In the present study, we used an experimental paradigm with subjective and objective assessments to further explicate the role of positive emotion dysregulation on risky behavior. Participants were 151 community women currently experiencing intimate partner violence and using substances (age: M = 40.81 years; 30.5% Black). Participants were randomly assigned to positive, negative, and neutral idiographic emotion inductions. Subjective (state self-report) and objective (high-frequency heart rate variability [hfHRV], skin conductance response, and salivary cortisol) markers of emotion dysregulation were assessed, following which participants completed subjective (state urges for substances) and objective (Balloon Analogue Risk Task) measures of risky behavior. Results showed that (a) greater self-reported state emotion dysregulation and lower hfHRV predicted more urges for substances in the positive (vs. negative and neutral) emotion-induction condition and (b) lower hfHRV predicted more behavioral risk-taking propensity in the positive (vs. neutral) emotion-induction condition. These findings provide additional support for the influence of positive emotion dysregulation on risky behavior.
AikenL. S.WestS. G. (1991). Multiple regression: Testing and interpreting interactions. Sage.
2.
AppelhansB. M.LueckenL. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10(3), 229–240. https://doi.org/10.1037/1089-2680.10.3.229
3.
BakerT. B.PiperM. E.McCarthyD. E.MajeskieM. R.FioreM. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111(1), 33–51. https://doi.org/10.1037/0033-295X.111.1.33
4.
BalzarottiS.BiassoniF.ColomboB.CiceriM. R. (2017). Cardiac vagal control as a marker of emotion regulation in health adults: A review. Biological Psychology, 130, 54–66. https://doi.org/101016/j.biopsycho.2017.10.008
5.
BarrettL. F. (1998). Discrete emotions or dimensions? The role of valence focus and arousal focus. Cognition & Emotion, 12, 579–599.
6.
BebloT.FernandoS.KamperP.GriepenstrohJ.AschenbrennerS.PastuszakA.SchlosserN.DriessenM. (2013). Increased attempts to suppress negative and positive emotions in borderline personality disorder. Psychiatry Research, 210(2), 505–509. https://doi.org/10.1016/j.psychres.2013.06.036
7.
BebloT.FernandoS.KlockeS.GriepenstrohJ.AschenbrennerS.DriessenM. (2012). Increased suppression of negative and positive emotions in major depression. Journal of Affective Disorders, 141(2–3), 474–479. https://doi.org/10.1016/j.jad.2012.03.019
8.
Ben-ZurH.ZeidnerM. (2009). Threat to life and risky behavior behaviors: A review of empirical findings and explanatory models. Personality and Social Psychology Review, 13, 109–128. https://doi.org/10.1177/1088868308330104
9.
BillieuxJ.GayP.RochatL.Van der LindenM. (2010). The role of urgency and its underlying psychological mechanisms in problematic behaviours. Behaviour Research and Therapy, 48(11), 1085–1096. https://doi.org/10.1016/j.brat.2010.07.008
10.
BrakeC. A.Sauer-ZavalaS.BoswellJ. F.GallagherM. W.FarchioneT. J.BarlowD. H. (2016). Mindfulness-based exposure strategies as a transdiagnostic mechanism of change: An exploratory alternating treatment design. Behavior Therapy, 47(2), 225–238. https://doi.org/10.1016/j.beth.2015.10.008
11.
Campbell-SillsL.BarlowD. H.BrownT. A.HofmannS. G. (2006). Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6(4), 587–595. https://doi.org/10.1037/1528-3542.6.4.587
12.
Cărnut,ăM.CrişanL. G.VulturarR.OpreA.MiuA. C. (2015). Emotional non-acceptance links early life stress and blunted cortisol reactivity to social threat. Psychoneuroendocrinology, 51, 176–187. https://doi.org/10.1016/j.psyneuen.2014.09.026
13.
CarpenterL. L.ShattuckT. T.TyrkaA. R.GeraciotiT. D.PriceL. H. (2011). Effect of childhood physical abuse on cortisol stress response. Psychopharmacology, 214, 367–375. https://doi.org/10.1007/s00213-010-2007-4
14.
ChapmanA. L.RosenthalM. Z.LeungD. W. (2009). Emotion suppression in borderline personality disorder: An experience sampling study. Journal of Personality Disorders, 23(1), 29–47. https://doi.org/10.1521/pedi.2009.23.1.29
15.
ChengY.-C.HuangY.-C.HuangW.-L. (2019). Heart rate variability as a potential biomarker for alcohol use disorders: A systematic review and meta-analysis. Drug and Alcohol Dependence, 204, Article 107502. https://doi.org/10.1016/j.drugalcdep.2019.05.030
16.
CoffeyS. F.SaladinM. E.DrobesD. J.BradyK. T.DanskyB. S.KilpatrickD. G. (2002). Trauma and substance cue reactivity in individuals with comorbid posttraumatic stress disorder and cocaine or alcohol dependence. Drug and Alcohol Dependence, 65, 115–127.
17.
CoffeyS. F.SchumacherJ. A.BaschnagelJ. S.HawkL. W.HollomanG. (2011). Impulsivity and risky behavior in borderline personality disorder with and without substance use disorders. Personality Disorders: Theory, Research, and Treatment, 2(2), 128–141. https://doi.org/10.1037/a0020574
18.
CooperM. L.KuntscheE.LevittA.BarberL. L.WolfS. (2016). Motivational models of substance use: A review of theory and research on motives for using alcohol, marijuana, and tobacco. In SherK. J. (Ed.), The Oxford handbook of substance use and substance use disorders (pp. 375–421). Oxford University Press.
19.
CydersM. A.SmithG. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin, 134(6), 807–828. https://doi.org/10.1037/a0013341
20.
CydersM. A.ZapolskiT. C.CombsJ. L.SettlesR. F.FillmoreM. T.SmithG. T. (2010). Experimental effect of positive urgency on negative outcomes from risk taking and on increased alcohol consumption. Psychology of Addictive Behaviors, 24(3), 367–375. https://doi.org/10.1037/a0019494
21.
DeStenoD.PettyR. E.WegenerD. T.RuckerD. D. (2000). Beyond valence in the perception of likelihood: The role of emotion specificity. Journal of Personality and Social Psychology, 78, 397–416.
22.
DevriesK. M.ChildJ. C.BacchusL. J.MakJ.FalderG.GrahamK.WattsC.HeiseL. (2014). Intimate partner violence victimization and alcohol consumption in women: A systematic review and meta-analysis. Addiction, 109(3), 379–391. https://doi.org/10.1111/add.12393
23.
EddieD.BatesM. E.BuckmanJ. F. (2022). Closing the brain–heart loop: Towards more holistic models of addiction and addiction recovery. Addiction Biology, 27, Article e12958. https://doi.org/10.1111/adb.12958
24.
EddieD.VaschilloE.VaschilloB.LehrerP. (2015). Heart rate variability biofeedback: Theoretical basis, delivery, and its potential for the treatment of substance use disorders. Addiction Research & Theory, 23(4), 266–272. https://doi.org/10.3109/16066359.2015.1011625
25.
FirstM. B.WilliamsJ. B. W. (2016). SCID-5-CV: Structured Clinical Interview for DSM-5 Disorders: Clinician version. American Psychiatric Association.
26.
FrewenP. A.DozoisD. J. A.NeufeldR. W. J.LaniusR. A. (2012). Disturbances of emotional awareness and expression in posttraumatic stress disorder: Meta-mood, emotion regulation, mindfulness, and interference of emotional expressiveness. Psychological Trauma: Theory, Research, Practice, and Policy, 4(2), 152–161. https://doi.org/10.1037/a0023114
27.
Garcia-MorenoC.JansenH. A. F. M.EllsbergM.HeiseL.WattsC. H. (2006). Prevalence of intimate partner violence: Findings from the WHO multi-country study on women’s health and domestic violence. The Lancet, 368(9543), 1260–1269. https://doi.org/10.1016/S0140-6736(06)69523-8
28.
GlindemannK. E.WiegandD. M.GellerE. S. (2007). Celebratory drinking and intoxication: A contextual influence on alcohol consumption. Environment and Behavior, 39(3), 352–366. https://doi.org/10.1177/001391650290949
29.
GratzK. L.TullM. T. (2010). The relationship between emotion dysregulation and deliberate self-harm among inpatients with substance use disorders. Cognitive Therapy & Research, 34(6), 544–553. https://doi.org/10.1007/s10608-009-9268-4
30.
GratzK. L.WeissN. H.TullM. T. (2015). Examining emotion regulation as an outcome, mechanism, or target of psychological treatments. Current Opinion in Psychology, 3, 85–90. https://doi.org/10.1016/j.copsyc.2015.02.010
31.
HayesA. F. (2018). Introduction to mediation, moderation and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press.
32.
HayesA. F.MontoyaA. K. (2017). A tutorial on testing, visualizing, and probing an interaction involving a multicategorical variable in linear regression analysis. Communication Methods and Measures, 11(1), 1–30. https://doi.org/10.1080/19312458.2016.1271116
33.
HellhammerD. H.WüstS.KudielkaB. M. (2009). Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology, 34(2), 163–171. https://doi.org/10.1016/j.psyneuen.2008.10.026
34.
HolzmanJ. B.BridgettD. J. (2017). Heart rate variability indices as bio-markers of top-down self-regulatory mechanisms: A meta-analytic review. Neuroscience & Biobehavioral Reviews, 74, 233–255. https://doi.org/10.1016/j.neubiorev.2016.12.032
35.
InzlichtM.SchmeichelB. J. (2012). What is ego depletion? Toward a mechanistic revision of the resource model of self-control. Perspectives on Psychological Science, 7(5), 450–463. https://doi.org/10.1177/1745691612454134
JohnsonM. P.FerraroK. J. (2000). Research on domestic violence in the 1990s: Making distinctions. Journal of Marriage and Family, 62, 948–963.
38.
KeaneT. M.KolbL. C.KaloupekD. G.OrrS. P.BlanchardE. B.ThomasR. G.HsiehF. Y.LavoriP. W. (1998). Utility of psychophysiological measurement in the diagnosis of posttraumatic stress disorder: Results from a Department of Veterans Affairs Cooperative Study. Journal of Consulting and Clinical Psychology, 66(6), 914–923. https://doi.org/10.1037/0022-00X.66.6.914
LangP. J.CuthbertB. N. (1984). Affective information processing and the assessment of anxiety. Journal of Behavioral Assessment, 6(4), 369–395. https://doi.org/10.1007/bf01321326
41.
LavenderJ. M.WonderlichS. A.PetersonC. B.CrosbyR. D.EngelS. G.MitchellJ. E.CrowS. J.SmithT. L.KleinM. H.GoldschmidtA. B. (2014). Dimensions of emotion dysregulation in bulimia nervosa. European Eating Disorders Review, 22(3), 212–216. https://doi.org/10.1002/erv.2288
42.
LejuezC. W.ReadJ. P.KahlerC. W.RichardsJ. B.RamseyS. E.StuartG. L.StrongD. R.BrownR. A. (2002). Evaluation of a behavioral measure of risk taking: The Balloon Analogue Risk Task (BART). Journal of Experimental Psychology: Applied, 8(2), 75–84. https://doi.org/10.1037/1076-898x.8.2.75
43.
MalikM. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use: Task force of the European Society of Cardiology and the North American Society for Pacing and Electrophysiology. Annals of Noninvasive Electrocardiology, 1(2), 151–181. https://doi.org/10.1111/j.1542-474x.1996.tb00275.x
44.
MartinsS. S.SampsonL.CerdáM.GaleaS. (2015). Worldwide prevalence and trends in unintentional drug overdose: A systematic review of the literature. American Journal of Public Health, 105, e29–e49. https://doi.org/10.2105/ajph.2015.302843
45.
MetzS.DuesenbergM.Hellmann-RegenJ.WolfO. T.RoepkeS.OtteC.WingenfeldK. (2020). Blunted salivary cortisol response to psychosocial stress in women with posttraumatic stress disorder. Journal of Psychiatric Research, 130, 112–119. https://doi.org/10.1016/j.jpsychires.2020.07.014
46.
NicolsonN. A. (2007). Measurement of cortisol. In LueckenL. J.GalloL. G. (Eds.), Handbook of physiological research methods in health psychology (pp. 37–74). SAGE. https://doi.org/10.4135/9781412976244.n3
47.
NoëlX.PaternotJ.Van der LindenM.SferrazzaR.VerhasM.HanakC.KornreichC.MartinP.De MolJ.PelcI.VerbanckP. (2001). Correlation between inhibition, working memory and delimited frontal area blood flow measured by 99MTC–bicisate SPECT in alcohol–dependent patients. Alcohol and Alcoholism, 36(6), 556–563. https://doi.org/10.1093/alcalc/36.6.556
48.
OsórioF. L.LoureiroS. R.HallakJ. E. C.Machado-de-SousaJ. P.UshirohiraJ. M.BaesC. V.ApolinarioT. D.DonadonM. F.BolsoniL. M.GuimarãesT.FraconV. S.Silva-RodriguesA. P. C.PizetaF. A.SouzaR. M.SanchesR. F.Dos SantosR. G.Martin-SantosR.CrippaJ. A. S. (2019). Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM-5–Clinician Version (SCID-5-CV). Psychiatry and Clinical Neurosciences, 73, 754–760.
49.
PetersE. N.KhondkaryanE.SullivanT. P. (2012). Associations between expectancies of alcohol and drug use, severity of partner violence, and posttraumatic stress among women. Journal of Interpersonal Violence, 27(11), 2108–2127. https://doi.org/10.1177/0886260511432151
50.
RacineS. E.WildesJ. E. (2015). Dynamic longitudinal relations between emotion regulation difficulties and anorexia nervosa symptoms over the year following intensive treatment. Journal of Consulting and Clinical Psychology, 83(4), 785–795. https://doi.org/10.1037/ccp0000011
51.
RaudalesA. M.DaroshA. G.ContractorA. A.SchattenH. T.Dixon-GordonK. L.WeissN. H. (2021). Positive emotion dysregulation identifies trauma-exposed community individuals at risk for suicide and nonsuicidal self-injury. The Journal of Nervous and Mental Disease, 209(6), 434–442. https://doi.org/10.1097/NMD.0000000000001316
52.
RaudalesA. M.WeissN. H.GoncharenkoS.ForkusS. R.ContractorA. A. (2020). Posttraumatic stress disorder and deliberate self-harm among military veterans: Indirect effects through negative and positive emotion dysregulation. Psychological Trauma: Theory, Research, Practice, and Policy, 12(7), 707–715. https://doi.org/10.1037/tra0000962
53.
RoemerL.LitzB. T.OrsilloS. M.WagnerA. W. (2001). A preliminary investigation of the role of strategic withholding of emotions in PTSD. Journal of Traumatic Stress, 14(1), 149–156. https://doi.org/10.1023/a:1007895817502
54.
RoereckeM.RehmJ. (2013). Alcohol use disorders and mortality: A systematic review and meta-analysis. Addiction, 108(9), 1562–1578. https://doi.org/10.1111/add.12231
55.
SaladinM. E.DrobesD. J.CoffeyS. F.DanskyB. S.BradyK. T.KilpatrickD. G. (2003). PTSD symptom severity as a predictor of cue-elicited drug craving in victims of violent crime. Addictive Behaviors, 28, 1611–1629.
56.
Salters-PedneaultK.GentesE.RoemerL. (2007). The role of fear of emotion in distress, arousal, and cognitive interference following an emotional stimulus. Cognitive Behaviour Therapy, 36(1), 12–22. https://doi.org/10.1080/16506070600874281
57.
Sauer-ZavalaS.GutnerC. A.FarchioneT. J.BoettcherH. T.BullisJ. R.BarlowD. H. (2017). Current definitions of “transdiagnostic” in treatment development: A search for consensus. Behavior Therapy, 48(1), 128–138. https://doi.org/10.1016/j.beth.2016.09.004
58.
ShepherdL.WildJ. (2014). Emotion regulation, physiological arousal and PTSD symptoms in trauma-exposed individuals. Journal of Behavior Therapy and Experimental Psychiatry, 45(3), 360–367. https://doi.org/10.1016/j.jbtep.2014.03.002
ShoreyR. C.BrasfieldH.FebresJ.StuartG. L. (2011). An examination of the association between difficulties with emotion regulation and dating violence perpetration. Journal of Aggression, Maltreatment & Trauma, 20(8), 870–885. https://doi.org/10.1080/10926771.2011.629342
61.
SimpsonL. E.RaudalesA. M.ReyesM. E.SullivanT. P.WeissN. H. (2022). Intimate partner violence and posttraumatic stress symptoms: Indirect effects through negative and positive emotion dysregulation. Journal of Interpersonal Violence, 37(15–16), NP14008–NP14035. https://doi.org/10.1177/08862605211006371
62.
SmithS. G.ZhangX.BasileK. C.MerrickM. T.WangJ.KresnowM.ChenJ. (2018). The National Intimate Partner and Sexual Violence Survey: 2015 data brief – Updated release. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. https://stacks.cdc.gov/view/cdc/60893
63.
StiglmayrC.SchmahlC.BremnerJ. D.BohusM.Ebner-PriemerU. (2009). Development and psychometric characteristics of the DSS-4 as a short instrument to assess dissociative experience during neuropsychological experiments. Psychopathology, 42(6), 370–374. https://doi.org/10.1159/000236908
64.
StreinerD. L. (2003). Being inconsistent about consistency: When coefficient alpha does and doesn’t matter. Journal of Personality Assessment, 80, 217–222.
65.
SzaszP. L.HofmannS. G.HeilmanR. M.CurtissJ. (2016). Effect of regulating anger and sadness on decision-making. Cognitive Behaviour Therapy, 45(6), 479–495. https://doi.org/10.1080/16506073.2016.1203354
66.
SzaszP. L.SzentagotaiA.HofmannS. G. (2012). Effects of emotion regulation strategies on smoking craving, attentional bias, and task persistence. Behavior Research and Therapy, 50(5), 333–340. https://doi.org/10.1016/j.brat.2012.02.010
67.
TaylorJ. A.CarrD. L.MyersC. W.EckbergD. L. (1998). Mechanisms underlying very-low-frequency RR-interval oscillations in humans. Circulation, 98(6), 547–555. https://doi.org/10.1161/01.cir.98.6.547
68.
ThayerJ. F.ÅhsF.FredriksonM.SollersJ. J.IIIWagerT. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36, 747–756. https://doi.org/10.1016/j.neubiorev.2011.11.009
69.
ThayerJ. F.LaneR. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61(3), 201–216. https://doi.org/10.1016/s0165-0327(00)00338-4
70.
ThayerJ. F.LaneR. D. (2009). Claude Bernard and the heart-brain connection: Further elaboration of a model of neurovisceral integration. Neuroscience & Biobehavioral Reviews, 33(2), 81–88. https://doi.org/10.1016/j.neubiorev.2008.08.004
71.
Tobar-SantamariaA.KieferR.GodinJ.ContractorA. A.WeissN. H. (2021). Sexual victimization and disordered eating among community individuals: The influence of negative and positive emotion dysregulation. Eating Behaviors, 43, Article 101567. https://doi.org/10.1016/j.eatbeh.2021.101567
72.
TullM. T.AldaoA. (2015). Editorial overview: New directions in the science of emotion regulation. Current Opinion in Psychology, 3, iv–x. https://doi.org/10.1016/j.copsyc.2015.03.009
73.
TullM. T.BardeenJ. R.DiLilloD.Messman-MooreT.GratzK. L. (2015). A prospective investigation of emotion dysregulation as a moderator of the relation between posttraumatic stress symptoms and substance use severity. Journal of Anxiety Disorders, 29, 52–60.
74.
TullM. T.BerghoffC. R.WheelessL. E.CohenR. T.GratzK. L. (2018). PTSD symptom severity and emotion regulation strategy use during trauma cue exposure among patients with substance use disorders: Associations with negative affect, craving, and cortisol reactivity. Behavior Therapy, 49(1), 57–70. https://doi.org/10.1016/j.beth.2017.05.005
75.
TullM. T.ForbesC. N.WeissN. H.GratzK. L. (2019). An investigation of the effect of trauma script exposure on risk-taking among patients with substance use disorders and posttraumatic stress disorder. Journal of Anxiety Disorders, 62, 77–85. https://doi.org/10.1016/j.janxdis.2019.01.002
76.
TullM. T.McDermottM. J.GratzK. L.CoffeyS. F.LejuezC. W. (2011). Cocaine-related attentional bias following trauma cue exposure among cocaine dependent in-patients with and without post-traumatic stress disorder. Addiction, 106(1), 1810–1818. https://doi.org/10.1111/j.1360-0443.2011.03508.x
77.
TullM. T.WeissN. H.AdamsC. E.GratzK. L. (2012). The contribution of emotion regulation difficulties to risky sexual behavior within a sample of patients in residential substance abuse treatment. Addictive Behaviors, 37(10), 1084–1092. https://doi.org/10.1016/j.addbeh.2012.05.001
78.
UmM.RevillaR.CydersM. A. (2022). A meta-analytic review of the effectiveness of mood inductions in eliciting emotion-based behavioral risk-taking and craving in the laboratory. Emotion. Advance online publication. https://doi.org/10.1037/emo0001062
79.
VistedE.SørensenL.OsnesB.SvendsenJ. L.BinderP. E.SchancheE. (2017). The association between self-reported difficulties in emotion regulation and heart rate variability: The salient role of not accepting negative emotions. Frontiers in Psychology, 8, Article 328. https://doi.org/10.3389/fpsyg.2017.00328
80.
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(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
81.
WeissN. H.BrickL. A.ForkusS. R.GoldsteinS. C.ThomasE. D.SchickM. R.BarnettN. P.ContractorA. A.SullivanT. P. (2022). Modeling reciprocal relations between emotion dysregulation and alcohol use using dynamic structural equation modeling: A micro-longitudinal study. Alcoholism: Clinical and Experimental Research, 46(8), 1460–1471. https://doi.org/10.1111/acer.14881
82.
WeissN. H.BrickL. A.SchickM. R.ForkusS. R.RaudalesA. M.ContractorA. A.SullivanT. P. (2022). Posttraumatic stress disorder strengthens the momentary associations between emotion dysregulation and substance use: A micro-longitudinal study of community women experiencing intimate partner violence. Addiction. Advance online publication. https://doi.org/10.1111/add.15992
83.
WeissN. H.DaroshA. G.ContractorA. A.ForkusS. R.Dixon-GordonK. L.SullivanT. P. (2018). Heterogeneity in emotion regulation difficulties among women victims of domestic violence: A latent profile analysis. Journal of Affective Disorders, 239, 192–200. https://doi.org/10.1016/j.jad.2018.07.009
84.
WeissN. H.ForkusS. R.ContractorA. A.DaroshA. G.GoncharenkoS.Dixon-GordonK. L. (2019). Do difficulties regulating positive emotions contribute to risky sexual behavior? A path analysis. Archives of Sexual Behavior, 48, 2075–2087. https://doi.org/10.1007/s10508-019-1410-0
85.
WeissN. H.ForkusS. R.ContractorA. A.SchickM. R. (2018). Difficulties regulating positive emotions and alcohol and drug misuse: A path analysis. Addictive Behaviors, 84, 45–52. https://doi.org/10.1016/j.addbeh.2018.03.027
86.
WeissN. H.ForkusS. R.RaudalesA. M.SchickM. R.ContractorA. A. (2020). Alcohol misuse to down-regulate positive emotions: A cross-sectional multiple mediator analysis among US military veterans. Addictive Behaviors, 105, Article 106322. https://doi.org/10.1016/j.addbeh.2020.106322
87.
WeissN. H.GoncharenkoS.RaudalesA. M.ForkusS. R.ContractorA. A. (in press). PTSD symptoms are associated with alcohol misuse through alcohol use to down-regulate positive emotions. Addictive Behaviors.
88.
WeissN. H.GratzK. L.LavenderJ. (2015). Factor structure and initial validation of a multidimensional measure of difficulties in the regulation of positive emotions: The DERS-Positive. Behavior Modification, 39(3), 431–453. https://doi.org/10.1177/0145445514566504
89.
WeissN. H.KieferR.GoncharenkoS.RaudalesA. M.ForkusS. R.SchickM. R.ContractorA. A. (2022). Emotion regulation and substance use: A meta-analysis. Drug and Alcohol Dependence, 230, Article 109131. https://doi.org/10.1016/j.drugalcdep.2021.109131
90.
WeissN. H.RisiM. M.BoldK. W.SullivanT. P.Dixon-GordonK. L. (2019). Daily relationship between positive affect and drinking to cope: The moderating role of difficulties regulating positive emotions. The American Journal of Drug and Alcohol Abuse, 45(2), 189–198. https://doi.org/10.1080/00952990.2018.1508470
91.
WeissN. H.SchickM. R.ContractorA. A.Dixon-GordonK. L. (2019). Posttraumatic stress disorder and substance use: Identifying the underlying role of difficulties regulating positive emotions. Addictive Behaviors, 96, 119–126. https://doi.org/10.1016/j.addbeh.2019.04.029
92.
WeissN. H.SchickM. R.ContractorA. A.ReyesM. E.SuazoN. C.SullivanT. P. (2022). Racial/ethnic differences in alcohol and drug misuse among IPV-victimized women: Exploring the role of difficulties regulating positive emotions. Journal of Interpersonal Violence, 37(5–6), 2826–2850. https://doi.org/10.1177/0886260520943735
93.
WeissN. H.SchickM. R.WaiteE. E.HaliczerL. A.Dixon-GordonK. L. (2021). Association of positive emotion dysregulation to resting heart rate variability: The influence of positive affect intensity. Personality and Individual Differences, 173, Article 110607. https://doi.org/10.1016/j.paid.2020.110607
94.
WeissN. H.SullivanT. P.TullM. T. (2015). Explicating the role of emotion dysregulation in risky behaviors: A review and synthesis of the literature with directions for future research and clinical practice. Current Opinion in Psychology, 3, 22–29. https://doi.org/10.1016/j.copsyc.2015.01.013
95.
WeissN. H.TullM. T.GratzK. L. (2014). A preliminary experimental examination of the effect of emotion dysregulation and impulsivity on risky behaviors among women with sexual assault-related posttraumatic stress disorder. Behavior Modification, 38(6), 914–939. https://doi.org/10.1177/0145445514547957
96.
WeissN. H.TullM. T.VianaA. G.AnestisM. D.GratzK. L. (2012). Impulsive behaviors as an emotion regulation strategy: Examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. Journal of Anxiety Disorders, 26(3), 453–458. https://doi.org/10.1016/j.janxdis.2012.01.007
97.
WeissN. H.WalshK. L.DiLilloD.Messman-MooreT.GratzK. L. (2019). A longitudinal examination of posttraumatic stress disorder symptoms and risky sexual behavior: Evaluating emotion dysregulation dimensions as mediators. Archives of Sexual Behavior, 48, 975–986. https://doi.org/10.1007/s10508-019-1392-y
98.
WilliamsD. P.CashC.RankinC.BernardiA.KoenigJ.ThayerJ. F. (2015). Resting heart rate variability predicts self-reported difficulties in emotion regulation: A focus on different facets of emotion regulation. Frontiers in Psychology, 6, Article 261. https://doi.org/10.3389/fpsyg.2015.00261
99.
WitkiewitzK.MarlattG. A.WalkerD. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19, 211–228.
100.
ZoccolaP. M.DickersonS. S.ZaldivarF. P. (2008). Rumination and cortisol responses to laboratory stressors. Psychosomatic Medicine, 70(6), 661–667. https://doi.org/10.1097/PSY.0b013e31817bbc77
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