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An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors
This study aimed to explore the relationships among the variables involved in a Comprehensive Model of Addiction (CMA), which posits that the presence and severity of addictive behaviors are related to the configuration of seven psychological variables, namely childhood trauma, insecure attachment,...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047755/ https://www.ncbi.nlm.nih.gov/pubmed/36975391 http://dx.doi.org/10.3390/ejihpe13030039 |
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author | Gori, Alessio Topino, Eleonora Cacioppo, Marco Craparo, Giuseppe Schimmenti, Adriano Caretti, Vincenzo |
author_facet | Gori, Alessio Topino, Eleonora Cacioppo, Marco Craparo, Giuseppe Schimmenti, Adriano Caretti, Vincenzo |
author_sort | Gori, Alessio |
collection | PubMed |
description | This study aimed to explore the relationships among the variables involved in a Comprehensive Model of Addiction (CMA), which posits that the presence and severity of addictive behaviors are related to the configuration of seven psychological variables, namely childhood trauma, insecure attachment, affect dysregulation, dissociation, impulsivity, compulsiveness, and obsessiveness. A vulnerability model was proposed, in which it was suggested that affect dysregulation and complex trauma mediated the association between insecure attachment and dissociation. Furthermore, a maintenance model was elaborated, in which it was hypothesized that dissociation influenced affect dysregulation via impulsivity, compulsiveness, and obsessiveness. A clinical sample of 430 individuals with substance use disorder was involved. All participants received a DSM-5 clinical diagnosis of Substance-Related and Addictive Disorders and were recruited from the Italian National Health System. A parallel mediation emerged, confirming the vulnerability model, with complex trauma and affect dysregulation mediating the relationship between insecure attachment and dissociation. Furthermore, a mixed serial–parallel mediation described the maintenance model, where impulsiveness, compulsiveness, and obsessiveness significantly mediated the relationship between dissociation and affect dysregulation. Our findings offer a better understanding of the variables associated with addictive disorders, thus providing important indications for both treatment and preventive interventions. |
format | Online Article Text |
id | pubmed-10047755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100477552023-03-29 An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors Gori, Alessio Topino, Eleonora Cacioppo, Marco Craparo, Giuseppe Schimmenti, Adriano Caretti, Vincenzo Eur J Investig Health Psychol Educ Article This study aimed to explore the relationships among the variables involved in a Comprehensive Model of Addiction (CMA), which posits that the presence and severity of addictive behaviors are related to the configuration of seven psychological variables, namely childhood trauma, insecure attachment, affect dysregulation, dissociation, impulsivity, compulsiveness, and obsessiveness. A vulnerability model was proposed, in which it was suggested that affect dysregulation and complex trauma mediated the association between insecure attachment and dissociation. Furthermore, a maintenance model was elaborated, in which it was hypothesized that dissociation influenced affect dysregulation via impulsivity, compulsiveness, and obsessiveness. A clinical sample of 430 individuals with substance use disorder was involved. All participants received a DSM-5 clinical diagnosis of Substance-Related and Addictive Disorders and were recruited from the Italian National Health System. A parallel mediation emerged, confirming the vulnerability model, with complex trauma and affect dysregulation mediating the relationship between insecure attachment and dissociation. Furthermore, a mixed serial–parallel mediation described the maintenance model, where impulsiveness, compulsiveness, and obsessiveness significantly mediated the relationship between dissociation and affect dysregulation. Our findings offer a better understanding of the variables associated with addictive disorders, thus providing important indications for both treatment and preventive interventions. MDPI 2023-02-21 /pmc/articles/PMC10047755/ /pubmed/36975391 http://dx.doi.org/10.3390/ejihpe13030039 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gori, Alessio Topino, Eleonora Cacioppo, Marco Craparo, Giuseppe Schimmenti, Adriano Caretti, Vincenzo An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title | An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title_full | An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title_fullStr | An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title_full_unstemmed | An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title_short | An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors |
title_sort | integrated approach to addictive behaviors: a study on vulnerability and maintenance factors |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047755/ https://www.ncbi.nlm.nih.gov/pubmed/36975391 http://dx.doi.org/10.3390/ejihpe13030039 |
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