Distress tolerance and special alcohol metacognitions behave differently in the association of negative affect with alcohol‐related patterns in men with problematic alcohol use in the abstinence phase

Journal article

Khosravani, V., Sharifi Bastan, F., Kolubinski, D., Amirinezhad, Ali and Ghorbani, Fatemeh (2020). Distress tolerance and special alcohol metacognitions behave differently in the association of negative affect with alcohol‐related patterns in men with problematic alcohol use in the abstinence phase. Clinical Psychology & Psychotherapy. 28 (2), pp. 345-354. https://doi.org/10.1002/cpp.2514
AuthorsKhosravani, V., Sharifi Bastan, F., Kolubinski, D., Amirinezhad, Ali and Ghorbani, Fatemeh
AbstractNegative affect may be related to alcohol-related patterns (e.g., craving and problematic alcohol use). Distress intolerance and positive and negative alcohol-related metacognitions may be underlying mechanisms in this link. This study aimed to evaluate the effect of negative affect including depressive, anxious, and stress symptoms on alcohol craving and problematic alcohol use via the paths of distress tolerance and both positive and negative alcohol-related metacognitions. Three hundred men with problematic alcohol use during the abstinence phase completed psychological and clinical measures. Results showed that craving and negative alcohol metacognitions mediated the relationship between negative affect and problematic alcohol use. Negative affect had a direct and positive effect on craving and indirect effect via distress intolerance and positive alcohol metacognitions. In turn, distress intolerance and positive alcohol metacognitions indirectly and positively affected problematic alcohol use via craving. The study indicates that distress tolerance and distinct alcohol metacognitions may be differently related to various patterns of alcohol-related problems, such that alcohol drinkers with high levels of negative affect, distress intolerance, and positive alcohol metacognitions show higher levels of craving, while high negative affect in relation to high negative alcohol metacognitions and alcohol craving is related to the perpetuation of alcohol use or problematic alcohol use. [Abstract copyright: © 2020 John Wiley & Sons, Ltd.]
KeywordsClinical Psychology
Year2020
JournalClinical Psychology & Psychotherapy
Journal citation28 (2), pp. 345-354
PublisherWiley
ISSN1063-3995
1099-0879
Digital Object Identifier (DOI)https://doi.org/10.1002/cpp.2514
Funder/ClientAlborz University of Medical Sciences
Publication dates
Print11 Sep 2020
Online11 Sep 2020
Publication process dates
Deposited16 Sep 2020
Accepted04 Sep 2020
Accepted author manuscript
File Access Level
Open
Additional information

This is the peer reviewed version of the following article: Distress tolerance and special alcohol metacognitions behave differently in the association of negative affect with alcohol‐related patterns in men with problematic alcohol use in the abstinence phase, which has been published in final form at https://doi.org/10.1002/cpp.2514. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions

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