Emotion dysregulation, transdiagnostic vulnerabilities, and e-cigarette expectancies in a young adult sample.
Emotion dysregulation, transdiagnostic vulnerabilities, and e-cigarette expectancies in a young adult sample.
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DOI：
10.1016/j.addbeh.2022.107253
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发表时间：
2022-05
影响因子：
4.4
通讯作者：
Harrell PT
中科院分区：
文献类型：
--
作者：
Brockenberry LO;Braitman AL;Harrell PT
使用电子烟在有心理困扰的年轻人中更为常见。负面影响减少结果预期（关于产品减少不愉快情绪状态的能力的信念）和情绪转诊断脆弱性（对多种形式的情绪精神病理学常见的情绪状态的适应不良反应）都与烟草易感性和使用呈正相关。然而，目前还不清楚预期是否会调解情绪问题和使用之间的影响。18至24岁的大学生（N = 216; 79.6%女性; 36.6%非裔美国人）完成了一项在线调查，测量了电子烟负面影响减少结果预期（ENAROE），电子烟使用以及以下情绪转诊断脆弱性（ETV）：情绪调节困难，痛苦容忍度（DT），积极/消极紧迫感和积极/消极影响。在个体预测路径分析模型中，ENAROE介导了ETV与电子烟使用之间的关系。期望（ENAROE）介导的积极紧迫感和使用之间的总关系的47.3%。在综合模型中发现了显著影响，其中负紧迫性与较高的ENAROE（B=0.47，95%BCCI [0.04，0.96]）相关，控制了所有其他transdiagnosis漏洞。更高的阳性紧迫性与当前使用的可能性增加有关。这项研究提供了一种新的检查期望作为一个潜在的调解人，目前电子烟的使用通过情绪脆弱性。消极情绪减少结果预期介导了脆弱性和电子烟使用之间的关系，表明积极紧迫感和电子烟使用之间的关联可以通过情绪预期部分解释。因此，期望是预防和进一步ETV研究的重要目标。
Use of e-cigarettes is more common among youth with psychological distress. Negative affect reduction outcome expectancies (beliefs about ability of a product to reduce unpleasant emotional states) and emotional transdiagnostic vulnerabilities (maladaptive responses to emotional states common to multiple forms of emotional psychopathology) are both positively related to tobacco susceptibility and use. However, it is unclear if expectancies mediate the effects between emotional issues and use. College students aged 18 to 24 (N = 216; 79.6% female; 36.6% African American) completed an online survey with measures on e-cigarette negative affect reduction outcome expectancies (ENAROE), e-cigarette use, and the following emotional transdiagnostic vulnerabilities (ETV): difficulties in emotion regulation, distress tolerance (DT), positive/negative urgency, and positive/negative affect. In individual predictor path analysis models, ENAROE mediated the relationship between ETVs and e-cigarette use. Expectancies (ENAROE) mediated 47.3% of the total relationship between positive urgency and use. Significant effects were found for a comprehensive model, in which negative urgency was related to higher ENAROE (b=0.47, 95% BCCI [0.04, 0.96]), controlling for all other transdiagnostic vulnerabilities. Higher positive urgency was related to an increased likelihood of current use. This study provides a novel examination of expectancies as a potential mediator for current e-cigarette use via emotional vulnerabilities. Negative Affect Reduction outcome expectancies mediated the relationship between vulnerabilities and e-cigarette use, indicating that the association between positive urgency and e-cigarette use may be explained partially though emotional expectancies. Thus, expectancies are important targets for prevention and further ETV research.
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