Individuals with alcohol use disorder (AUD) and other substance use disorders (SUDs) frequently show co-occurrent behavioral addictions (BAs) (i.e., gambling and compulsive sex) and other inflexible behaviors (IBs) (i.e., compulsive buying and dysfunctional eating behaviors). The covariation of these conditions might be explained by a role of emotion dysregulation (ED) and executive dysfunctions. This study aims at investigating whether ED and self-regulation of attention (SRA) could be common processes that underpin BAs and other IBs among individuals with AUD. The study hypothesized that SRA should represent a key protective factor for the relationships between ED and BAs/IBs. The research included 319 treatment-seeking individuals with a primary diagnosis of AUD. Five independent multiple parallel mediational models were tested. Self-report instruments were administered in order to assess ED, BAs and other IBs, which represented independent and dependent variables respectively. SRA was self-report assessed and, it was considered the key mediator variable. The analyses highlighted significant total effects of ED on the severity of BAs and IBs. SRA fully mediated the relationships between ED and BAs/IBs, with exception of gambling. ED and SRA should be considered common dimensions that explain the covariation of BAs and IBs among individuals with AUD. SRA represents an adaptive form of emotion regulation that sustains the engagement in goal-oriented behaviors. Future neuroimaging and longitudinal studies are recommended in order to demonstrate the role of ED and SRA on development, maintenance and treatment of BAs and IBs among individuals with SUDs.

译文

:患有酒精使用障碍(AUD)和其他物质使用障碍(SUD)的人经常表现出并发行为成瘾(BA)(即赌博和强迫性行为)和其他不灵活的行为(IB)(即强迫性购买和饮食失调)行为)。这些状况的协变可以用情绪失调(ED)和执行功能障碍的作用来解释。这项研究旨在调查ED和注意力自我调节(SRA)是否可能是支持AUD个体中BA和其他IB的常见过程。该研究假设SRA应该代表ED与BAs / IB之间关系的关键保护因素。该研究包括319名初步诊断为AUD的就医者。测试了五个独立的多重并行中介模型。管理自我报告工具是为了评估ED,BA和其他IB,它们分别代表独立变量和因变量。 SRA经过自我报告评估,被认为是关键的中介变量。分析强调了ED对BA和IBs严重程度的总体影响。 SRA完全调解了ED与BA / IB之间的关系,但赌博除外。应将ED和SRA视为共同的维度,以解释AUD个体中BA和IB的协变。 SRA代表一种情绪调节的自适应形式,可维持参与目标导向行为。建议进行进一步的神经影像学和纵向研究,以证明ED和SRA在SUD个体中发展BABA和IB的发展,维持和治疗中的作用。

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