دورية أكاديمية

Novel Associations Among Trauma, Mindfulness, and Impaired Control Over Alcohol Use.

التفاصيل البيبلوغرافية
العنوان: Novel Associations Among Trauma, Mindfulness, and Impaired Control Over Alcohol Use.
المؤلفون: Frohe T; Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, P.O. Box 118210, Gainesville, FL 32611, USA., Leeman RF; Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, P.O. Box 118210, Gainesville, FL 32611, USA.; Department of Psychiatry, Yale School of Medicine, 300 George Street, New Haven, CT 06511, USA., Cheong J; Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, P.O. Box 118210, Gainesville, FL 32611, USA., Belton DA; Department of Psychology, Arizona State University, 950 S. McAllister Ave, P.O. Box 871104, Tempe, AZ 85287-1104, USA., Patock-Peckham JA; Department of Psychology, Arizona State University, 950 S. McAllister Ave, P.O. Box 871104, Tempe, AZ 85287-1104, USA.
المصدر: Mindfulness [Mindfulness (N Y)] 2020 Mar; Vol. 11 (3), pp. 606-614. Date of Electronic Publication: 2019 Dec 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 101518348 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1868-8527 (Print) Linking ISSN: 18688527 NLM ISO Abbreviation: Mindfulness (N Y) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: New York : Springer
مستخلص: Objective: Two thirds of adults experience at least one lifetime traumatic incident. Specifically, childhood traumas (physical neglect, emotional neglect, physical abuse, emotional abuse, and sexual abuse) are associated with increased alcohol use. According to the self-medication hypothesis, alcohol is used to alleviate upsetting thoughts and memories. This may lead to greater impaired control over alcohol use (i.e., a breakdown of an intention to limit drinking). Utilizing mindfulness reduces maladaptive responses to trauma. Trauma and difficulties maintaining control (generally) have been examined with mindfulness as a mediator; however, control over alcohol use specifically, has not.
Methods: We analyzed data from a cross-sectional, student survey ( N = 847, 49% female) utilizing path modeling. We examined mindfulness and impaired control over alcohol use as potential mediators between trauma and alcohol outcomes (i.e., drinks per drinking day [DPDD] and alcohol-related problems).
Results: Emotional neglect (EN) was the strongest predictor among five facets of trauma. Higher EN related to lower mindfulness ( β = - 0.22; SE = 0.05; p ≤ 0.001) and greater impaired control over alcohol ( β = 0.11; SE = 0.06; p = 0.05). Finally, EN was related to higher DPDD, mediated by mindfulness and impaired control over alcohol use (standardized indirect effect = 0.006; 95% CI, 0.002, 0.012).
Conclusion: These findings suggest potential mediating pathways from childhood trauma to alcohol-related outcomes via mindfulness and greater impaired control over alcohol use. Current research informs efforts to promote mindfulness interventions to reduce alcohol use and related problems among college students, especially those who have experienced childhood traumas and may experience elevated impaired control over alcohol use.
Competing Interests: Conflict of Interest The authors declare that they have no conflict of interest.
References: J Abnorm Child Psychol. 2009 May;37(4):493-506. (PMID: 19137423)
Psychol Bull. 2012 May;138(3):550-88. (PMID: 22409505)
J Stud Alcohol. 1993 Nov;54(6):700-9. (PMID: 8271806)
Depress Anxiety. 2014 Jun;31(6):494-505. (PMID: 24894802)
Addict Disord Their Treat. 2013 Mar 1;12(1):19-27. (PMID: 23814503)
Psychol Addict Behav. 2006 Jun;20(2):117-25. (PMID: 16784353)
J Nerv Ment Dis. 2013 Dec;201(12):1007-20. (PMID: 24284634)
Psychol Addict Behav. 2015 Jun;29(2):259-69. (PMID: 25402833)
Gen Hosp Psychiatry. 1982 Apr;4(1):33-47. (PMID: 7042457)
Addict Behav. 2015 Nov;50:199-204. (PMID: 26160522)
Subst Abus. 2009 Oct-Dec;30(4):266-94. (PMID: 19904664)
Behav Ther. 2012 Jun;43(2):365-80. (PMID: 22440072)
Child Abuse Negl. 2007 Mar;31(3):205-9. (PMID: 17408738)
Psychol Sci. 2007 Mar;18(3):233-9. (PMID: 17444920)
Psychol Addict Behav. 2016 Aug;30(5):544-554. (PMID: 27269291)
Alcohol Res. 2012;34(4):408-13. (PMID: 23584107)
Psychopharmacology (Berl). 2012 Jan;219(2):527-36. (PMID: 22169883)
Addict Behav. 2018 Sep;84:92-98. (PMID: 29653433)
Behav Res Methods. 2011 Sep;43(3):692-700. (PMID: 21487904)
Drug Alcohol Depend. 2018 May 01;186:207-214. (PMID: 29609132)
Am J Clin Hypn. 1986 Oct;29(2):95-102. (PMID: 3776897)
Assessment. 2004 Sep;11(3):191-206. (PMID: 15358875)
Psychol Addict Behav. 2015 Mar;29(1):176-83. (PMID: 25546142)
Exp Clin Psychopharmacol. 2019 Jun;27(3):236-246. (PMID: 30688502)
Assessment. 2006 Mar;13(1):27-45. (PMID: 16443717)
Psychotherapy (Chic). 2014 Sep;51(3):388-97. (PMID: 25068194)
Subst Use Misuse. 2014 Apr;49(5):492-512. (PMID: 23461667)
Psychol Addict Behav. 2010 Dec;24(4):608-16. (PMID: 21198223)
J Am Coll Health. 1992 Sep;41(2):49-58. (PMID: 1460173)
Child Abuse Negl. 2003 Feb;27(2):169-90. (PMID: 12615092)
Psychol Addict Behav. 2009 Dec;23(4):553-63. (PMID: 20025361)
Psychol Addict Behav. 2004 Dec;18(4):322-33. (PMID: 15631604)
Alcohol Clin Exp Res. 2013 Jun;37(6):984-92. (PMID: 23278300)
Pers Individ Dif. 2019 Mar 1;139:39-45. (PMID: 30573940)
Conscious Cogn. 2009 Mar;18(1):176-86. (PMID: 19181542)
Subst Use Misuse. 2014 Apr;49(5):513-24. (PMID: 24611847)
Exp Clin Psychopharmacol. 2012 Apr;20(2):92-106. (PMID: 22182417)
Multivariate Behav Res. 2004 Jan 1;39(1):99. (PMID: 20157642)
Subst Abus. 2008;29(1):33-41. (PMID: 19042317)
Depress Anxiety. 2014 Feb;31(2):130-42. (PMID: 23983056)
Am J Orthopsychiatry. 2012 Apr;82(2):187-200. (PMID: 22506521)
Q J Stud Alcohol. 1956 Jun;17(2):296-305. (PMID: 13336262)
معلومات مُعتمدة: K01 AA024160 United States AA NIAAA NIH HHS; R21 AA023368 United States AA NIAAA NIH HHS; UH2 AA026214 United States AA NIAAA NIH HHS
فهرسة مساهمة: Keywords: Alcohol use; Childhood trauma; Drinking consequences; Heavy drinking; Impaired control over drinking; Risk factors
تواريخ الأحداث: Date Created: 20221116 Latest Revision: 20221117
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9648857
DOI: 10.1007/s12671-019-01285-6
PMID: 36382141
قاعدة البيانات: MEDLINE
الوصف
تدمد:1868-8527
DOI:10.1007/s12671-019-01285-6