Wellness, Emotion Regulation, and Relapse During Substance Use Disorder Treatment
Wellness, Emotion Regulation, and Relapse During Substance Use Disorder Treatment
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DOI：
10.1002/jcad.12296
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发表时间：
2020-01-01
影响因子：
2.3
通讯作者：
Hill, Brent
中科院分区：
文献类型：
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作者：
Clarke, Philip B.;Lewis, Todd F.;Hill, Brent
使用横断面研究设计，作者调查了健康和情绪调节对目前参加物质使用障碍治疗的179人复发的影响。健康的不可分割的自我模型（Myers & Sweeney，2004）和复发的隐性前因模型（Marlatt，1985）的整合告知了研究假设，即情绪调节介导了健康-复发关系。二项式逻辑回归显示，创造性自我健康（比值比[OR] = 1.09，p = .002），重新评估（OR = 1.08，p = .008），情绪调节困难（OR = 1.03，p = 0.007）和身体自我健康（OR = 0.95，p <0.001）与治疗期间任何一天的复发几率相关。Sobel检验表明2次完全中介，包括情绪调节困难介导了应对自我健康和复发之间的关系（OR = 0.97，p = 0.015）。
Using a cross-sectional study design, the authors investigated the impact of wellness and emotion regulation on relapse in 179 individuals currently enrolled in substance use disorder treatment. An integration of the indivisible self model of wellness (Myers & Sweeney, 2004) and the covert antecedents model of relapse (Marlatt, 1985) informed the study hypothesis that emotion regulation mediates the wellness-relapse relationship. Binomial logistic regressions revealed that Creative Self wellness (odds ratio [OR] = 1.09, p = .002), reappraisal (OR = 1.08, p = .008), difficulties in emotion regulation (OR = 1.03, p = .007), and Physical Self wellness (OR = 0.95, p < .001) were associated with the odds of relapse on any given day during treatment. Sobel tests indicated 2 occurrences of full mediation, including that difficulties in emotion regulation mediated the relationship between Coping Self wellness and relapse (OR = 0.97, p = .015).