This study is a secondary analysis of a randomized controlled trial that tested the effects of a gratitude intervention on well-being in a sample of individuals in outpatient treatment for alcohol use disorder (AUD). Follow-up qualitative interviews unexpectedly revealed that participants found the Positive and Negative Affect Schedule (PANAS) to be helpful to their recovery in the ways that it asked them to identify and rate their emotions. Participant statements were purposively sampled and analyzed using grounded theory methods to produce a conceptual framework illustrating the process of mood identification and its sequelae. Evidence of existing alexithymia and emotional dysregulation, dominance of negative mood, and increasing ability to identify, accept, and regulate mood as part of recovery was found. Findings suggest that emotion regulation is a compelling topic for those in recovery from AUD, and may deserve a more prominent role in treatment.
BeckJ. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: The Guilford Press.
2.
BerkingM. (2010). Training emotionaler Kompetenzen [Training of Emotional Competencies] (2nd ed.). Berlin: Springer.
3.
BerkingM.MargrafM.EbertD.WuppermanP.HofmannS. G.JunghannsK. (2011). Deficits in emotion-regulation skills predict alcohol use during and after cognitive-behavioral therapy for alcohol dependence. Journal of Consulting and Clinical Psychology, 79, 307–318. doi:10.1037/a0023421
4.
BowenS.ChawlaN.MarlattG. A. (2010). Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide (1st ed.). New York: The Guilford Press.
5.
BurkeL. E.WangJ.SevickM. A. (2011). Self-monitoring in weight loss: A systematic review of the literature. Journal of the American Dietetic Association, 111, 92–102. doi:10.1016/j.jada.2010.10.008
6.
CarricoA. W. (2014). Positive emotion: The sirens’ song of substance use and the Trojan horse of recovery from addiction. In GruberJ.MoskowitzJ. T. (Eds.), Positive emotion: Integrating the light sides and dark sides (pp. 415–469). Oxford, UK: Oxford University Press.
7.
CharmazK. (2014). Constructing grounded theory (2nd ed.). London: SAGE.
8.
ColeP. M.MichelM. K.TetiL. O. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development, 59(2/3), 73–100. doi:10.2307/1166139
9.
ConnellyM.DenneyD. R. (2007). Regulation of emotions during experimental stress in alexithymia. Journal of Psychosomatic Research, 62, 649–656. doi:10.1016/j.jpsychores.2006.12.008
10.
CooperM. L.FroneM. R.RussellM.MudarP. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005. doi:10.1037/0022-3514.69.5.990
11.
DaleyD. C. (2006). Overcoming your alcohol or drug problem: Effective recovery strategies therapist guide (2nd ed.). Oxford, UK: Oxford University Press.
12.
de Sousa UvaM. C.de. TimaryP.CortesiM.MikolajczakM.de. BlicquyP. d. R.LuminetO. (2010). Moderating effect of emotional intelligence on the role of negative affect in the motivation to drink in alcohol-dependent subjects undergoing protracted withdrawal. Personality and Individual Differences, 48, 16–21. doi:10.1016/j.paid.2009.08.004
13.
GratzK. L.RoemerL. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.
14.
GrossJ. J.JohnO. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi:10.1037/0022-3514.85.2.348
15.
GrossJ. J.MuñozR. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151–164.
16.
HelmesE.McNeillP. D.HoldenR. R.JacksonC. (2008). The construct of alexithymia: Associations with defense mechanisms. Journal of Clinical Psychology, 64, 318–331. doi:10.1002/jclp.63361
17.
HendershotC. S.WitkiewitzK.GeorgeW. H.MarlattG. A. (2011). Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy, 6, 17. doi:10.1186/1747-597X-6-17
18.
KauhanenJ.JulkunenJ.SalonenJ. T. (1992). Validity and reliability of the Toronto Alexithymia Scale (TAS) in a population study. Psychosomatic Research, 36, 687–694.
19.
KoobG. F. (2008). Hedonic homeostatic dysregulation as a driver of drug-seeking behavior. Drug Discovery Today: Disease Models, 5, 207–215. doi:10.1016/j.ddmod.2009.04.002
20.
KrentzmanA. R.HassettA. L.MannellaK. A.BarnettN.CranfordJ. A.BrowerK. J.. . . MeyerP. S. (2015). Feasibility, acceptability, and impact of a web-based gratitude exercise among individuals in outpatient treatment for alcohol use disorders. The Journal of Positive Psychology, 10(4). doi:10.1080/17439760.2015.1015158
21.
KunB.DemetrovicsZ. (2010). Emotional intelligence and addictions: A systematic review. Substance Use & Misuse, 45, 1131–1160. doi:10.3109/68626080903567855
22.
LevantR. F.HalterM. J.HaydenE. W.WilliamsC. M. (2009). The efficacy of alexithymia reduction treatment: A pilot study. The Journal of Men’s Studies, 17(1), 75–84.
23.
LevantR. F.WilliamsC. (n.d.). Alexithymia Reduction Treatment (ART): A manual for a brief psycho-educational intervention for treating normative male Alexithymia, individual therapy format. Unpublished manual, University of Akron, OH.
24.
LinehanM. M.SchmidtH.IIIDimeffL. A.CraftJ. C.KanterJ.ComtoisK. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 8, 279–292.
25.
LowmanC.AllenJ.StoutR. L., & The Relapse Research Group. (1996). Replication and extension of Marlatt’s taxonomy of relapse precipitants: Overview of procedures and results. Addiction, 91(12, Suppl. 1), 51–72. doi:10.6446/j.1360-0443.91.12s1.16.x
26.
LumleyM. A.OviesT.StettnerL.WehmerF.LakeyB. (1996). Alexithymia, social support, and health problems. Psychosomatic Research, 41, 519–530.
27.
MarlattG. A.GordonJ. R. (1980). Determinants of relapse: Implications for the maintenance of behavior change. In DavidsonP. O.DavidsonS. M. (Eds.), Behavioral medicine: Changing health lifestyles (pp. 410–452). New York: Brunner/Mazel.
28.
McKayM.WoodJ. C.BrantleyJ. (2007). The dialectical behavior therapy skills workbook: Practical DBT exercises for learning mindfulness, interpersonal effectiveness, emotion regulation & tolerance (1st ed.). Oakland, CA: New Harbinger.
29.
MichieS.AbrahamC.WhittingtonC.McAteerJ.GuptaS. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28, 690–701. doi:10.1037/a0016136
30.
MontiP. M.KaddenR. M.RohsenowD. J.CooneyN. L.AbramsD. B. (2002). Treating alcohol dependence: A coping skills training guide (2nd ed.). New York: The Guilford Press.
31.
OrfordJ. (2006). Is treatment-matching dead? Comments on Bühringer (2006). Addiction, 101, 653–654.
32.
ParkerJ. D.TaylorG. J.BagbyR. M. (1998). Alexithymia: Relationship with ego defense and coping styles. Comprehensive Psychiatry, 39, 91–98.
33.
SchutteN. S.MalouffJ. M. (2011). Emotional intelligence mediates the relationship between mindfulness and subjective well-being. Personality and Individual Differences, 50, 1116–1119. doi:10.1016/j.paid.2011.01.037
34.
SegalZ. V.TeasdaleJ. D.WilliamsJ. M. G. (2004). Mindfulness-based cognitive therapy. In HayesS. C.FolletteV. M.LinehanM. M. (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 45–65). New York: The Guilford Press.
35.
SeligmanM. E. P.SteenT. A.ParkN.PetersonC. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410–421. doi:10.1037/0003066X.60.5.410
36.
StallerK. M.Nelson-GardellD. (2005). “A burden in your heart”: Lessons of disclosure from female preadolescent and adolescent survivors of sexual abuse. Child Abuse & Neglect, 29, 1415–1432. doi:10.1016/j.chiabu.2005.06.007
37.
StarksH.Brown TrinidadS. (2007). Choose your method: A comparison of phenomenology, discourse analysis, and grounded theory. Qualitative Health Research, 17, 1372–1380. doi:10.1177/6449732307307031
38.
StasiewiczP. R.BradizzaC. M.GudleskiG. D.CoffeyS. F.SchlauchR. C.BaileyS. T.GulliverS. B. (2012). The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviors, 37, 469–476. doi:10.1016/j.addbeh.2011.12.011
39.
TaylorG. J.ParkerJ. D. A.BagbyR. M. (1990). A preliminary investigation of alexithymia in men with psychoactive substance dependence. American Journal of Psychiatry, 147, 1228–1230.
40.
ThorbergF. A.YoungR. M.SullivanK. A.LyversM. (2009). Alexithymia and alcohol use disorders: A critical review. Addictive Behaviors, 34, 237–245. doi:10.1016/j.addbeh.2008.10.016
41.
TimoneyL. R.HolderM. D. (2013). Emotional processing deficits and happiness: Assessing the measurements, correlates, and well-being of people with alexithymia. Dordrecht, The Netherlands: Springer.
42.
WalkerD.MyrickF. (2006). Grounded theory: An exploration of process and procedure. Qualitative Health Research, 16, 547–559. doi:10.1177/6449732305285972
43.
WatsonD.ClarkL. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule—Expanded form. Iowa City: University of Iowa.
44.
WatsonD.ClarkL. A.TellegenA. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scales. Journal of Personality and Social Psychology, 54, 4133–5120. doi:10.1037/0022-3514.54.6.4133
