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Original Articles

An addictive disorders severity model: a chained mediation analysis using structural equation modeling

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References

  • American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, D.C.: American Psychiatric Publishing.
  • Guo W, Tao Y, Li X, Lin X, Meng Y, Yang X, Wang H, Zhang Y, Tang W, Wang Q, et al. Associations of internet addiction severity with psychopathology, serious mental illness, and suicidality: large-sample cross-sectional study. J Med Internet Res. 2020;22(8):e17560. doi:10.2196/17560.
  • Colpaert K, De Maeyer J, Broekaert E, Vanderplasschen W. Impact of addiction severity and psychiatric comorbidity on the quality of life of alcohol-, drug- and dual-dependent persons in residential treatment. Eur Addict Res. 2013;19(4):173–83. doi:10.1159/000343098.
  • Merkouris SS, Thomas SA, Browning CJ, Dowling NA. Predictors of outcomes of psychological treatments for disordered gambling: a systematic review. Clin Psychol Rev. 2016;48:7–31. doi:10.1016/j.cpr.2016.06.004.
  • Şimşek M, Dinç M, Ögel K. Determinants of the addiction treatment drop-out rates in an addiction counseling centre: a cross-sectional study. Psychiat Clin Psychopharmacol. 2019;29(4):446–54. doi:10.1080/24750573.2018.1505283.
  • Young RM, Connor JP, Feeney GF. Alcohol expectancy changes over a 12-week cognitive-behavioral therapy program are predictive of treatment success. J Subst Abuse Treat. 2011;40(1):18–25. doi:10.1016/j.jsat.2010.08.003.
  • Sliedrecht W, de Waart R, Witkiewitz K, Roozen HG. Alcohol use disorder relapse factors: a systematic review. Psychiatry Res. 2019;278:97–115. doi:10.1016/j.psychres.2019.05.038.
  • Gori A, Topino E, Craparo G, Bagnoli I, Caretti V, Schimmenti A. A comprehensive model for gambling behaviors: assessment of the factors that can contribute to the vulnerability and maintenance of gambling disorder. J Gambl Stud. 2022;38(1):235–51. doi:10.1007/s10899-021-10024-3.
  • Rømer Thomsen K, Callesen MB, Hesse M, Kvamme TL, Pedersen MM, Pedersen MU, Voon V. Impulsivity traits and addiction-related behaviors in youth. J Behav Addict. 2018;7(2):317–30. doi:10.1556/2006.7.2018.22.
  • Coskunpinar A, Dir AL, Cyders MA. Multidimensionality in impulsivity and alcohol use: a meta-analysis using the UPPS model of impulsivity . Alcohol Clin Exp Res. 2013;37(9):1441–50. doi:10.1111/acer.12131.
  • Fontenelle LF, Oostermeijer S, Harrison BJ, Pantelis C, Yücel M. Obsessive-compulsive disorder, impulse control disorders and drug addiction: common features and potential treatments. Drugs. 2011;71(7):827–40. doi:10.2165/11591790-000000000-00000.
  • Grant JE, Lust K, Christenson GA, Redden SA, Chamberlain SR. Gambling and its clinical correlates in university students. Int J Psychiatry Clin Pract. 2019;23(1):33–9. doi:10.1080/13651501.2018.1436715.
  • Dalbudak E, Evren C, Topcu M, Aldemir S, Coskun KS, Bozkurt M, Evren B, Canbal M. Relationship of Internet addiction with impulsivity and severity of psychopathology among Turkish university students. Psychiatry Res. 2013;210(3):1086–91. doi:10.1016/j.psychres.2013.08.014.
  • Dalley JW, Everitt BJ, Robbins TW. Impulsivity, compulsivity, and top-down cognitive control. Neuron. 2011;69(4):680–94. doi:10.1016/j.neuron.2011.01.020.
  • Bakhshaie J, Storch EA, Zvolensky MJ. Obsessive-compulsive symptoms and problematic alcohol use: the explanatory role of drinking motives. Addict Behav. 2021;115:106734 doi:10.1016/j.addbeh.2020.106734.
  • Everitt BJ, Robbins TW. Drug addiction: updating actions to habits to compulsions ten years on. Annu Rev Psychol. 2016;67:23–50. doi:10.1146/annurev-psych-122414-033457.
  • Gori A, Topino E, Casale S. Assessment of online compulsive buying: psychometric properties of the Italian Compulsive Online Shopping Scale (COSS). Addict Behav. 2022;129:107274. doi:10.1016/j.addbeh.2022.107274.
  • Tiego J, Oostermeijer S, Prochazkova L, Parkes L, Dawson A, Youssef G, Oldenhof E, Carter A, Segrave RA, Fontenelle LF, et al. Overlapping dimensional phenotypes of impulsivity and compulsivity explain co-occurrence of addictive and related behaviors. CNS Spectr. 2019;24(4):426–40. doi:10.1017/S1092852918001244.
  • Caretti V, Gori A, Craparo G, Giannini M, Iraci-Sareri G, Schimmenti A. A new measure for assessing substance-related and addictive disorders: the addictive behavior questionnaire (ABQ). JCM. 2018;7(8):194. doi:10.3390/jcm7080194.
  • Caretti V, Craparo G, Schimmenti A. 2010. Developmental-relational factors of addiction. In: Caretti V & La Barbera D, editors. Addiction biological and research aspects. Milano: Raffaello Cortina Editore.
  • Armstrong JM, Ruttle PL, Burk LR, Costanzo PR, Strauman TJ, Essex MJ. Early risk factors for alcohol use across high school and its covariation with deviant friends. J Stud Alcohol Drugs. 2013;74(5):746–56. doi:10.15288/jsad.2013.74.746.
  • Hendershot CS, Bryan AD, Feldstein Ewing SW, Claus ED, Hutchison KE. Preliminary evidence for associations of CHRM2 with substance use and disinhibition in adolescence. J Abnorm Child Psychol. 2011;39(5):671–81. doi:10.1007/s10802-011-9511-9.
  • Pavuluri MN. Effects of early intervention on the course of bipolar disorder: theories and realities. Curr Psychiatry Rep. 2010;12(6):490–8. doi:10.1007/s11920-010-0155-1.
  • Fitzgerald J, Pavuluri M. 2015. Bipolar disorder. In: Gullotta TP,Plant RW, & Evans MA, editors. Handbook of adolescent behavioral problems. Boston, MA: Springer. p. 193–208.
  • Gori A, Topino E, Pucci C, Griffiths MD. The relationship between alexithymia, dysmorphic concern, and exercise addiction: the moderating effect of self-esteem. JPM. 2021;11(11):1111. doi:10.3390/jpm11111111.
  • Gori A, Topino E, Griffiths MD. A screening tool for exercise addiction: the psychometric properties of the Italian exercise addiction inventory. Int J Ment Health Addict. 2021; Online first. doi:10.1007/s11469-021-00681-1..
  • Taylor GJ. Recent developments in alexithymia theory and research. Can J Psychiatry. 2000;45(2):134–42. doi:10.1177/070674370004500203.
  • Topino E, Gori A, Cacioppo M. Alexithymia, dissociation, and family functioning in a sample of online gamblers: a moderated mediation study. IJERPH. 2021;18(24):13291. doi:10.3390/ijerph182413291.
  • Gori A, Craparo G, Caretti V, Giannini M, Iraci Sareri G, Bruschi A, Janiri L, Ponti L, Tani F. Impulsivity, Alexithymia and Dissociation among pathological gamblers in different therapeutic settings: a multisample comparison study. Psychiatry Res. 2016;246:789–95. doi:10.1016/j.psychres.2016.10.046.
  • Craparo G, Ardino V, Gori A, Caretti V. The relationships between early trauma, dissociation, and alexithymia in alcohol addiction. Psychiatry Investig. 2014;11(3):330–5. doi:10.4306/pi.2014.11.3.330.
  • Loewenstein RJ. Dissociation debates: everything you know is wrong. Dialogues Clin Neurosci. 2018;20(3):229–42. doi:10.31887/DCNS.2018.20.3/rloewenstein.
  • Butler LD. Normative dissociation. Psychiatr Clin North Am. 2006;29(1):45–62. doi:10.1016/j.psc.2005.10.004.
  • Khantzian EJ. 1987. The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. In: Allen DF, editors. The Cocaine Crisis. Boston, MA: Springer.
  • Rogier G, Velotti P. Conceptualizing gambling disorder with the process model of emotion regulation. J Behav Addict. 2018;7(2):239–51. doi:10.1556/2006.7.2018.52.
  • Maniaci G, Picone F, van Holst RJ, Bolloni C, Scardina S, Cannizzaro C. Alterations in the emotional regulation process in gambling addiction: the role of anger and alexithymia. J Gambl Stud. 2017;33(2):633–47.
  • Musetti A, Gori A, Alessandra A, Topino E, Terrone G, Plazzi G, Cacioppo M, Franceschini C. The interplay between problematic online pornography use, psychological stress, emotion dysregulation and insomnia symptoms during the COVID-19 pandemic: a mediation analysis. Nat Sci Sleep. 2022;14:83–92. doi:10.2147/NSS.S348242.
  • Fischer AH, Manstead AS. Social functions of emotion. In: Lewis M, Haviland-Jones JM, Barrett JM., editors. Handbook of Emotions. New York, NY: The Guilford Press; 2008. p. 456–468.
  • Garofalo C, Velotti P, Zavattini GC, Kosson DS. Emotion dysregulation and interpersonal problems: the role of defensiveness. Pers. Individ. Differ. 2017;119:96–105. doi:10.1016/j.paid.2017.07.007.
  • Tamir M. Why do people regulate their emotions? A taxonomy of motives in emotion regulation. Pers Soc Psychol Rev. 2016;20(3):199–222. doi:10.1177/1088868315586325.
  • Moustafa AA, Parkes D, Fitzgerald L, Underhill D, Garami J, Levy-Gigi E, Stramecki F, Valikhani A, Frydecka D, Misiak B. The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: an integrative review. Curr Psychol. 2021;40(2):579–84. doi:10.1007/s12144-018-9973-9.
  • D’Arienzo MC, Boursier V, Griffiths MD. Addiction to social media and attachment styles: a systematic literature review. Int J Ment Health Addiction. 2019;17(4):1094–118. doi:10.1007/s11469-019-00082-5.
  • Konkolÿ Thege B, Horwood L, Slater L, Tan MC, Hodgins DC, Wild TC. Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review. BMC Psychiatry. 2017;17(1):1–17. doi:10.1186/s12888-017-1323-1.
  • Bowlby J. 1969. Attachment and loss: vol. 1. Attachment. New York: Basic Books.
  • Bowlby J. 1973. Attachment and loss: vol. 2. Separation: anxiety and anger. New York: Basic Books.
  • Bowlby J. 1980. Attachment and loss: vol. 3. Loss: sadness and depression. London: Hogarth Press and Institute of Psycho-Analysis.
  • Shaver PR, Collins N, Clark CL. 1996. Attachment styles and internal working models of self and relationship partner. In In G. J. O. Fletcher & J. Fitness (Eds.), Knowledge structures in close relationships: A social psychological approach (pp. 25–61). Mahwah, NJ: Erlbaum.
  • Hazan C, Shaver P. Romantic love conceptualized as an attachment process. J Pers Soc Psychol. 1987;52(3):511–524.
  • Goldberg S, Muir R, Hillsdale JK. 1997. Attachment theory: social, developmental, and clinical perspectives. Abingdon: Routledge.
  • Caspers KM, Yucuis R, Troutman B, Spinks R. Attachment as an organizer of behavior: implications for substance abuse problems and willingness to seek treatment. Subst Abuse Treat Prev Policy. 2006;1(1):10–32. doi:10.1186/1747-597X-1-32.
  • Delvecchio E, Di Riso D, Lis A, Salcuni S. Adult attachment, social adjustment, and well-being in drug-addicted inpatients. Psychol Rep. 2016;118(2):587–607. doi:10.1177/0033294116639181.
  • Wang CD, Anderson-White E, Jin L. Adult attachment, maladaptive coping, alcohol consumption, and drinking-related problems. Couns Psychol Q. 2022;35(1):43–60. doi:10.1080/09515070.2021.1977914.
  • Lotzin A, Haupt L, von Schönfels J, Wingenfeld K, Schäfer I. Profiles of childhood trauma in patients with alcohol dependence and their associations with Addiction-Related Problems. Alcohol Clin Exp Res. 2016;40(3):543–52. doi:10.1111/acer.12990.
  • Giannini M, Gori A, De Sanctis E, Schuldberg D. Attachment in psychotherapy: psychometric properties of the psychological treatment inventory attachment styles scale (PTI-ASS). J Psychother Integr. 2011;21(4):363–81. doi:10.1037/a0025461.
  • Gori A, Giannini M, Schuldberg D. 2015. PTI—psychological treatment inventory. Florence, Italy: Giunti OS–Organizzazioni Speciali.
  • Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994;38(1):23–32. doi:10.1016/0022-3999(94)90005-1.
  • Bagby RM, Taylor GJ, Parker JD. The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994;38(1):33–40. doi:10.1016/0022-3999(94)90006-X.
  • Taylor GJ, Bagby RM, Parker JD. 1999. Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge: Cambridge University Press.
  • Bressi C, Taylor G, Parker J, Bressi S, Brambilla V, Aguglia E, Allegranti I, Bongiorno A, Giberti F, Bucca M, et al. Cross validation of the factor structure of the 20-item Toronto Alexithymia Scale: an Italian multicenter study. J Psychosom Res. 1996;41(6):551–9., doi:10.1016/S0022-3999(96)00228-0.
  • Nijenhuis ER, Van der Hart O, Kruger K. The psychometric characteristics of the traumatic experiences checklist (TEC): first findings among psychiatric outpatients. Clin Psychol Psychother. 2002;9(3):200–10. doi:10.1002/cpp.332.
  • Schimmenti A. The trauma factor: examining the relationships among different types of trauma, dissociation, and psychopathology. J Trauma Dissociation. 2018;19(5):552–71. doi:10.1080/15299732.2017.1402400.
  • Carlson EB, Putnam FW. An update on the Dissociative Experiences Scale. Dissociation Progress Dissociative Disorders. 1993;6(1):16–27.
  • Schimmenti A. Dissociative experiences and dissociative minds: exploring a nomological network of dissociative functioning. J Trauma Dissociation. 2016;17(3):338–61. doi:10.1080/15299732.2015.1108948.
  • Anderson JC, Gerbing DW. Structural equation modeling in practice: a review and recommended two-step approach. Psychol Bull. 1988;103(3):411–23. doi:10.1037/0033-2909.103.3.411.
  • Brown TA. 2015. Confirmatory factor analysis for applied research. 2nd ed. New York, NY: The Guilford Press.
  • Hooper D, Coughlan J, Mullen MR. Structural equation modeling: guidelines for determining model fit. Electron. J. Bus. Res. 2008;6(1):53–9.
  • Kline RB. 2015. Principles and practice of structural equation modeling. New York: Guilford Publications.
  • Marsh HW, Hau KT, Wen Z. In search of golden rules: comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Struct. Equ. Model. 2004;11(3):320–41. doi:10.1207/s15328007sem1103_2.
  • Byrne BM. 2010. Structural equation modeling with AMOS: basic concepts, applications, and programming. 2nd ed. New York: Taylor and Francis Group.
  • Pierce RC, Fant B, Swinford-Jackson SE, Heller EA, Berrettini WH, Wimmer ME. Environmental, genetic and epigenetic contributions to cocaine addiction. Neuropsychopharmacology. 2018;43(7):1471–80. doi:10.1038/s41386-018-0008-x.
  • Ouzir M, Errami M. Etiological theories of addiction: a comprehensive update on neurobiological, genetic and behavioural vulnerability. Pharmacol Biochem Behav. 2016;148:59–68. doi:10.1016/j.pbb.2016.06.005.
  • Kuss DJ, Griffiths MD. Online social networking and addiction-a review of the psychological literature. Int J Environ Res Public Health. 2011;8(9):3528–52. doi:10.3390/ijerph8093528.
  • Gunn RL, Finn PR, Endres MJ, Gerst KR, Spinola S. Dimensions of disinhibited personality and their relation with alcohol use and problems. Addict Behav. 2013;38(7):2352–60. doi:10.1016/j.addbeh.2013.02.009.
  • Mullins-Sweatt SN, DeShong HL, Lengel GJ, Helle AC, Krueger RF. Disinhibition as a unifying construct in understanding how personality dispositions undergird psychopathology. J Res Pers. 2019;80:55–61. doi:10.1016/j.jrp.2019.04.006.
  • Joyner KJ, Bowyer CB, Yancey JR, Venables NC, Foell J, Worthy DA, Hajcak G, Bartholow BD, Patrick CJ. Blunted reward sensitivity and trait disinhibition interact to predict substance use problems. Clin Psychol Sci. 2019;7(5):1109–24. doi:10.1177/2167702619838480.
  • Balzarotti S, Biassoni F, Villani D, Prunas A, Velotti P. Individual differences in cognitive emotion regulation: implications for subjective and psychological well-being. J Happiness Stud. 2016;17(1):125–43. doi:10.1007/s10902-014-9587-3.
  • Sheppes G, Suri G, Gross JJ. Emotion regulation and psychopathology. Annu Rev Clin Psychol. 2015;11:379–405. doi:10.1146/annurev-clinpsy-032814-112739.
  • Herr NR, Rosenthal MZ, Geiger PJ, Erikson K. Difficulties with emotion regulation mediate the relationship between borderline personality disorder symptom severity and interpersonal problems. Personal Ment Health. 2013;7(3):191–202.
  • Coats AH, Blanchard-Fields F. Emotion regulation in interpersonal problems: the role of cognitive-emotional complexity, emotion regulation goals, and expressivity. Psychol Aging. 2008;23(1):39–51. doi:10.1037/0882-7974.23.1.39.
  • Bowlby J. 1988. A secure base: clinical applications of attachment theory. London: Routledge.

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