Low treatment utilization, relapse, and chronicity are characteristic of substance use disorders (SUDs). Craving is an important predictor of relapse. Individuals with an SUD report using various coping strategies in response to negative affect, two of which are investigated in the current study: suppression and acting with awareness. Suppression is typically understood to be avoidance of unwanted experience through turning attention away from unwanted stimuli. Acting with awareness (AWA) is a facet of mindfulness, which includes turning toward experience with kindness and curiosity, even when the experience is unwanted. Evidence suggests mindfulness may reduce craving, while suppression has been associated with increased craving. In the current study, participants (N = 210) had recently completed inpatient or intensive outpatient SUD treatment followed by a randomized controlled trial of aftercare. Participants completed measures within 2 weeks following the completion of the aftercare intervention. Negative affect and severity of dependence were both positively associated with craving. Structural equation modeling evaluated AWA and suppression as partial mediators of the link between negative affect and craving. Suppression was positively associated and AWA was negatively associated with craving. Mediation analyses revealed the indirect effect of negative affect on craving through AWA was significant, but the path through suppression was not. These findings suggest that AWA may inhibit the development of craving from negative affect, but further research is needed. Future research should investigate the path from negative affect to craving with greater temporal resolution to evaluate how these phenomena function with increased ecological validity. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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扰乱贪爱之道：无意识地行动会调解负面情绪与贪爱之间的联系。


治疗利用率低、复发和长期存在是物质使用障碍 (SUD) 的特征。渴望是复发的重要预测因素。具有 SUD 的个体报告使用各种应对策略来应对负面情绪，当前的研究调查了其中两种策略：抑制和有意识地采取行动。抑制通常被理解为通过将注意力从不想要的刺激上转移开来避免不想要的经历。有意识地行动（AWA）是正念的一个方面，其中包括怀着善意和好奇心转向体验，即使这种体验是不受欢迎的。有证据表明，正念可以减少渴望，而抑制则与渴望增加有关。在本研究中，参与者 (N = 210) 最近完成了住院或强化门诊 SUD 治疗，随后进行了随机对照的术后护理试验。参与者在完成善后干预后两周内完成测量。负面影响和依赖的严重程度都与渴望呈正相关。结构方程模型评估了 AWA 和抑制作为负面情绪和渴望之间联系的部分中介因素。抑制与渴望呈正相关，AWA 与渴望呈负相关。中介分析显示，通过 AWA 的负面影响对渴望的间接影响是显着的，但通过抑制的路径则不然。这些发现表明，AWA 可能会抑制负面情绪带来的渴望的发展，但还需要进一步的研究。未来的研究应该以更大的时间分辨率来调查从负面影响到渴望的路径，以评估这些现象如何在提高生态有效性的情况下发挥作用。 （PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。