Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: The role of experiential avoidance.

Abstract:

:Nearly one-third of individuals in treatment for substance use disorders endorse at-risk levels of compulsive sexual behaviours (CSBs). Untreated sexual compulsivity may facilitate relapse for treatment-seeking men. Previous research and theory suggest that CSBs are maintained by efforts to escape or alter negative affect (e.g., depression and anxiety). However, this hypothesis has not been examined within a sample of men in treatment for substance use disorders. In an effort to better understand CSBs within a population of men with substance use disorders, the present study is the first to examine experiential avoidance as one potential mechanism underlying the relation between men's symptoms of depression and anxiety and their use of CSBs. The present study reviewed medical records of 150 men in residential treatment for substance use disorders. Structural equation modelling was used to examine pathways from men's depression and anxiety symptoms to CSBs directly and indirectly through experiential avoidance while controlling for alcohol/drug problems and use. Results revealed significant indirect effects of both depression and anxiety symptoms on CSB through experiential avoidance. These results support and extend existing research on CSB in a treatment population. Findings suggest that intervention efforts for CSB may benefit by targeting men's avoidance of painful internal events. KEY PRACTITIONER MESSAGE:Compulsive sexual behaviour is related to symptoms of depression and anxiety amongst men in residential treatment for substance use disorders. Experiential avoidance is positively related to compulsive sexual behaviour amongst men with substance use disorders. For men in treatment for substance use disorders, the relation between symptoms of depression and anxiety and compulsive sexual behaviour is explained, in part, by experiential avoidance. Helping men with substance use disorders develop more adaptive methods of processing aversive experiences, as opposed to escaping them, may reduce their use of compulsive sexual behaviours when faced with aversive affect.

authors

Brem MJ,Shorey RC,Anderson S,Stuart GL

doi

10.1002/cpp.2085

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

1246-1253

issue

6

eissn

1063-3995

issn

1099-0879

journal_volume

24

pub_type

杂志文章
  • Ambivalence and guilt feelings: Two relevant variables for understanding caregivers' depressive symptomatology.

    abstract::Providing care for a relative with dementia is considered to be a chronic stressor that has been linked to negative mental health consequences for caregivers. A theoretical model was developed and tested to assess the degree to which ambivalence and guilt feelings contribute to caregivers' depressive symptomatology. P...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2116

    authors: Losada A,Márquez-González M,Vara-García C,Gallego-Alberto L,Romero-Moreno R,Pillemer K

    更新日期:2018-01-01 00:00:00

  • Working Alliance Inventory-Short Revised (WAI-SR): psychometric properties in outpatients and inpatients.

    abstract::The Working Alliance Inventory-Short Revised (WAI-SR) is a recently refined measure of the therapeutic alliance that assesses three key aspects of the therapeutic alliance: (a) agreement on the tasks of therapy, (b) agreement on the goals of therapy and (c) development of an affective bond. The WAI-SR demonstrated goo...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.658

    authors: Munder T,Wilmers F,Leonhart R,Linster HW,Barth J

    更新日期:2010-05-01 00:00:00

  • Factors of risk and maintenance for eating disorders: psychometric exploration of the cross-cultural questionnaire (CCQ) across five European countries.

    abstract:OBJECTIVE:To explore the psychometric properties of the Cross-Cultural Questionnaire (CCQ), a new self-report tool for assessing factors of risk and maintenance for eating disorders (ED). METHOD:Data was collected during a multi-centre case-control study. The sample included 854 ED patients and 784 healthy participant...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cpp.728

    authors: Penelo E,Granero R,Krug I,Treasure J,Karwautz A,Anderluh M,Bellodi L,Cellini E,di Bernardo M,Nacmias B,Ricca V,Sorbi S,Tchanturia K,Wagner G,Collier D,Bonillo A,Fernández-Aranda F

    更新日期:2011-11-01 00:00:00

  • Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme.

    abstract::Despite the preponderance of treatment outcome predictors in patients with borderline personality disorder (BPD), the predictive value of measures of impulsiveness is inconclusive. This naturalistic study consecutively included hospitalized patients with BPD (N = 99) who underwent a standardized and structured 12-week...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2526

    authors: Wrege JS,Busmann M,Meyer AH,Euler S,Lang UE,Walter M

    更新日期:2020-10-29 00:00:00

  • Metacognition-oriented social skills training for individuals with long-term schizophrenia: methodology and clinical illustration.

    abstract:PURPOSE:There is much evidence indicating the presence of social deficits in schizophrenia and the detrimental effect of these deficits on global functioning in this population. As a result, social skills training (SST) has emerged as a legitimate psychosocial treatment, although effectiveness research has revealed sma...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1850

    authors: Ottavi P,D'Alia D,Lysaker P,Kent J,Popolo R,Salvatore G,Dimaggio G

    更新日期:2014-09-01 00:00:00

  • Validation of a measure of alliance for an adolescent inpatient setting.

    abstract:UNLABELLED:The link between alliance and treatment outcome is robust. Nevertheless, few, if any, self-report measures exist to assess the alliance between hospitalized adolescents and their treatment team as a whole. The present study looks to extend the use of a brief self-report measure of inpatient treatment allianc...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1901

    authors: Haggerty G,Siefert CJ,Sinclair SJ,Zodan J,Babalola R,Blais MA

    更新日期:2015-07-01 00:00:00

  • Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder.

    abstract::While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpat...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2045

    authors: Schwartz C,Hilbert S,Schubert C,Schlegl S,Freyer T,Löwe B,Osen B,Voderholzer U

    更新日期:2017-05-01 00:00:00

  • Interpersonal predictors of outcome following short-term group therapy for complicated grief: a replication.

    abstract::The current study represented a replication of previous research, addressing measures of interpersonal relatedness as predictors of outcome for dynamically oriented, short-term group (STG) psychotherapy for patients presenting with complicated grief. In an analysis of data from a comparative trial of two forms (interp...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.686

    authors: Joyce AS,Ogrodniczuk JS,Piper WE,Sheptycki AR

    更新日期:2010-03-01 00:00:00

  • Self-report reasons for alcohol use in bipolar disorders: why drink despite the potential risks?

    abstract::High rates of alcohol use and misuse are commonly reported for bipolar disorder (BD) and in many cases, these impact detrimentally on the course and treatment of the disorder. Therefore, knowing the reasons individuals with a diagnosis of BD give for drinking alcohol is essential for understanding this association and...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章,评审

    doi:10.1002/cpp.782

    authors: McDonald JL,Meyer TD

    更新日期:2011-09-01 00:00:00

  • 'Venturing Towards the Dark Side': The Use of Imagery Interventions by Recently Qualified Cognitive-Behavioural Therapists.

    abstract:UNLABELLED:Despite the growing recognition of the value of mental imagery within the field of cognitive-behavioural therapy (CBT), there is minimal research relating to clinicians' experiences of using imagery. This paper explores recently qualified CBT therapists' clinical experiences of using imagery and their percep...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1920

    authors: Bell T,Mackie L,Bennett-Levy J

    更新日期:2015-11-01 00:00:00

  • Mental health disclosure amongst clinical psychologists in training: Perfectionism and pragmatism.

    abstract:OBJECTIVES:This study investigated the incidence of lived experience of mental health problems amongst UK-based trainee clinical psychologists and factors associated with anticipated disclosure for trainees both with and without lived experience. METHODS:A web-based survey comprising the Multidimensional Perfectionism...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2192

    authors: Grice T,Alcock K,Scior K

    更新日期:2018-09-01 00:00:00

  • Preschool children's response to behavioural parent training and parental predictors of outcome in routine clinical care.

    abstract:OBJECTIVE:To investigate the effectiveness of behavioral parent training (BPT) for preschool children with disruptive behaviours and to explore parental predictors of response. METHODS:Parents of 68 preschool children, aged between 2.7 and 5.9 years, participated in BPT. We evaluated the changes in children's behaviou...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2117

    authors: van der Veen-Mulders L,Hoekstra PJ,Nauta MH,van den Hoofdakker BJ

    更新日期:2018-01-01 00:00:00

  • Emotional development in eating disorders: A qualitative metasynthesis.

    abstract::Emotions are considered to be an important feature in eating disorders. The present study aimed to conduct a systematic review and metasynthesis of qualitative studies, which considered the role of emotions in eating disorders in order to gain further insight on how these individuals experience various emotions and th...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/cpp.2365

    authors: Henderson ZB,Fox JRE,Trayner P,Wittkowski A

    更新日期:2019-07-01 00:00:00

  • Mindfulness-Based Cognitive Therapy for Psychosis: Measuring Psychological Change Using Repertory Grids.

    abstract::There are an increasing, but limited, number of studies investigating the benefits of mindfulness interventions for people experiencing psychosis. To our knowledge, changes following mindfulness for psychosis have not yet been explored from a personal construct perspective. This study had two main aims: (i) to explore...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1966

    authors: Randal C,Bucci S,Morera T,Barrett M,Pratt D

    更新日期:2016-11-01 00:00:00

  • How does depression facilitate psychological difficulties in children? The mediating role of cognitive emotion regulation strategies.

    abstract::Knowing the processes of emotion regulation that children use to respond to stressful situations is essential to analyse the development of psychopathology. The objectives of this research were to study the use of nine cognitive emotion regulation strategies (CERS) in depressed children, compared with nondepressed chi...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2516

    authors: Melero S,Orgilés M,Espada JP,Morales A

    更新日期:2020-09-12 00:00:00

  • The Health and Functioning ICF-60: development and psychometric properties.

    abstract:BACKGROUND:This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) 'International Classification of Functioning, Disability and Health: ICF' (2001). The aims of the present study were to test psychometric pro...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1909

    authors: Tutelyan VA,Chatterji S,Baturin AK,Pogozheva AV,Kishko ON,Akolzina SE

    更新日期:2014-09-01 00:00:00

  • The Inference-Based Approach (IBA) to the Treatment of Obsessive-Compulsive Disorder: An Open Trial Across Symptom Subtypes and Treatment-Resistant Cases.

    abstract::The current open trial evaluated an inference-based approach (IBA) to the treatment of obsessive-compulsive disorder (OCD) across symptom subtypes and treatment-resistant cases. Following formal diagnosis through semi-structured interview by an independent evaluator, a total of 125 OCD participants across five major s...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2024

    authors: Aardema F,O Connor KP,Delorme ME,Audet JS

    更新日期:2017-03-01 00:00:00

  • Association between intrusive negative autobiographical memories and depression: A meta-analytic investigation.

    abstract::The study investigated several associations between depression and intrusive negative autobiographical memories. A systematic literature search identified 23 eligible studies (N = 2,582), which provided 59 effect sizes. Separate meta-analyses indicated that depression was moderately, positively associated with intrusi...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2184

    authors: Mihailova S,Jobson L

    更新日期:2018-02-23 00:00:00

  • The Music Therapy Session Assessment Scale (MT-SAS): Validation of a new tool for music therapy process evaluation.

    abstract:BACKGROUND:Music therapy (MT) interventions are aimed at creating and developing a relationship between patient and therapist. However, there is a lack of validated observational instruments to consistently evaluate the MT process. AIM:The purpose of this study was the validation of Music Therapy Session Assessment Sc...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2115

    authors: Raglio A,Gnesi M,Monti MC,Oasi O,Gianotti M,Attardo L,Gontero G,Morotti L,Boffelli S,Imbriani C,Montomoli C,Imbriani M

    更新日期:2017-11-01 00:00:00

  • Correcting Psychotherapists' Blindsidedness: Formal Feedback as a Means of Overcoming the Natural Limitations of Therapists.

    abstract:PURPOSE:Monitoring of client progress in psychological therapy using formal outcome measures at each session has been shown to increase the effectiveness of treatment. It seems likely that this 'feedback' effect is achieved by enabling therapists to identify clients at risk of treatment failure so that therapists can p...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章,评审

    doi:10.1002/cpp.1887

    authors: Macdonald J,Mellor-Clark J

    更新日期:2015-05-01 00:00:00

  • Which psychological characteristics influence therapists' readiness to work with refugees?

    abstract::Refugee populations show considerably high rates of mental health problems. Yet many mental health professionals may have reservations to work with refugees due to suspected cultural differences, language barriers and the need to provide additional services. However, little is known about psychotherapists' readiness t...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2508

    authors: Schlechter P,Hellmann JH,Wingbermühle P,Morina N

    更新日期:2020-08-28 00:00:00

  • Emotion dysregulation in hypochondriasis and depression.

    abstract:BACKGROUND:The aim of this study was to explore whether certain aspects of emotion dysregulation (i.e., facets of alexithymia and rumination) are more closely linked to hypochondriasis than to depression and vice versa. METHODS:Nineteen patients with hypochondriasis (HYP), 33 patients with depression, and 52 healthy c...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2089

    authors: Bailer J,Witthöft M,Erkic M,Mier D

    更新日期:2017-11-01 00:00:00

  • Shame as a traumatic memory.

    abstract:BACKGROUND:This study explores the premise that shame episodes can have the properties of traumatic memories, involving intrusions, flashbacks, strong emotional avoidance, hyper arousal, fragmented states of mind and dissociation. METHOD:A battery of self-report questionnaires was used to assess shame, shame traumatic...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.659

    authors: Matos M,Pinto-Gouveia J

    更新日期:2010-07-01 00:00:00

  • Incompleteness as a link between obsessive-compulsive personality traits and specific symptom dimensions of obsessive-compulsive disorder.

    abstract:UNLABELLED:This paper examines the contribution of incompleteness/'not just right experiences' (NJREs) to an understanding of the relationship between obsessive-compulsive disorder (OCD) and obsessive-compulsive personality traits (OCPTs). It investigates the association of specific OCD symptom dimensions with OCPTs, c...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1842

    authors: Ecker W,Kupfer J,Gönner S

    更新日期:2014-09-01 00:00:00

  • A survey of psychological practitioner workplace well-being.

    abstract::The well-being of the psychological workforce is an area of concern. However, it has been sparsely studied in a holistic manner encompassing workplace well-being as well as burnout. This study reports a survey of 1,678 psychological practitioners accessed through professional networks. The short Warwick Edinburgh Ment...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2509

    authors: Summers EMA,Morris RC,Bhutani GE,Rao AS,Clarke JC

    更新日期:2020-09-25 00:00:00

  • Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis.

    abstract::Screening tools developed for Western populations have produced heterogeneous prevalence estimates for depression and anxiety disorders among refugees. The use of these instruments assumes that psychopathological symptoms are manifested similarly across different cultural groups. Here, we scrutinized whether depressiv...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2499

    authors: Schlechter P,Wilkinson PO,Knausenberger J,Wanninger K,Kamp S,Morina N,Hellmann JH

    更新日期:2020-08-17 00:00:00

  • Gender role strain, core schemas, and psychotic experiences in ethnically diverse women: A role for sex- and gender-based analysis in psychosis research?

    abstract::Negative -self and -others core schemas have been implicated in the development and maintenance of psychotic experiences. One component of the self-system is gender-role strain (GRS; perceived discrepancy between actual self and gender-role norms). Although the role of gender in the formation of core schemas has been ...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2307

    authors: Haarmans M,McKenzie K,Kidd SA,Bentall RP

    更新日期:2018-11-01 00:00:00

  • Validation of the Swedish version of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM).

    abstract:UNLABELLED:The purpose of this study was to perform an initial validation of a Swedish translation of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM). The CORE-OM is a broad self-report instrument of psychological problems, designed as an outcome measure for evaluating the effects of psychological...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.1788

    authors: Elfström ML,Evans C,Lundgren J,Johansson B,Hakeberg M,Carlsson SG

    更新日期:2013-09-01 00:00:00

  • A randomized controlled trial comparing EMDR and CBT for obsessive-compulsive disorder.

    abstract:BACKGROUND:This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. METHOD:This was a pragmatic, feasibility randomized controlled trial in wh...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cpp.2120

    authors: Marsden Z,Lovell K,Blore D,Ali S,Delgadillo J

    更新日期:2018-01-01 00:00:00

  • Efficacy of cognitive behavioural therapy for internet gaming disorder.

    abstract::Cognitive behavioural therapy (CBT) is considered to be an effective treatment for internet gaming disorder (IGD). This study examined the effectiveness of CBT in treating impulsivity, anxiety, avoidance, and family and environmental problems in patients. A total of 101 patients completed the CBT programme, and 104 co...

    journal_title:Clinical psychology & psychotherapy

    pub_type: 杂志文章

    doi:10.1002/cpp.2419

    authors: Han J,Seo Y,Hwang H,Kim SM,Han DH

    更新日期:2020-03-01 00:00:00