Skip to main content
Erschienen in: International Journal of Mental Health and Addiction 4/2023

25.01.2022 | Original Article

Trauma and Emotion Regulation: Associations with Depressive Symptoms and Cocaine Use among Treatment-seeking Adults

verfasst von: Christopher J. Godfrey, Thomas D. Meyer, Kellee A. Boster, Anka A. Vujanovic, Joy M. Schmitz

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

Abstract

Emotion regulation is discussed as a key factor in moderating the association between trauma exposure and cocaine use as well as depressive symptoms, yet these associations are not well understood. The goal of this study was to test whether experiencing trauma and difficulties in emotion regulation are associated with cocaine use and depressive symptoms in adults seeking treatment for cocaine dependence. One hundred thirty-five adults who use cocaine completed measures assessing recent cocaine use, depression, difficulties in emotion regulation, and traumatic exposure. Hierarchical regression analyses demonstrated that difficulties in emotion regulation and trauma exposure explained a significant amount of the variance in depressive symptoms but not cocaine use. The interaction between difficulties in emotion regulation and trauma exposure was not a significant predictor in either model. Our results suggest that targeting difficulties in emotion regulation might alleviate depressive symptoms but may not affect cocaine use in trauma-exposed adults.
Literatur
Zurück zum Zitat American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev. ed.). Author. American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev. ed.). Author.
Zurück zum Zitat APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Zurück zum Zitat Beck, A. T., Steer, R. A., & Brown, G. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.
Zurück zum Zitat Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498.CrossRefPubMed Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498.CrossRefPubMed
Zurück zum Zitat Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379.CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379.CrossRefPubMed
Zurück zum Zitat Brown, R. A., Monti, P. M., Myers, M. G., Martin, R. A., Rivinus, T., Dubreuil, M. E., & Rohsenow, D. J. (1998). Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome. American Journal of Psychiatry, 155(2), 220–225.CrossRefPubMed Brown, R. A., Monti, P. M., Myers, M. G., Martin, R. A., Rivinus, T., Dubreuil, M. E., & Rohsenow, D. J. (1998). Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome. American Journal of Psychiatry, 155(2), 220–225.CrossRefPubMed
Zurück zum Zitat Campbell, D., Felker, B., Liu, C.-F., Yano, E., Kirchner, J., Chan, D., ... Chaney, E. (2007). Prevalence of depression–PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22(6), 711-718. https://doi.org/10.1007/s11606-006-0101-4 Campbell, D., Felker, B., Liu, C.-F., Yano, E., Kirchner, J., Chan, D., ... Chaney, E. (2007). Prevalence of depression–PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22(6), 711-718. https://​doi.​org/​10.​1007/​s11606-006-0101-4
Zurück zum Zitat Epstein, D. H., Marrone, G. F., Heishman, S. J., Schmittner, J., & Preston, K. L. (2010). Tobacco, cocaine, and heroin: Craving and use during daily life. Addictive Behaviors, 35(4), 318–324.CrossRefPubMed Epstein, D. H., Marrone, G. F., Heishman, S. J., Schmittner, J., & Preston, K. L. (2010). Tobacco, cocaine, and heroin: Craving and use during daily life. Addictive Behaviors, 35(4), 318–324.CrossRefPubMed
Zurück zum Zitat Fetzner, M. G., McMillan, K. A., Sareen, J., & Asmundson, G. J. G. (2011). What is the association between traumatic life events and alcohol abuse/dependence in people with and without PTSD? Findings from a nationally representative sample. Depression and Anxiety, 28(8), 632–638. https://doi.org/10.1002/da.20852CrossRefPubMed Fetzner, M. G., McMillan, K. A., Sareen, J., & Asmundson, G. J. G. (2011). What is the association between traumatic life events and alcohol abuse/dependence in people with and without PTSD? Findings from a nationally representative sample. Depression and Anxiety, 28(8), 632–638. https://​doi.​org/​10.​1002/​da.​20852CrossRefPubMed
Zurück zum Zitat First, M. B. (1997). User's guide for the Structured clinical interview for DSM-IV axis I disorders SCID-I : clinician version. American Psychiatric Press. First, M. B. (1997). User's guide for the Structured clinical interview for DSM-IV axis I disorders SCID-I : clinician version. American Psychiatric Press.
Zurück zum Zitat Gratz, K., & Roemer, L. (2008). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 30(4), 315–315. https://doi.org/10.1007/s10862-008-9102-4CrossRef Gratz, K., & Roemer, L. (2008). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 30(4), 315–315. https://​doi.​org/​10.​1007/​s10862-008-9102-4CrossRef
Zurück zum Zitat Klemanski, D. H., Mennin, D. S., Borelli, J. L., Morrissey, P. M., & Aikins, D. E. (2012). Emotion-related regulatory difficulties contribute to negative psychological outcomes in active-duty Iraq war soldiers with and without posttraumatic stress disorder. Depression and Anxiety, 29(7), 621–628. https://doi.org/10.1002/da.21914CrossRefPubMed Klemanski, D. H., Mennin, D. S., Borelli, J. L., Morrissey, P. M., & Aikins, D. E. (2012). Emotion-related regulatory difficulties contribute to negative psychological outcomes in active-duty Iraq war soldiers with and without posttraumatic stress disorder. Depression and Anxiety, 29(7), 621–628. https://​doi.​org/​10.​1002/​da.​21914CrossRefPubMed
Zurück zum Zitat Lister, J. J., Ledgerwood, D. M., Lundahl, L. H., & Greenwald, M. K. (2015). Causal pathways between impulsiveness, cocaine use consequences, and depression. Addictive Behaviors, 41, 1–6.CrossRefPubMed Lister, J. J., Ledgerwood, D. M., Lundahl, L. H., & Greenwald, M. K. (2015). Causal pathways between impulsiveness, cocaine use consequences, and depression. Addictive Behaviors, 41, 1–6.CrossRefPubMed
Zurück zum Zitat Long, K., Felton, J. W., Lilienfeld, S. O., & Lejuez, C. W. (2014). The Role of Emotion Regulation in the Relations Between Psychopathy Factors and Impulsive and Premeditated Aggression. Personality Disorders, Theory, Research, and Treatment, 5(4), 390–396. https://doi.org/10.1037/per0000085CrossRef Long, K., Felton, J. W., Lilienfeld, S. O., & Lejuez, C. W. (2014). The Role of Emotion Regulation in the Relations Between Psychopathy Factors and Impulsive and Premeditated Aggression. Personality Disorders, Theory, Research, and Treatment, 5(4), 390–396. https://​doi.​org/​10.​1037/​per0000085CrossRef
Zurück zum Zitat McCauley, J. L., Killeen, T., Gros, D. F., Brady, K. T., & Back, S. E. (2012). Posttraumatic Stress Disorder and Co-Occurring Substance Use Disorders: Advances in Assessment and Treatment. Clinical Psychology (New York, N.Y.), 19(3), 283–304. https://doi.org/10.1111/cpsp.12006CrossRef McCauley, J. L., Killeen, T., Gros, D. F., Brady, K. T., & Back, S. E. (2012). Posttraumatic Stress Disorder and Co-Occurring Substance Use Disorders: Advances in Assessment and Treatment. Clinical Psychology (New York, N.Y.), 19(3), 283–304. https://​doi.​org/​10.​1111/​cpsp.​12006CrossRef
Zurück zum Zitat Roos, C. R., Nich, C., Mun, C. J., Babuscio, T. A., Mendonca, J., Miguel, A. Q. C., ... Kiluk, B. D. (2019). Clinical validation of reduction in cocaine frequency level as an endpoint in clinical trials for cocaine use disorder. Drug and Alcohol Dependence, 205, 107648-107648. https://doi.org/10.1016/j.drugalcdep.2019.107648 Roos, C. R., Nich, C., Mun, C. J., Babuscio, T. A., Mendonca, J., Miguel, A. Q. C., ... Kiluk, B. D. (2019). Clinical validation of reduction in cocaine frequency level as an endpoint in clinical trials for cocaine use disorder. Drug and Alcohol Dependence, 205, 107648-107648. https://​doi.​org/​10.​1016/​j.​drugalcdep.​2019.​107648
Zurück zum Zitat Scheidell, J. D., Quinn, K., McGorray, S. P., Frueh, B. C., Beharie, N. N., Cottler, L. B., & Khan, M. R. (2018). Childhood traumatic experiences and the association with marijuana and cocaine use in adolescence through adulthood. Addiction (Abingdon, England), 113(1), 44–56. https://doi.org/10.1111/add.13921CrossRefPubMed Scheidell, J. D., Quinn, K., McGorray, S. P., Frueh, B. C., Beharie, N. N., Cottler, L. B., & Khan, M. R. (2018). Childhood traumatic experiences and the association with marijuana and cocaine use in adolescence through adulthood. Addiction (Abingdon, England), 113(1), 44–56. https://​doi.​org/​10.​1111/​add.​13921CrossRefPubMed
Zurück zum Zitat Ullman, S. E., Relyea, M., Peter-Hagene, L., & Vasquez, A. L. (2013). Trauma histories, substance use coping, PTSD, and problem substance use among sexual assault victims. Addictive Behaviors, 38(6), 2219.CrossRefPubMedPubMedCentral Ullman, S. E., Relyea, M., Peter-Hagene, L., & Vasquez, A. L. (2013). Trauma histories, substance use coping, PTSD, and problem substance use among sexual assault victims. Addictive Behaviors, 38(6), 2219.CrossRefPubMedPubMedCentral
Zurück zum Zitat Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). Life events checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.gov Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). Life events checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.​ptsd.​va.​gov
Zurück zum Zitat Wortmann, J. H., Jordan, A. H., Weathers, F. W., Resick, P. A., Dondanville, K. A., Hall-Clark, B., ..., Hembree, E. A. (2016). Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28(11), 1392. Wortmann, J. H., Jordan, A. H., Weathers, F. W., Resick, P. A., Dondanville, K. A., Hall-Clark, B., ..., Hembree, E. A. (2016). Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28(11), 1392.
Zurück zum Zitat Zargar, F., Bagheri, N., Tarrahi, M. J., & Salehi, M. (2019). Effectiveness of emotion regulation group therapy on craving, emotion problems, and marital satisfaction in patients with Substance Use Disorders: A randomized clinical trial. Iranian Journal of Psychiatry, 14(4), 283.PubMedPubMedCentral Zargar, F., Bagheri, N., Tarrahi, M. J., & Salehi, M. (2019). Effectiveness of emotion regulation group therapy on craving, emotion problems, and marital satisfaction in patients with Substance Use Disorders: A randomized clinical trial. Iranian Journal of Psychiatry, 14(4), 283.PubMedPubMedCentral
Metadaten
Titel
Trauma and Emotion Regulation: Associations with Depressive Symptoms and Cocaine Use among Treatment-seeking Adults
verfasst von
Christopher J. Godfrey
Thomas D. Meyer
Kellee A. Boster
Anka A. Vujanovic
Joy M. Schmitz
Publikationsdatum
25.01.2022
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 4/2023
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-021-00713-w

Weitere Artikel der Ausgabe 4/2023

International Journal of Mental Health and Addiction 4/2023 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

08.05.2024 Psychotherapie Nachrichten

Sportliche Betätigung hilft nicht nur bei Depression, sondern auch in Gruppen von Patientinnen und Patienten mit unterschiedlichen psychischen Erkrankungen, wie Insomnie, Panikattacken, Agoraphobie und posttraumatischem Belastungssyndrom. Sie alle profitieren längerfristig.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.