Psychological and Autonomic Correlates of Emotion Dysregulation among Women in Substance Use Disorder Treatment.

Psychological and Autonomic Correlates of Emotion Dysregulation among Women in Substance Use Disorder Treatment.
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DOI:
10.1080/10826084.2018.1508297
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发表时间:
2019
影响因子:
2
通讯作者:
Thompson EA
Thompson EA
中科院分区:
医学4区
文献类型:
--
作者:
Price CJ;Crowell SE;Pike KC;Cheng SC;Puzia M;Thompson EA

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背景:情绪调节在物质使用障碍(SUD)的预防和治疗中越来越被认为是重要的。然而,在SUD治疗研究中缺乏情绪调节障碍的生理指标,迫切需要更好地了解情绪调节能力之间的联系,目的:研究SUD治疗中女性呼吸性窦性心律失常(RSA)与自我报告健康结果之间的相关性。方法:这是一项横断面研究,基于217名参与随机对照试验的女性的基线数据,研究身心干预作为SUD治疗的辅助手段。所有参与者都参加了以社区为基础的门诊治疗。参与者进行问卷调查,以检查样本特征,心理健康症状,内感受意识和正念技能。RSA数据被收集作为情绪失调的指标。描述性统计,双变量相关性,回归分析中使用的analysis.Results:调查结果突出了广泛的创伤史,低SES,在这个样本的痛苦和高症状。在控制年龄和BMI后,RSA仅与内感受性意识显著相关。症状的困扰和正念的措施与RSA.Conclusions/Importance:结果提供的第一个证据RSA作为一个指数的intoceptive意识在这个人群中。在SUD临床研究中纳入RSA等生物标志物可能有助于识别需要靶向治疗的个体,包括专注于改善情绪调节的内感受性意识训练。
Background: Emotion regulation is increasingly recognized as important for the prevention and treatment of substance use disorder (SUD). However, there is an identified lack of physiological indexes of emotion dysregulation in SUD treatment studies, critically needed to better understand the link between emotion regulation capacity (measured physiologically) and self-report health outcomes among individuals in SUD treatment.Objective: To examine the association between respiratory sinus arrhythmia (RSA) and self-report health outcomes among women in SUD treatment.Methods: This is a cross-sectional study based on baseline data from 217 women enrolled in a randomized control trial to study a mind-body intervention as an adjunct to SUD treatment. All participants were enrolled in community-based outpatient treatment. Participants were administered questionnaires to examine sample characteristics, mental health symptoms, and interoceptive awareness and mindfulness skills. RSA data was gathered as an index of emotion dysregulation. Descriptive statistics, bivariate correlations, and regression were used in the analyses.Results: Findings highlight the extensive trauma histories, low SES, and the high symptoms of distress in this sample. RSA was only significantly correlated with interoceptive awareness after controlling for age and BMI. Measures of symptomatic distress and mindfulness were not correlated with RSA.Conclusions/Importance: Results provide the first evidence of RSA as an index of interoceptive awareness in this population. The inclusion of biomarkers such as RSA in SUD clinical studies may help identify individuals that are in need of targeted treatments that include interoceptive awareness training focused on improving emotion regulation.
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