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How Chronic Self-Regulatory Stress, Poor Anger Regulation, and Momentary Affect Undermine Treatment for Alcohol Use Disorder: Integrating Social Action Theory with the Dynamic Model of Relapse
Journal of Social and Clinical Psychology ( IF 1.0 ) Pub Date : 2017-03-01 , DOI: 10.1521/jscp.2017.36.3.238
Stephen A. Maisto 1 , Feng Chang Xie 2 , Katie Witkiewitz 3 , Craig K. Ewart 1 , Gerard J. Connors 4 , Hongtu Zhu 2 , Gavin Elder 1 , Mi Ditmar 1 , Sy-Miin Chow 5
Affiliation  

We tested the hypothesis that indices of chronic self-regulatory stress specified by Social Action Theory (SAT; Ewart, 2011) and indices of affect specified by the Dynamic Model of Relapse (DMR; Witkiewitz & Marlatt, 2004) predict daily alcohol use by persons in outpatient treatment for alcohol use disorder (AUD). Participants (69 men, 50 women; aged 19–76) in AUD outpatient programs completed 2 baseline laboratory assessments, then provided daily ecological momentary assessment (EMA) reports of state affect and alcohol use for 28 days. SAT indices of chronic self-regulatory stress were obtained in the laboratory with the Social Competence Interview (SCI) and the Anger Transcendence Challenge (ATC). Chronic regulatory stress was indexed by blood pressure responses to both tasks. Emotion regulation capabilities were indexed by anger regulation behavior observed during ATC, and by self-ratings of recent positive social interactions and goal thoughts. DMR indices of trait and state affect were obtained with ...

中文翻译:

慢性自我调节压力,愤怒调节不佳和短暂影响如何破坏酒精使用障碍的治疗:将社会行为理论与复发动态模型相结合

我们检验了以下假设:社会行为理论(SAT; Ewart,2011)指定的慢性自我调节压力指标和复发模型(DMR; Witkiewitz&Marlatt,2004)指定的情感指标可以预测人们的日常饮酒在门诊治疗酒精使用障碍(AUD)。AUD门诊计划的参与者(69名男性,50名女性; 19-76岁)完成了2项基线实验室评估,然后提供了28天的每日生态瞬时评估(EMA)状态影响和饮酒报告。通过社会能力面试(SCI)和愤怒超越挑战(ATC)在实验室获得了慢性自我调节性压力的SAT指数。慢性调节压力通过对两项任务的血压反应来确定。情绪调节能力是通过在ATC期间观察到的愤怒调节行为以及最近积极的社会互动和目标思想的自我评价来索引的。用...获得DMR的特质和状态影响指数
更新日期:2017-03-01
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