Affective vulnerability in substance use disorders

被引：56
作者：
McHugh, R. Kathryn [1 ,2 ]
Kneeland, Elizabeth T. [1 ,2 ]
机构：
[1] McLean Hosp, Div Alcohol & Drug Abuse, 115 Mill St, Belmont, MA 02478 USA
[2] Harvard Med Sch, Dept Psychiat, 25 Shattuck St, Boston, MA 02115 USA
来源：
CURRENT OPINION IN PSYCHOLOGY | 2019年 / 30卷
基金：
美国国家卫生研究院;
关键词：
NATIONAL EPIDEMIOLOGIC SURVEY; POSTTRAUMATIC-STRESS-DISORDER; COMORBID ALCOHOL DEPENDENCE; SOCIAL ANXIETY DISORDER; DISTRESS TOLERANCE; GENDER-DIFFERENCES; PSYCHOLOGICAL DISTRESS; EMOTION REGULATION; DRINKING MOTIVES; NEGATIVE AFFECT;
D O I：
10.1016/j.copsyc.2019.01.011
中图分类号：
B84 [心理学];
学科分类号：
04 ; 0402 ;
摘要：
Substances of abuse are characterized by their rewarding effects and engagement of reward pathways in the brain. However, these substances also provide rapid relief of negative affect, and thus are highly negatively reinforcing. Accordingly, negative affectivity and other affective vulnerabilities (factors related to the experience of affect) are strongly linked to problematic substance use and substance use disorders. In this review, we provide a critical overview of the literature on affective vulnerabilities in substance use disorders. We discuss how both the experience of affect (e.g. negative affectivity, stress reactivity) and the interpretation of affect (e.g. distress intolerance, anxiety sensitivity) are pertinent to the development, maintenance, and treatment of substance use disorders.
引用
收藏
页码：54 / 58
页数：5
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