Petit Géraldine, Luminet Olivier, Maurage François, Tecco Juan, Lechantre Stéphane, Ferauge Marc, Gross James J, de Timary Philippe
Laboratory of Psychological Medicine and Addictology, ULB Neuroscience Institute (UNI), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Department of Psychology, Belgian National Fund for Scientific Research, Louvain-la-Neuve, Belgium.
Alcohol Clin Exp Res. 2015 Dec;39(12):2471-9. doi: 10.1111/acer.12914. Epub 2015 Nov 28.
The main aim of this study was to investigate, in alcohol-dependent (AD) patients, the use of the 5 emotion regulation strategies specified in Gross's (1998, Rev Gen Psychol, 2, 271) process model of emotion regulation with the use of a semi-structured interview allowing a detailed and high-quality assessment of emotion regulation strategies. A secondary aim was to examine the possible influence of protracted abstinence and detoxification on emotion dysregulation. Finally, the association between the level of craving and the types of regulation strategies was investigated.
Forty-four treatment-seeking AD patients with varying time spent in rehabilitation, and 26 healthy controls were interviewed using a version of the Emotion Regulation Interview (Werner et al., 2011, J Psychopathol Behav Assess, 33, 346) adapted to alcohol dependence.
Compared to controls, AD patients reported significantly greater use of response modulation and attentional deployment, but lesser use of cognitive change. Among patients, (1) rehabilitation duration was positively correlated with the use of cognitive change and (2) the use of response modulation was positively associated with the level of craving.
These findings clarify the specific pattern of emotion dysregulation associated with alcohol dependence. They also suggest that (1) abstinence is associated with a shift toward more adaptive emotion regulation patterns and that (2) inefficient regulation strategies may lead to craving and the maintenance of alcohol use. If these findings are confirmed through longitudinal and mediation designs, they will have important clinical implications.
本研究的主要目的是，在酒精依赖（AD）患者中，使用半结构化访谈来详细且高质量地评估情绪调节策略，以调查格罗斯（1998年，《普通心理学评论》，第2卷，第271页）情绪调节过程模型中所规定的5种情绪调节策略的使用情况。次要目的是研究长期戒酒和脱毒对情绪失调的可能影响。最后，调查渴望程度与调节策略类型之间的关联。
使用改编自酒精依赖的《情绪调节访谈》（维尔纳等人，2011年，《精神病理学与行为评估杂志》，第33卷，第346页）的版本，对44名寻求治疗的、康复时间各异的AD患者以及26名健康对照者进行访谈。
与对照组相比，AD患者报告在反应调节和注意力部署方面的使用显著更多，但在认知改变方面的使用更少。在患者中，（1）康复持续时间与认知改变的使用呈正相关，且（2）反应调节的使用与渴望程度呈正相关。
这些发现阐明了与酒精依赖相关的情绪失调的具体模式。它们还表明，（1）戒酒与向更具适应性的情绪调节模式转变有关，且（2）低效的调节策略可能导致渴望并维持饮酒行为。如果这些发现通过纵向和中介设计得到证实，它们将具有重要的临床意义。
