Emotion Regulation and Substance Use: A Meta-Analysis
Open accessAbstract
There has been exponential growth in research on emotion regulation and substance use in the past decade. The current meta-analysis evaluated variability in the magnitude of the relation between aspects of emotion regulation and substance use. A search of PsycINFO, Embase, PubMed, CINAHL Plus, and PILOTS in December 2020 resulted in 6642 initial studies, of which 95 met inclusion criteria (association between emotion regulation and substance use was reported, participants were > 18 years old, article was in English). A total of 445 effects were obtained (N = 156,025 participants; weighted M age = 29.31; 59.5% female; 66.1% White; 76.6% non-clinical). Emotion regulation and substance use were significantly related (r = 0.19; p < 0.001; 95%CI [0.17, 0.20]). Emotion regulation abilities were generally more strongly related to substance use than emotion regulation strategies; this pattern was stronger for behavioral vs. cognitive abilities and extended to both negative and positive emotions. Relations were stronger for older and clinical samples; mixed effects were found for sex and no conclusive effects were found for race. Despite limitations of the existing literature (e.g., cross-sectional, self-reports), results indicated that the magnitude of the relation between emotion regulation and substance use varied considerably as a function of emotion regulation and substance use constructs and sample characteristics.
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- Authors
- Weiss, N. H., Kiefer, R., Goncharenko, S., Raudales, A. M., Forkus, S. R., Schick, M. R., & Contractor, A. A.
- Affiliations
- University of Rhode Island (US)
- University of North Texas (US)
- Corresponding author
- Weiss, Nicole H.
- ORCID
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2022-01
- Volume
- 230
- Pages
- 109131
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC8714680
- OpenAlex
- W3209551362
- Cited by
- 235
- References
- 192
- Citations by year
- 2026: 52 · 2025: 56 · 2024: 65 · 2023: 41 · 2022: 21
- FWCI
- 4.86
- 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 Drug Abuse (F31DA051167, K23DA039327)
- National Institute of General Medical Sciences (P20GM125507)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- emotion regulation, substance use, emotion regulation strategies, emotion regulation ability, negative emotions, positive emotions, age differences, sex differences, racial differences
- MeSH terms
- Emotional Regulation, Adolescent, Adult, Cognition, Cross-Sectional Studies, Emotions, Female, Humans, Male, Substance-Related Disorders
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