Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk

M Ottonello,1 E Fiabane,1 C Pistarini,2 P Spigno,1 E Torselli3 1Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Genoa, Italy; 2Department of Physical and Rehabilitation Medicine, ICS Maugeri SPA SB, Pavia, Italy; 3Miller Institute for Behavioral and Cognitive Therapy, Genoa,...

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Autores principales:	Ottonello M, Fiabane E, Pistarini C, Spigno P, Torselli E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Emotion Regulation Alcohol Abstinence Metacognitions Relapse Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/67d7c09fcf1f441ab8120317122a8a61
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spelling	oai:doaj.org-article:67d7c09fcf1f441ab8120317122a8a612021-12-02T08:43:52ZDifficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk1178-2021https://doaj.org/article/67d7c09fcf1f441ab8120317122a8a612019-10-01T00:00:00Zhttps://www.dovepress.com/difficulties-in-emotion-regulation-during-rehabilitation-for-alcohol-a-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021M Ottonello,1 E Fiabane,1 C Pistarini,2 P Spigno,1 E Torselli3 1Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Genoa, Italy; 2Department of Physical and Rehabilitation Medicine, ICS Maugeri SPA SB, Pavia, Italy; 3Miller Institute for Behavioral and Cognitive Therapy, Genoa, ItalyCorrespondence: C PistariniIstituti Clinici Scientifici Maugeri IRCCS, Via Maugeri 4, Pavia 27100, ItaliaTel +3901030791250Email caterina.pistarini@icsmaugeri.itPurpose: Understanding how difficulties in emotion regulation can be related to metacognitive beliefs during early abstinence, identifying which factors are associated with craving and relapse risk may be useful in residential rehabilitation treatment of alcohol addiction.Methods: Sixty-five patients underwent a 28-day rehabilitation program for alcohol addiction. They underwent a brief semi-structured interview at admission and completed a battery of five self-report questionnaires between days 7 and 10 of alcohol abstinence (T0) and 3 days prior to discharge (T1).Results: After rehabilitation program, all symptoms of psychological distress decreased. We found a significant improvement in all emotional, cognitive and metacognitive scales except for “Cognitive harm” (NAM), “Awareness” (DERS) and a small effect size (low statistical power) for “Emotional clarity” (DERS). Compared to those still abstinent at 1 month from discharge, we found more difficulties in “Emotional clarity” in those who had an early relapse. Difficulties in “Emotional clarity” were observed also in patients with a high level of craving at discharge.Conclusion: Significant differences were observed between the groups “abstinence vs non-abstinence” at 1 month from discharge concerning difficulties in emotion regulation. In particular, we found difficulty in the awareness and understanding of emotion, precisely to identify correctly the emotions. The “Emotional Clarity” seems to be the emotional difficulty that characterized also the group with a high level of craving at discharge and the individuals with early relapse, suggesting the importance of this function as a preliminary factor in emotion regulation.Keywords: emotion regulation, alcohol, abstinence, metacognitions, relapseOttonello MFiabane EPistarini CSpigno PTorselli EDove Medical PressarticleEmotion RegulationAlcoholAbstinenceMetacognitionsRelapseNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 2917-2925 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Emotion Regulation Alcohol Abstinence Metacognitions Relapse Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Emotion Regulation Alcohol Abstinence Metacognitions Relapse Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ottonello M Fiabane E Pistarini C Spigno P Torselli E Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
description	M Ottonello,1 E Fiabane,1 C Pistarini,2 P Spigno,1 E Torselli3 1Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Genoa, Italy; 2Department of Physical and Rehabilitation Medicine, ICS Maugeri SPA SB, Pavia, Italy; 3Miller Institute for Behavioral and Cognitive Therapy, Genoa, ItalyCorrespondence: C PistariniIstituti Clinici Scientifici Maugeri IRCCS, Via Maugeri 4, Pavia 27100, ItaliaTel +3901030791250Email caterina.pistarini@icsmaugeri.itPurpose: Understanding how difficulties in emotion regulation can be related to metacognitive beliefs during early abstinence, identifying which factors are associated with craving and relapse risk may be useful in residential rehabilitation treatment of alcohol addiction.Methods: Sixty-five patients underwent a 28-day rehabilitation program for alcohol addiction. They underwent a brief semi-structured interview at admission and completed a battery of five self-report questionnaires between days 7 and 10 of alcohol abstinence (T0) and 3 days prior to discharge (T1).Results: After rehabilitation program, all symptoms of psychological distress decreased. We found a significant improvement in all emotional, cognitive and metacognitive scales except for “Cognitive harm” (NAM), “Awareness” (DERS) and a small effect size (low statistical power) for “Emotional clarity” (DERS). Compared to those still abstinent at 1 month from discharge, we found more difficulties in “Emotional clarity” in those who had an early relapse. Difficulties in “Emotional clarity” were observed also in patients with a high level of craving at discharge.Conclusion: Significant differences were observed between the groups “abstinence vs non-abstinence” at 1 month from discharge concerning difficulties in emotion regulation. In particular, we found difficulty in the awareness and understanding of emotion, precisely to identify correctly the emotions. The “Emotional Clarity” seems to be the emotional difficulty that characterized also the group with a high level of craving at discharge and the individuals with early relapse, suggesting the importance of this function as a preliminary factor in emotion regulation.Keywords: emotion regulation, alcohol, abstinence, metacognitions, relapse
format	article
author	Ottonello M Fiabane E Pistarini C Spigno P Torselli E
author_facet	Ottonello M Fiabane E Pistarini C Spigno P Torselli E
author_sort	Ottonello M
title	Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
title_short	Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
title_full	Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
title_fullStr	Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
title_full_unstemmed	Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk
title_sort	difficulties in emotion regulation during rehabilitation for alcohol addiction: correlations with metacognitive beliefs about alcohol use and relapse risk
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/67d7c09fcf1f441ab8120317122a8a61
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Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk

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