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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.
Afiliación
  • Gori A; Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Firenze, Italy.
  • Topino E; Integrated Psychodynamic Psychotherapy Institute (IPPI), Via Ricasoli 32, 50122 Florence, Italy.
  • Cacioppo M; Department of Human Sciences, LUMSA University of Rome, Via della Traspontina, 21, 00193 Rome, Italy.
  • Craparo G; Department of Human Sciences, LUMSA University of Rome, Via della Traspontina, 21, 00193 Rome, Italy.
  • Schimmenti A; Faculty of Human and Social Sciences, UKE-Kore University of Enna, Cittadella Universitaria, 94100 Enna, Italy.
  • Caretti V; Faculty of Human and Social Sciences, UKE-Kore University of Enna, Cittadella Universitaria, 94100 Enna, Italy.
Eur J Investig Health Psychol Educ ; 13(3): 512-524, 2023 Feb 21.
Article en En | MEDLINE | ID: mdl-36975391
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Eur J Investig Health Psychol Educ Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Eur J Investig Health Psychol Educ Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza