Targeting women veteran's stress-induced drinking with cognitive reappraisal: Mechanisms and moderators of change
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Journal ArticlePublication Date
2021-04-14Keywords
AlcoholCognitive reappraisal
Emotion regulation
Posttraumatic stress disorder
Stress
Veterans
Women
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Emotion dysregulation mediates the effects of stress on drinking among individuals with co-occurring emotional and alcohol use disorders (AUD). The current study examined the effects of cognitive reappraisal (CR), an adaptive emotion regulation strategy, on mechanisms that contribute to drinking (alcohol craving, inhibitory control) among 50 women veterans. In session one, participants were randomized to one of two 50-min "microinterventions", either to learn a CR coping strategy or receive non-therapeutic psychoeducation control. In session two, all participants underwent a personalized stress induction, after which women in the experimental condition were instructed to use CR to reduce stress, while those in the control group were instructed to sit quietly. Craving and inhibitory control were measured at post-stress induction and after using CR/sitting quietly. Moderating effects of AUD, depression, and PTSD severity were assessed. Craving and inhibitory control improved among women in both conditions (CR or sitting quietly), with no main effect of condition. Condition by AUD severity had a significant interaction effect (b = 0.018, p = .013), whereby women with more severe AUD had greater decreases in craving after sitting quietly, and women with less severe AUD had greater decreases in craving after CR. The opposite pattern was observed for inhibitory control (b = 6.45, p = .004), with women with less severe AUD having greater decreases in inhibitory control after sitting quietly, and women with more severe AUD having greater decreases in inhibitory control after CR. Results highlight CR's immediate effects on alcohol-related outcomes and the important role of symptom severity.Source
Holzhauer CG, Epstein EE, Smelson DA, Mattocks K. Targeting women veteran's stress-induced drinking with cognitive reappraisal: Mechanisms and moderators of change. J Subst Abuse Treat. 2021 Nov;130:108408. doi: 10.1016/j.jsat.2021.108408. Epub 2021 Apr 14. PMID: 34118700; PMCID: PMC8478824.DOI
10.1016/j.jsat.2021.108408Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51859PubMed ID
34118700Rights
Published by Elsevier Inc.ae974a485f413a2113503eed53cd6c53
10.1016/j.jsat.2021.108408