract:   (719 Views)
Background & aim: Addiction is a chronic relapsing mental disorder defined by physical and psychological dependence on substances. The present study was conducted with the aim of modeling the structural relationships between dysfunctional personality beliefs and the dependence intensity in substance dependent people with the mediation of difficulty in emotion regulation.
Methods: The intended research was applied in terms of purpose and among correlational research. The statistical population included all drug addicts who referred to addiction treatment camps in Ardabil in 2021. Two hundred addicted people completed the questionnaires of dependency intensity, emotion dysregulation, and dysfunctional personality beliefs using available sampling method. Pearson correlation coefficient and structural equation modeling were used to analyze the data.
Results: The results of the correlation coefficients showed that the severity of substance dependence has a positive and significant relationship with ineffective personality beliefs (r=0.44, p=0.001) and difficulty in regulating emotions (r=0.49, p=0.001). Also, difficulty in regulating emotions has a positive and significant relationship with dysfunctional personality beliefs (r=0.25, p=0.001). The model had a good fit based on the goodness of fit indices. Dysfunctional personality beliefs had an effect on dependency severity both directly and indirectly through the mediation of difficulty in emotion regulation.
Conclusion: From a practical point of view, it is necessary to provide regular training programs for substance dependent people using the principles of cognitive-behavioral therapy to determine the patients’ dysfunctional beliefs about addiction, and ultimately helping the patients to create more effective beliefs and behaviors, and cadaptive emotion regulation strategies.
Full-Text [PDF 555 kb]   (707 Downloads)    
Type of Study: Correlation | Subject: Nursing care
Received: 2022/08/16 | Accepted: 2022/11/1 | Published: 2022/12/1

References
1. Poznyak V, Reed G, Medina-Mora M. Aligning the ICD-11 classification of disorders due to substance use with global service needs. Epidemiology and Psychiatric Sciences. 2018;27(3):212-18. [DOI:10.1017/S2045796017000622] [PMID] []
2. Strang J, Volkow ND, Degenhardt L, Hickman M, Johnson K, Koob GF, et al. Opioid use disorder. Nature Reviews Disease Primers. 2020;6(1):1-28. [DOI:10.1038/s41572-019-0137-5] [PMID]
3. Månsson V, Andrade J, Jayaram-Lindström N, Berman AH. "I see myself": craving imagery among individuals with addictive disorders. Journal of Addictive Diseases. 2022;26(1):1-14. [DOI:10.1080/10550887.2022.2058299] [PMID]
4. Rawas RE, Amaral IM, Hofer A. Social interaction reward: a resilience approach to overcome vulnerability to drugs of abuse. European Neuropsychopharmacology. 2020;37(1):12-28. [DOI:10.1016/j.euroneuro.2020.06.008] [PMID]
5. Lo TW, Yeung JW, Tam CH. Substance abuse and public health: a multilevel perspective and multiple responses. International Journal of Environmental Research and Public Health. 2020;17(7):2610-17. [DOI:10.3390/ijerph17072610] [PMID] []
6. McCormick R, Rosenblad SR, Newmeyer M. Untapped therapeutic potential: using sandtray in substance sbuse treatment groups. Journal of Creativity in Mental Health. 2021;16(4):522-36. [DOI:10.1080/15401383.2020.1789016]
7. Beck AT, Davis DD, Freeman A. Cognitive therapy of personality disorders. Guilford Publications; 2015.
8. Albein-Urios N, Martinez-Gonzalez JM, Lozano-Rojas O, Verdejo-Garcia A. Dysfunctional personality beliefs linked to emotion recognition deficits in individuals with cocaine addiction and personality disorders. Frontiers in Psychiatry. 2019;10(1):431-37. [DOI:10.3389/fpsyt.2019.00431] [PMID] []
9. Hanegraaf L, Arunogiri S, Hohwy J, Verdejo-Garcia A. Dysfunctional personality beliefs and emotion recognition in individuals with methamphetamine dependence. Addictive Behaviors. 2020;105(1):106336. [DOI:10.1016/j.addbeh.2020.106336] [PMID]
10. Darbeda S, Carre A, Orri M, Barry C, Lejoyeux M. dysfunctional beliefs related to alcohol craving as a prognostic factor of six-months relapse after inpatient alcohol withdrawal. European Psychiatry. 2015;30(S1):1. [DOI:10.1016/S0924-9338(15)30396-5]
11. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 2004;26(1):41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]
12. Garke MÅ, Isacsson NH, Sörman K, Bjureberg J, Hellner C, Gratz KL, et al. Emotion dysregulation across levels of substance use. Psychiatry Research. 2021;296(1):113-662. [DOI:10.1016/j.psychres.2020.113662] [PMID]
13. Fassot E-M, Tuschen-Caffier B, Asbrand J. Association of parental characteristics and emotion regulation in children and adolescents with and without psychopathology: a case-control study. PloS One. 2022;17(7): 0271486. [DOI:10.1371/journal.pone.0271486] [PMID] []
14. Weiss NH, Kiefer R, Goncharenko S, Raudales AM, Forkus SR, Schick MR, et al. Emotion regulation and substance use: a meta-analysis. Drug and Alcohol Dependence. 2022;230:109131. [DOI:10.1016/j.drugalcdep.2021.109131] [PMID] []
15. Dingle GA, Neves DD, Alhadad SS, Hides L. Individual and interpersonal emotion regulation among adults with substance use disorders and matched controls. British Journal of Clinical Psychology. 2018;57(2):186-202. [DOI:10.1111/bjc.12168] [PMID]
16. Cavalli JM, Cservenka A. Emotion dysregulation moderates the association between stress and problematic cannabis use. Frontiers in Psychiatry. 2021;11:597789. [DOI:10.3389/fpsyt.2020.597789] [PMID] []
17. Beauchaine TP, Cicchetti D. Emotion dysregulation and emerging psychopathology: a transdiagnostic, transdisciplinary perspective. Development and Psychopathology. 2019;31(3):799-804. [DOI:10.1017/S0954579419000671] [PMID]
18. Fossati A, Gratz KL, Maffei C, Borroni S. Emotion dysregulation and impulsivity additively predict borderline personality disorder features in Italian nonclinical adolescents. Personality and Mental Health. 2013;7(4):320-33. [DOI:10.1002/pmh.1229] [PMID]
19. Vonmoos M, Eisenegger C, Bosch OG, Preller KH, Hulka LM, Baumgartner M, Seifritz E, Quednow BB. Improvement of emotional empathy and cluster B personality disorder symptoms associated with decreased cocaine use severity. Frontiers in Psychiatry. 2019;5(10):213-25. [DOI:10.3389/fpsyt.2019.00213] [PMID] []
20. Meyers JL, JE S. Genetic and social-environmental influences on substance use and disorders. Psychiatric Annals. 2021;4(51):170-74. [DOI:10.3928/00485713-20210311-02]
21. Meier MH, Hall W, Caspi A, Belsky DW, Cerdá M, Harrington H, et al. Which adolescents develop persistent substance dependence in adulthood? using population-representative longitudinal data to inform universal risk assessment. Psychological Medicine. 2016;46(4):877-89. [DOI:10.1017/S0033291715002482] [PMID] []
22. Kline RB. Principles and practice of structural equation modeling. Guilford publications; 2015.
23. Gossop M, Darke S, Griffiths P, Hando J, Powis B, Hall W, et al. The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction. 1995;90(5):607-14. [DOI:10.1046/j.1360-0443.1995.9056072.x] [PMID]
24. Basharpoor S, Abasi A. Relations of distress tolerance, negative and positive urgency with severity of dependence and craving in people with substance dependency. Journal of Research in Behavioural Sciences. 2014;12(1):92-102.
25. Fournier JC, DeRubeis RJ, Beck AT. Dysfunctional cognitions in personality pathology: the structure and validity of the Personality Belief Questionnaire. Psychological Medicine. 2012;42(4):795-805. [DOI:10.1017/S0033291711001711] [PMID] []
26. Azizi A, Mirzaei A, Shams J. Correlation between distress tolerance and emotional regulation with students smoking dependence. Hakim Health Systems Research Journal. 2010;13(1):11-18.
27. Khantzian EJ. Psychodynamic psychotherapy for the treatment of substance use disorders. Textbook of Addiction Treatment: Springer; 2021. [DOI:10.1176/appi.books.9781615373970.kb22] [PMID]
28. Beck JS. Complex cognitive therapy treatment for personality disorder patients. Bulletin of the Menninger Clinic. 1998;62(2):170-79.
29. Bonelli RM, Cummings JL. Frontal-subcortical circuitry and behavior. Dialogues in Clinical Neuroscience. 2022;1(1):141-51. [DOI:10.31887/DCNS.2007.9.2/rbonelli] [PMID] []
30. Beck JS. Cognitive therapy for challenging problems: what to do when the basics don't work. Guilford Press; 2005. [DOI:10.1037/e679642007-001]
31. Borges JL, Dell'Aglio DD. Early maladaptive schemas as mediators between child maltreatment and dating violence in adolescence. Ciência & Saúde Coletiva. 2020;25:3119-30.

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