Differences between expressive suppression and cognitive reappraisal in opioids and stimulant dependent patients

Banafsheh Mohajerin, Behrouz Dolatshahi, Abbas Pour Shahbaz, Ali Farhoudian, Banafsheh Mohajerin, Behrouz Dolatshahi, Abbas Pour Shahbaz, Ali Farhoudian

Abstract

Background: Substance use and affective disorders frequently co-occur, but the role of affective dysregulation in addiction is often overlooked. There is evidence shows that substance - dependent individuals have more problems in regulating their emotions.

Objectives: This study compared two commonly used emotional regulation strategies, cognitive reappraisal and suppression, in opioids and methamphetamine dependents.

Materials and methods: One hundred forty men with substance dependence (70 Opioids, 70 Methamphetamine) were selected by accessible sampling, and they responded to Emotion Regulation Questionnaire (Gross & John) and Clinical drug addiction profile (CDAP) questionnaire. SPSS software was used to analyze the results, and descriptive statistics such as frequency tables and inferential statistics including independent t-test were used.

Results: Opioids and methamphetamine dependent patients differ in reappraisal strategy (P < 0.01). These groups differ not only in reappraisal strategy, but also in the suppression (P < 0.001).

Conclusion: Opioids and methamphetamine dependent individuals used different strategies for regulating their emotions. The key finding was that opioids dependents prefer suppression, and methamphetamine dependents usually use reappraisal for this purpose.

Keywords: Cognitive; Methamphetamine; Opioid.

References

    1. Ahmadi J, Majdi B, Mahdavi S, Mohagheghzadeh M. Mood disorders in opioid-dependent patients. J Affect Disord. 2004;82(1):139–42. doi: 10.1016/j.jad.2003.09.015.
    1. Vick Karl. Opiates of the Iranian People. Despair Drives World's Highest Addiction Rate. 2005
    1. United Nations Office on Drugs and Crime. World Drug Report. 2009.
    1. United Nations Office of Drugs and Crime. World Drug Report. 2007.
    1. Rockville M. Substance Abuse and Mental Health Services Administration. National survey on drug use and health (1994-2004). Office of Applied Studies; 2005.
    1. Drug Control. Annual report and rapid situation assessment. Tehran: Islamic Republic of Iran, Drug Control Headquarters; 2008.
    1. Lashkaripou K, Yusefi M, Ghasemi S, Zabihi RT, editors. The comparison of demographic characteristics and variety of substances in Methadone maintenance clinic of Baharan Psychiatry Hospital in 2009-2010; 2012.
    1. Cheetham A, Allen NB, Yucel M, Lubman DI. The role of affective dysregulation in drug addiction. Clin Psychol Rev. 2010;30(6):621–34. doi: 10.1016/j.cpr.2010.04.005.
    1. Kring AM, Werner KH. Emotion regulation and psychopathology. 2004.
    1. Kelly AB, Masterman PW, Young RM. Negative mood, implicit alcohol-related memory, and alcohol use in young adults: the moderating effect of alcohol expectancy. Addict Behav. 2011;36(1-2):148–51. doi: 10.1016/j.addbeh.2010.08.025.
    1. Adams ZW, Kaiser AJ, Lynam DR, Charnigo RJ, Milich R. Drinking motives as mediators of the impulsivity-substance use relation: pathways for negative urgency, lack of premeditation, and sensation seeking. Addict Behav. 2012;37(7):848–55. doi: 10.1016/j.addbeh.2012.03.016.
    1. Cooney NL, Litt MD, Morse PA, Bauer LO, Gaupp L. Alcohol cue reactivity, negative-mood reactivity, and relapse in treated alcoholic men. J Abnorm Psychol. 1997;106(2):243–50.
    1. McCollam JB, Burish TG, Maisto SA, Sobell MB. Alcohol's effects on physiological arousal and self-reported affect and sensations. J Abnorm Psychol. 1980;89(2):224−233.
    1. Cooper ML. Motivations for alcohol use among adolescents: Development and validation of a four-factor model. J Psychol Assess. 1994;6:117–128.
    1. Gross JJ. Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Pers Soc Psychol. 1998;74(1):224–37.
    1. Thompson RA. Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev. 1994;59(2-3):25–52.
    1. Garnefski Nadia, Van Den Kommer Tessa, Kraaij Vivian, Teerds Jan, Legerstee Jeroen, Onstein Evert. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non clinical sample. Eur J Pers. 2002;16(5):403–420.
    1. Frijda NH. The laws of emotion. Am Psychol. 1988;43(5):349–58.
    1. Gross JJ, Levenson RW. Emotional suppression: physiology, self-report, and expressive behavior. J Pers Soc Psychol. 1993;64(6):970–86.
    1. Speisman JC, Lazarus RS, Mordkoff A, Davison L. Experimental Reduction of Stress Based on Ego-Defense Theory. J Abnorm Psychol. 1964;68:367–80.
    1. Gross James J. The emerging field of emotion regulation: An integrative review. J Rev Gen Psychol. 1998;2(3):271.
    1. Werner Kelly, Gross James J. Emotion regulation and psychopathology: A conceptual framework. 2010
    1. Sher Kenneth J, Grekin Emily R. Alcohol and Affect Regulation. 2007
    1. Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Per Soc Psycho. 2003;85:348–362.
    1. Gross JJ, Thompson RA. Emotion regulation: Conceptual foundations. 2007.
    1. Quirk Stuart W. Emotion concepts in models of substance abuse. J Drug Alcohol Review. 2001;20(1):95–104.
    1. Ehring Thomas, Fischer Silke, Schnülle Jewgenija, Bösterling Andrea, Tuschen-Caffier Brunna. Characteristics of emotion regulation in recovered depressed versus never depressed individuals. J Pers Individ Differ. 2008;44(7):1574–1584.
    1. Nunes E, Quitkin F, Brady R, Post-Koenig T. Antidepressant treatment in methadone maintenance patients. J Addict Dis. 1994;13(3):13–24.
    1. Hasin DS, Nunes EV. Comorbidity of alcohol, drug, and psychiatric disorders: Epidemiology. 1988.
    1. Khantzian EJ, Mack JE, Schatzberg AF. Heroin use as an attempt to cope: clinical observations. Am J Psychiatry. 1974;131(2):160–4.
    1. Helgoe L. A comwarison of diagnostic patterns in opiate and cocaine abusep atients. 1989.
    1. Beblo T, Fernando S, Klocke S, Griepenstroh J, Aschenbrenner S, Driessen M. Increased suppression of negative and positive emotions in major depression. J Affect Disord. 2012;141(2-3):474–9. doi: 10.1016/j.jad.2012.03.019.
    1. Litt MD, Cooney NL, Kadden RM, Gaupp L. Reactivity to alcohol cues and induced moods in alcoholics. J Addict Behav. 1990;15(2):137–46.
    1. Glassman AH, Helzer JE, Covey LS, Cottler LB, Stetner F, Tipp JE, et al. Smoking, smoking cessation, and major depression. JAMA. 1990;264(12):1546–9.
    1. Grüsser S M, Thalemann C N, Platz W, Gölz J, Partecke G. A new approach to preventing relapse in opiate addicts: a psychometric evaluation. Biological psychology. 2006;71(3):231–235.
    1. Birch CD, Stewart SH, Wall AM, McKee SA, Eisnor SJ, Theakston JA. Mood-induced increases in alcohol expectancy strength in internally motivated drinkers. Psychol Addict Behav. 2004;18(3):231–8. doi: 10.1037/0893-164X.18.3.231.
    1. Sinha Rajita, Fox Helen C, Hong Kwangik A, Bergquist Keri, Bhagwagar Zubin, Siedlarz Kristen M. Enhanced negative emotion and alcohol craving, and altered physiological responses following stress and cue exposure in alcohol dependent individuals. J Neuropsychopharmacol. 2008;34(5):1198–1208.
    1. Berking M, Ebert D, Filipek M, Cal Y, Dippel A. Evaluating the efficacy of affect regulation training as an adjunctive intervention in CBT for major depressive disorder. J Psychother. 2010;39(1)
    1. Linehan Marsha. Cognitive-behavioral treatment of borderline personality disorder. The Gill ford Press; 1993.
    1. Linehan Marsha M, Dimeff Linda A, Reynolds Sarah K, Comtois Katherine Anne, Welch Stacy Shaw, Heagerty Patrick, et al. Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. J Drug Alcohol Depend. 2002;67(1):13–26.
    1. Harned MS, Chapman AL, Dexter-Mazza ET, Murray A, Comtois KA, Linehan MM. Treating co-occurring Axis I disorders in recurrently suicidal women with borderline personality disorder: a 2-year randomized trial of dialectical behavior therapy versus community treatment by experts. J Consult Clin Psychol. 2008;76(6):1068–75. doi: 10.1037/a0014044.
    1. Hofmann Stefan G, Sawyer Alice T, Witt Ashley A, Oh Diana. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult Clin Psychol. 2010;78(2):169.
    1. Witkiewitz Katie, Marlatt G Alan, Walker Denise. Mindfulness-based relapse prevention for alcohol and substance use disorders. J Cognitive Psychother. 2005;19(3):211–228.
    1. Brown Kirk Warren, Ryan Richard M, Creswell J David. Mindfulness: Theoretical foundations and evidence for its salutary effects. J Psychol Inquiry. 2007;18(4):211–237.
    1. Berking M, Ebert D, Filipek M, Cal Y, Dippel A. Evaluating the efficacy of affect regulation training as an adjunctive intervention in CBT for major depressive disorder. J Psychol Psychothe. 2010;39(1)
    1. Greenberg LS. Emotion-focused therapy: Coaching clients to work through their feelings. 2002
    1. Linehan M. Skills training manual for treating borderline personality disorder. 1993.

Source: PubMed

3
Se inscrever