Addiction has been a problem over the years, with opiate use on the rise. The cycle of using and relapse includes negative emotions and cravings, which are associated with physiological responses and self-efficacy with respect to drinking and drug-taking refusal skills. Interrupting this cycle could help an individual with problematic substance use behavior. The purpose of this research was to study the efficacy of an intervention that could interrupt this cycle.
A review of the models of emotional regulation (ER), as well as the complexities identified the need for a tool to support an individual in an acute interaction on multiple levels of his/her experience. This study provided a consolidated conceptual model of process, system, and technology in addressing emotional regulation.
The studied intervention has three stages: communicate alternatively (CA), release endorphins (RE), and self-soothe (SS) (CARESS). The purpose of the study was to investigate the acute effects for cravings management and negative affect in a one-time treatment session using CARESS for those with problematic substance use behaviors in comparison to a control group with a treatment as usual intervention. This study was run at a local outpatient hospital, as a randomized control trial with 96 participants. Measures to reflect physiological responses, cravings, drinking and drug-taking refusal skills, and negative affect were used in a pre/post/follow up test implementation. A multivariate analysis of covariance (MANCOVA) showed there was no statistically significant difference on the combined post-test scores between the experimental and control groups. The hypothesis was not supported. Further analysis demonstrated effect sizes in the changes in the pre post-test scores in individual measures were different, with each intervention having a greater effect size on two of the measures. Due to the lack of variance between the outcomes, it was concluded that CARESS as good as Isometric as a change agent for this population. Opportunities for future studies were identified.
|Advisor:||Marotta-Walters, Sylvia A.|
|Commitee:||Hoare, Carol Hren, Howard, Lionel C.|
|School:||The George Washington University|
|School Location:||United States -- District of Columbia|
|Source:||DAI-B 81/6(E), Dissertation Abstracts International|
|Subjects:||Clinical psychology, Behavioral psychology|
|Keywords:||Craving intervention, Cravings management, Emotional regulation, Substance use disorder|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be