Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence.
Open accessAbstract
OBJECTIVE: As emotion regulation is widely considered to be a primary motive in the misuse of alcohol, our aim in the study was to investigate whether deficits in adaptive emotion-regulation skills maintain alcohol dependence (AD). METHOD: A prospective study investigated whether emotion-regulation skills were associated with AD and whether these skills predicted alcohol use during and after treatment for AD. Participants were 116 individuals treated for AD with cognitive-behavioral therapy. Emotion regulation and severity of AD symptoms were assessed by self-report. Alcohol use during treatment was assessed by Breathalyzer and urine analysis for ethyl glucuronide; alcohol use during the 3-month follow-up interval was assessed by self-report. RESULTS: Pretreatment emotion-regulation skills predicted alcohol use during treatment, and posttreatment emotion-regulation skills predicted alcohol use at follow-up, even when controlling for other predictors potentially related to emotion regulation. Among a broad range of specific emotion-regulation skills, the ability to tolerate negative emotions was the only skill that negatively predicted subsequent alcohol consumption when controlling for the other skills. Individuals in the AD sample reported significantly larger deficits in emotion-regulation skills than did those in a nonclinical control sample but significantly less than did those in a sample of individuals exclusively meeting criteria for major depressive disorder. CONCLUSIONS: Enhancement of general emotion-regulation skills, especially the ability to tolerate negative emotions, appears to be an important target in the treatment of AD.
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Emotion regulation skills measured by the ERSQ show a positive correlation with mental health and a negative association with measures of psychopathology and emotion regulation deficit.
“A positive correlation between these skills and mental health, as well as a negative association with measures of psychopathology and emotion regulation deficit has been shown in multiple samples [49, 50].”
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- Authors
- Berking, M., Margraf, M., Ebert, D., Wupperman, P., Hofmann, S. G., & Junghanns, K.
- Affiliations
- Philipps University of Marburg (DE)
- University of Lübeck (DE)
- City University of New York (US)
- Boston University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2011-06
- Volume
- 79
- Issue
- 3
- Pages
- 307-318
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC3109184
- OpenAlex
- W1972419890
- Cited by
- 395
- References
- 83
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 34 · 2023: 27 · 2022: 29 · 2021: 35 · 2020: 34 · 2019: 37 · 2018: 26 · 2017: 46 · 2016: 31 · 2015: 17 · 2014: 21 · 2013: 20 · 2012: 5
- FWCI
- 12.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Multilingual Matters (Channel View Publications) (submittedVersion)
- Funders
- National Institute of Mental Health (MH078308)
- Swiss National Science Foundation (PA001-113040; PZ00P1-121576)
- German Society for Research in Rehabilitation Medicine (vffr-sh 91)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- emotion regulation, alcoholism, cognitive behavioral therapy, alcohol consumption, medication adherence, relapse, major depressive disorder
- MeSH terms
- Adult, Aged, Alcohol Drinking, Alcoholism, Mental Disorders, Emotions, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Recurrence, Cognitive Behavioral Therapy, Treatment Outcome, Diagnosis, Dual (Psychiatry)
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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