The Relationship Between Emotion Dysregulation and Deliberate Self-Harm Among Inpatients with Substance Use Disorders

Overview

Journal Cognit Ther Res

Specialty Psychology

Date 2010 Dec 7

PMID 21132101

Citations 59

Authors

Kim L Gratz

Matthew T Tull

Affiliations

Soon will be listed here.

Abstract

Despite the emphasis on the role of emotion dysregulation in deliberate self-harm (DSH), no studies have examined this association among patients with substance use disorders (SUD). This study examined if emotion dysregulation is heightened among SUD inpatients with (vs. without) DSH, and if the association between DSH and emotion dysregulation remains significant when controlling for their shared association with risk factors for both, including borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), childhood abuse, and substance use severity. Findings indicate heightened emotion dysregulation among SUD patients with (vs. without) DSH, and provide evidence of a unique association between emotion dysregulation and DSH when controlling for BPD, PTSD, childhood abuse, and substance use severity. Findings also highlight the particular relevance of three dimensions of emotion dysregulation to DSH among SUD patients: limited access to effective emotion regulation strategies, difficulties engaging in goal-directed behaviors when distressed, and emotional nonacceptance.

Citing Articles

Risk and protective factors of deliberate self-harm among individuals with substance use disorder: A qualitative study in Pakistan.

Batool M, Masood S Pak J Med Sci. 2024; 40(11):2606-2612.

PMID: 39634864 PMC: 11613398. DOI: 10.12669/pjms.40.11.8196.

Urgency as a predictor of change in emotion dysregulation in adolescents.

Fisher-Fox L, Whitener M, Wu W, Cyders M, Zapolski T Front Psychiatry. 2024; 15:1451192.

PMID: 39421073 PMC: 11484082. DOI: 10.3389/fpsyt.2024.1451192.

Associations between traumatic life events and substance use among Black Men who are incarcerated.

Jester J, Miller-Roenigk B, Wheeler P, Stevens-Watkins D J Ethn Subst Abuse. 2024; :1-19.

PMID: 38511975 PMC: 11415548. DOI: 10.1080/15332640.2024.2326948.

Experimental Investigation of the Influence of Positive Emotion Dysregulation on Risky Behavior Following Idiographic Emotion Inductions.

Weiss N, Schick M, Raudales A, Forkus S, Thomas E, Contractor A Clin Psychol Sci. 2023; 11(3):490-508.

PMID: 37576546 PMC: 10420898. DOI: 10.1177/21677026221133295.

Examining the associations between difficulties in emotion regulation and symptomatic outcome measures among individuals with different mental disorders.

Igra L, Shilon S, Kivity Y, Atzil-Slonim D, Lavi-Rotenberg A, Hasson-Ohayon I Front Psychol. 2023; 14:944457.

PMID: 36998365 PMC: 10043222. DOI: 10.3389/fpsyg.2023.944457.

References

Pattison E, Kahan J . The deliberate self-harm syndrome. Am J Psychiatry. 1983; 140(7):867-72. DOI: 10.1176/ajp.140.7.867. View

Favazza A . The coming of age of self-mutilation. J Nerv Ment Dis. 1998; 186(5):259-68. DOI: 10.1097/00005053-199805000-00001. View

Bernstein E, Bernstein J, Tassiopoulos K, Valentine A, Heeren T, Levenson S . Racial and ethnic diversity among a heroin and cocaine using population: treatment system utilization. J Addict Dis. 2005; 24(4):43-63. PMC: 1761118. DOI: 10.1300/j069v24n04_04. View

Nock M, Banaji M . Assessment of self-injurious thoughts using a behavioral test. Am J Psychiatry. 2007; 164(5):820-3. DOI: 10.1176/ajp.2007.164.5.820. View

Evren C, Sar V, Evren B, Dalbudak E . Self-mutilation among male patients with alcohol dependency: the role of dissociation. Compr Psychiatry. 2008; 49(5):489-95. DOI: 10.1016/j.comppsych.2008.02.006. View

Sacks M, Flood A, Dennis M, Hertzberg M, Beckham J . Self-mutilative behaviors in male veterans with posttraumatic stress disorder. J Psychiatr Res. 2007; 42(6):487-94. PMC: 2441874. DOI: 10.1016/j.jpsychires.2007.05.001. View

Gratz K, Rosenthal M, Tull M, Lejuez C, Gunderson J . An experimental investigation of emotion dysregulation in borderline personality disorder. J Abnorm Psychol. 2006; 115(4):850-855. DOI: 10.1037/0021-843X.115.4.850. View

Gratz K . Targeting emotion dysregulation in the treatment of self-injury. J Clin Psychol. 2007; 63(11):1091-103. DOI: 10.1002/jclp.20417. View

Zanarini M, Skodol A, Bender D, Dolan R, Sanislow C, Schaefer E . The Collaborative Longitudinal Personality Disorders Study: reliability of axis I and II diagnoses. J Pers Disord. 2001; 14(4):291-9. DOI: 10.1521/pedi.2000.14.4.291. View

10.

Fox H, Hong K, Sinha R . Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addict Behav. 2007; 33(2):388-94. DOI: 10.1016/j.addbeh.2007.10.002. View

11.

Trull T, Sher K, Durbin J, Burr R . Borderline personality disorder and substance use disorders: a review and integration. Clin Psychol Rev. 2000; 20(2):235-53. DOI: 10.1016/s0272-7358(99)00028-8. View

12.

Gratz K, Roemer L . The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university. Cogn Behav Ther. 2008; 37(1):14-25. DOI: 10.1080/16506070701819524. View

13.

Bonn-Miller M, Zvolensky M, Bernstein A, Stickle T . Marijuana coping motives interact with marijuana use frequency to predict anxious arousal, panic related catastrophic thinking, and worry among current marijuana users. Depress Anxiety. 2007; 25(10):862-73. DOI: 10.1002/da.20370. View

14.

Saunders J, Aasland O, Babor T, De la Fuente J, Grant M . Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x. View

15.

Haines J, Williams C . Coping and problem solving of self-mutilators. J Clin Psychol. 1997; 53(2):177-86. DOI: 10.1002/(sici)1097-4679(199702)53:2<177::aid-jclp11>3.0.co;2-h. View

16.

Whitlock J, Eckenrode J, Silverman D . Self-injurious behaviors in a college population. Pediatrics. 2006; 117(6):1939-48. DOI: 10.1542/peds.2005-2543. View

17.

Brems C, Johnson M, Neal D, Freemon M . Childhood abuse history and substance use among men and women receiving detoxification services. Am J Drug Alcohol Abuse. 2004; 30(4):799-821. DOI: 10.1081/ada-200037546. View

18.

Lejuez C, Bornovalova M, Reynolds E, Daughters S, Curtin J . Risk factors in the relationship between gender and crack/cocaine. Exp Clin Psychopharmacol. 2007; 15(2):165-75. PMC: 3182264. DOI: 10.1037/1064-1297.15.2.165. View

19.

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

20.

Brown S, Williams K, Collins A . Past and recent deliberate self-harm: emotion and coping strategy differences. J Clin Psychol. 2007; 63(9):791-803. DOI: 10.1002/jclp.20380. View