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Wellness, Emotion Regulation, and Relapse During Substance Use Disorder Treatment
Journal of Counseling & Development ( IF 2.455 ) Pub Date : 2020-01-02 , DOI: 10.1002/jcad.12296
Philip B. Clarke 1 , Todd F. Lewis 2 , Jane E. Myers 3 , Robert A. Henson 4 , Brent Hill 2
Affiliation  

Using a cross‐sectional study design, the authors investigated the impact of wellness and emotion regulation on relapse in 179 individuals currently enrolled in substance use disorder treatment. An integration of the indivisible self model of wellness (Myers & Sweeney, 2004) and the covert antecedents model of relapse (Marlatt, 1985) informed the study hypothesis that emotion regulation mediates the wellness‐relapse relationship. Binomial logistic regressions revealed that Creative Self wellness (odds ratio [OR] = 1.09, p = .002), reappraisal (OR = 1.08, p = .008), difficulties in emotion regulation (OR = 1.03, p = .007), and Physical Self wellness (OR = 0.95, p < .001) were associated with the odds of relapse on any given day during treatment. Sobel tests indicated 2 occurrences of full mediation, including that difficulties in emotion regulation mediated the relationship between Coping Self wellness and relapse (OR = 0.97, p = .015).

中文翻译:

健康,情绪调节和物质使用失调治疗期间的复发

使用横断面研究设计,作者调查了健康和情绪调节对目前接受药物滥用障碍治疗的179名患者复发的影响。健康不可分割的自我模型(Myers&Sweeney,2004)和隐性复发模型(Marlatt,1985)的整合为研究假设提供了条件,即情绪调节介导了健康与复发的关系。二项式逻辑回归分析显示,自创意健康(比值比[OR] = 1.09,p = 0.002),再评价(OR = 1.08,p = 0.008),在情绪调节困难(OR = 1.03,p = 0.007),和身体自我保健(OR = 0.95,p<.001)与治疗期间任何给定日期的复发几率相关。Sobel测试表明发生了2次完全调解,包括情绪调节困难介导了应对自我健康与复发之间的关系(OR = 0.97,p = .015)。
更新日期:2020-01-02
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