Advancing our understanding of the intersection between emotion regulation and alcohol and drug use problems: Dyadic analysis in couples with intimate partner violence and alcohol use disorder
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Background An extensive body of literature has linked emotion regulation to alcohol and drug use problems, including among populations characterized by intimate partner violence (IPV). Advancing this research, the goal of the current study was to examine cognitive emotion regulation strategies and alcohol and drug use problems within a dyadic framework. Specifically, we examined actor and partner effects of maladaptive and adaptive cognitive emotion regulation strategies on alcohol and drug use problems. Methods Eighty-four romantic couples (N = 168 total participants) participating in a randomized controlled trial who reported physical IPV and an alcohol use disorder completed self-reported measures of cognitive emotion regulation as well as alcohol and drug use problems. Results Regarding actor effects, men's greater use of maladaptive cognitive emotion regulation strategies was positively related to their alcohol use problems (p < .001), whereas both women's (p = .02) and men's (p = .047) greater use of adaptive cognitive emotion regulation strategies was negatively related to their own alcohol use problems. In terms of partner effects, men's greater use of maladaptive cognitive emotion regulation strategies (p = .001) and less use of adaptive cognitive emotion regulation strategies (p = .017) was related to their partners' greater drug use problems. Conclusions Findings replicate and extend existing work in this area, showing that men's and women's emotion regulation strategies are related to their own alcohol and drug use problems and that men's cognitive emotion regulation strategies are also related to their partners' drug use problems.
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Adaptive emotion regulation skills are potentially modifiable protective factors that could serve to inhibit IPV and problematic alcohol use.
“Adaptive emotion regulation skills are potentially modifiable protective factors that could serve to inhibit IPV and problematic alcohol use (Weiss et al., 2021).”
From Negative Urgency, Emotion Regulation, and Intimate Partner Violence Severity in High Risk Couples with Alcohol Use Disorders. (2026) · cites this paper as Weiss et al., 2021
The Discussion (page unavailable) reports that adaptive cognitive emotion regulation strategies were associated with fewer alcohol use problems among women in couples experiencing IPV, and proposes targeting those strategies in treatment. It does not show that the strategies inhibit IPV itself; IPV was the context of the study, not an outcome tested for this claim. (LLM, conf=0.87)
Experimental — accuracy not yet measuredAdaptive emotion regulation is associated with fewer alcohol use problems.
“Adaptive emotion regulation is associated with fewer alcohol use problems (Weiss et al., 2021).”
From Negative Urgency, Emotion Regulation, and Intimate Partner Violence Severity in High Risk Couples with Alcohol Use Disorders. (2026) · cites this paper as Weiss et al., 2021
The Discussion (page unavailable) reports that women’s greater use of adaptive cognitive emotion regulation strategies was negatively associated with their own alcohol use problems. The claim omits that the finding concerns cognitive strategies in a sample of couples experiencing intimate partner violence in which at least one partner had alcohol use disorder; it does not establish the association across populations generally. (LLM, conf=0.82)
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“Adaptive emotion regulation skills are potentially modifiable protective factors that could serve to inhibit IPV and problematic alcohol use (Weiss et al., 2021).”
InfluentialSelf-citationMeta-Analysis of Emotional Dysregulation in Relation to Substance Use and Behavioral AddictionsPreprint
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Psychobiological aspects of emotional regulation in alcohol use disorders
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- Authors
- Weiss, N. H., Hogan, J., Brem, M., Massa, A. A., Kirby, C. M., & Flanagan, J. C.
- Affiliations
- University of Rhode Island (US)
- Medical University of South Carolina (US)
- Virginia Tech (US)
- Ralph H. Johnson VA Medical Center (US)
- Corresponding author
- Flanagan, Julianne C.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2021-11
- Volume
- 228
- Pages
- 109066
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC8595860
- OpenAlex
- W3202536589
- Cited by
- 22
- References
- 94
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 2 · 2023: 4 · 2022: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K23AA023845, T32AA007474)
- National Institute on Drug Abuse (K23DA039327)
- National Institute of General Medical Sciences (P20GM125507)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055885)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- emotion regulation, cognitive emotion regulation strategies, alcoholism, drug use problems, intimate partner violence, physical violence, couples, dyadic analysis, actor-partner effects, maladaptive emotion regulation, gender differences
- MeSH terms
- Intimate Partner Violence, Emotional Regulation, Alcohol Drinking, Alcoholism, Pharmaceutical Preparations, Female, Humans, Male, Sexual Partners
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