Emotional dysregulation in relation to substance use and behavioral addictionsfindings from five separate meta-analyses

  1. Alba González-Roz 1
  2. Yasmina Castaño 2
  3. Andrea Krotter 1
  4. Angie Salazar-Cedillo 2
  5. Elena Gervilla 2
  1. 1 Universidad de Oviedo, Asturias
  2. 2 Universitat de les Illes Balears
    info

    Universitat de les Illes Balears

    Palma, España

    ROR https://ror.org/03e10x626

Journal:
International journal of clinical and health psychology

ISSN: 1697-2600

Year of publication: 2024

Volume: 24

Issue: 3

Pages: 271-280

Type: Article

DOI: 10.1016/J.IJCHP.2024.100502 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International journal of clinical and health psychology

Abstract

Background/objective Emotional dysregulation (ED) is a transdiagnostic variable underlying various psychiatric disorders, including addictive behaviors (ABs). This meta-analysis examines the relationship between ED and ABs (alcohol, tobacco, cannabis, gambling, and gaming), and indicators of AB engagement (frequency, quantity/time of use, severity, and problems). Method Searches were conducted in PubMed, Scopus, WoS, and PsycINFO. Five separate meta-analysis were run using random-effects models. Moderators (age, sex, continental region, and sample type; community vs. clinical), and publication bias were evaluated. Results A total of 189 studies (N = 78,733; 51.29 % women) were identified. ED was significantly related to all ABs. Problems and severity indicators exhibited the largest effects (r’s .118-.372, all p <.023). There were larger effect sizes for cannabis problems (r = .372), cannabis severity (r = .280), gaming severity (r = .280), gambling severity (r = .245), gambling problems (r = .131), alcohol problems (r = .237), alcohol severity (r = .204), and severity of nicotine dependence (r = .118). Lack of impulse control exhibited some of the largest effects in relation to ABs. Clinical samples of cannabis users vs. community-based exhibited larger magnitude of associations. Conclusions Interventions targeting ABs should address lack of strategies and impulsive behaviors as an emotion regulation strategy specifically, as it is a common risk factor for ABs.

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