Emotional dysregulation in relation to substance use and behavioral addictions: findings from five separate meta-analyses

Alba González Roz; Yasmina Castaño Martínez; Andrea Krotter Díaz; Angie Salazar Cedillo; Elena Gervilla García

Ayuda

Emotional dysregulation in relation to substance use and behavioral addictions: findings from five separate meta-analyses

Alba González-Roz ^[1] ; Yasmina Castaño ^[2] ; Andrea Krotter ^[1] ; Angie Salazar-Cedillo ^[2] ; Elena Gervilla ^[2]
1. [1] Universidad de Oviedo
  
  Universidad de Oviedo
  
  Oviedo, España
2. [2] Universitat de les Illes Balears
  
  Universitat de les Illes Balears
  
  Palma de Mallorca, España
Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 24, Nº. 3, 2024, págs. 271-280
Idioma: inglés
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Resumen
- Background/objective Emotional dysregulation (ED) is a transdiagnostic variable underlying various psychiatric disorders, including addictive behaviors (ABs). This meta-analysis examines the relationship between ED and ABs (alcohol, tobacco, cannabis, gambling, and gaming), and indicators of AB engagement (frequency, quantity/time of use, severity, and problems).
  
  Method Searches were conducted in PubMed, Scopus, WoS, and PsycINFO. Five separate meta-analysis were run using random-effects models. Moderators (age, sex, continental region, and sample type; community vs. clinical), and publication bias were evaluated.
  
  Results A total of 189 studies (N = 78,733; 51.29 % women) were identified. ED was significantly related to all ABs. Problems and severity indicators exhibited the largest effects (r’s .118-.372, all p <.023). There were larger effect sizes for cannabis problems (r = .372), cannabis severity (r = .280), gaming severity (r = .280), gambling severity (r = .245), gambling problems (r = .131), alcohol problems (r = .237), alcohol severity (r = .204), and severity of nicotine dependence (r = .118). Lack of impulse control exhibited some of the largest effects in relation to ABs. Clinical samples of cannabis users vs. community-based exhibited larger magnitude of associations.
  
  Conclusions Interventions targeting ABs should address lack of strategies and impulsive behaviors as an emotion regulation strategy specifically, as it is a common risk factor for ABs.