Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers

Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers
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DOI:
10.1016/j.addbeh.2007.10.002
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发表时间:
2008-02-01
影响因子:
4.4
通讯作者:
Sinha, R.
Sinha, R.
中科院分区:
医学2区
文献类型:
--
作者:
Fox, H. C.;Hong, K. A.;Sinha, R.

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背景资料:早期戒除慢性酒精依赖与对压力相关渴望的情绪敏感性增加以及与压力和情绪处理相关的大脑系统的变化有关。本研究的目的是探讨情绪调节的困难,在早期酒精戒断使用最近验证的困难情绪调节量表(DERS)。方法:最近戒断寻求治疗的酒精滥用者(n=50)完成了DERS在他们的第一个星期的住院治疗和出院(5周后)。这些反应进行了比较,一组社会饮酒者(n=62)。结果:与社会饮酒者相比,酒精依赖患者的情绪意识和冲动控制在治疗的第1周显着差异。长期禁欲5周后,观察到意识和情绪清晰度显着改善。然而,显着的困难,冲动控制持续到discharge.Conclusion:DERS的调查结果表明,长期的压力相关的冲动控制问题,戒酒,这可能有助于增加复发的脆弱性。爱思唯尔有限公司出版
Background: Early abstinence from chronic alcohol dependence is associated with increased emotional sensitivity to stress-related craving as well as changes in brain systems associated with stress and emotional processing. The aim of the current study was to examine potential difficulties in emotion regulation during early alcohol abstinence using the recently validated Difficulties of Emotion Regulation Scale (DERS).Method: Recently abstinent treatment-seeking alcohol abusers (n=50) completed the DERS during their first week of inpatient treatment and at discharge (5 weeks later). These responses were compared to a group of social drinkers (n=62).Results: Compared with social drinkers, alcohol-dependent patients reported significant differences in emotional awareness and impulse control during week 1 of treatment. Significant improvements in awareness and clarity of emotion were observed following 5 weeks of protracted abstinence. However, significant difficulties with impulse control persisted until discharge.Conclusion: Findings from the DERS indicate protracted stress-related impulse control problems in abstinent alcoholics, which may contribute to increased relapse vulnerability. Published by Elsevier Ltd.