Introduction: Self-regulatory actions direct the achievement of life goals. Awareness of one's state is needed to adequately self-regulate one's life. Methods: The self-regulatory actions of (cognitive/emotional) self-awareness and (error-)monitoring were assessed in patients with Dual Diagnosis and healthy controls. A multi-method approach was applied. Results: Patients with Dual Diagnosis reported lower capacity to identify, verbalize and interpret emotions in a cognitive manner. Both groups reported experiencing arousal of emotions, but patients showed less cognitive elaboration on them and they reported more negatively labeled emotions. Patients with Dual Diagnosis signaled errors less adequately, but did not differ in the number of errors. Discussion: The abundance of negative emotions may overwhelm patients and trigger substance use to handle this negativity. Especially because they do in fact experience the arousal of emotions, but they find it harder to timely identify, interpret and verbalize these emotions. Training self-awareness and emotion regulation may be beneficial.

中文翻译：

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双重诊断中的自我调节：自我意识、错误监控和情绪困扰的多方法方法

简介：自我调节行为指导实现人生目标。需要了解自己的状态才能充分自我调节自己的生活。方法：在双重诊断患者和健康对照组中评估（认知/情绪）自我意识和（错误）监测的自我调节行为。应用了多方法方法。结果：双重诊断患者报告以认知方式识别、表达和解释情绪的能力较低。两组都报告了情绪的唤起，但患者对他们的认知阐述较少，他们报告的负面情绪较多。双重诊断患者的错误信号不太充分，但错误数量没有差异。讨论：大量的负面情绪可能会使患者不知所措，并引发物质使用来处理这种负面情绪。特别是因为他们确实体验到了情绪的激发，但他们发现很难及时识别、解释和表达这些情绪。训练自我意识和情绪调节可能是有益的。