scholarly journals Coping Strategies and Complicated Grief in a Substance Use Disorder Sample

2021 ◽  
Vol 11 ◽  
Author(s):  
Beatriz Caparrós ◽  
Laura Masferrer

Background: Previous research has identified a link between the loss of a significant person, grief complications, and substance abuse. People with substance use disorder (SUD) are more vulnerable to complicated grieving symptoms following loss. From sociocognitive theories, the model of coping with stress assumes that substance use is one of the responses used to cope with traumatic life events. The main objective of this study is to identify the coping strategies of people with SUD and to analyze their relationship to complicated grief (CG).Methods: A sample of 196 bereaved drug-dependent patients was assessed, after providing written consent, in sociodemographic variables, drug and bereavement related characteristics, CG symptomatology (Inventory of Complicated Grief) and coping strategies (Coping Strategies Inventory).Results: There are differences in relation to the coping strategies used among patients with CG, using more those focused on emotional expression, social withdrawal, wishful thinking, and self-criticism.Conclusion: We can conclude that, in general, CG in patients with SUD is more associated with the use of less adaptive coping strategies. This data can contribute to a better understanding of the different variables involved in the grieving process among people with SUD. It is important to point out the clinical implications of addressing what the coping strategies associated with improved grief outcomes among people with addiction problems are.

2019 ◽  
pp. 030573561985452 ◽  
Author(s):  
Michael J. Silverman

While many people use music for emotion regulation, there is a dearth of empirical inquiry investigating if music-based self-regulatory factors correlate with and predict coping in adults with substance use disorder (SUD). The purpose of this cross-sectional study was to explore music-based emotion regulation, healthy and unhealthy music use, and coping strategies in adults with SUD on a detoxification unit via correlational and multiple regression analyses. Participants ( N = 194) completed the Brief Music in Mood Regulation Scale, the Healthy-Unhealthy Music Scale, and the Brief COPE. Correlations and multiple regression analyses were conducted to determine which music-based emotion regulation factors were related to and predicted coping. There were a plethora of significant relationships between music-based factors and coping. Regression results indicated that solace predicted acceptance and entertainment predicted venting. Healthy music use predicted active coping and humor, while unhealthy music use predicted venting, denial, behavioral disengagement, and self-blame. Generally, unhealthy music use predicted maladaptive coping while healthy music use predicted adaptive coping. As music use is common for people with SUD, it seems that music-based emotion regulation training may have the possibility to augment adaptive coping skills with the ultimate goal of increasing the likelihood of recovery.


2021 ◽  
Vol 12 ◽  
Author(s):  
Maria José Ferreira ◽  
Rui Sofia ◽  
David F. Carreno ◽  
Nikolett Eisenbeck ◽  
Inês Jongenelen ◽  
...  

The global COVID-19 pandemic crisis has caused an unprecedented impact on most areas of people’s lives. Thus, framed within the scope of Existential Positive Psychology (PP2.0), this study aimed at assessing the psychological distress of adults living in Portugal during the first national lockdown, how they are coping with stress, as well to contribute to a deeper understanding about the role that positivity, experiential avoidance, and coping strategies have in psychological distress and well-being. For this purpose, 586 Portuguese adults (73% females) ranging between 18 and 78 years old (M = 38.96, SD = 12.20) completed an online survey during the initial phase of the pandemic crisis in Portugal. Findings suggest that experiential avoidance was the strongest predictor of a negative response (depression, anxiety, stress, loneliness, and negative emotions), whereas positivity was a better predictor of psychological well-being and lower levels of depression. Additionally, self-blame, behavioral disengagement, and emotional venting were strong risk factors for psychological distress, whereas positive reframing, planning, and acceptance were associated with more positive outcomes. These findings highlight the critical role of experiential avoidance on individuals’ psychological distress and the essential contribution of positive life orientation in promoting flourishing. By offering a better understanding of the complex navigation through the dialectics between positive and negative life features, this study provides important and useful cues for psychological interventions directed at promoting a more positive and adaptive human functioning even through such potential adverse and painful life events.


2013 ◽  
Vol 25 (3) ◽  
pp. 785-800 ◽  
Author(s):  
Madeline H. Meier ◽  
Avshalom Caspi ◽  
Renate Houts ◽  
Wendy S. Slutske ◽  
Honalee Harrington ◽  
...  

AbstractThe purpose of the present study is to identify child and adult correlates that differentiate (a) individuals with persistent alcohol dependence from individuals with developmentally limited alcohol dependence and (b) individuals with adult-onset alcohol dependence from individuals who never diagnose. There are 1,037 members of the Dunedin Longitudinal Study, which is a birth cohort followed prospectively from birth until age 32. Past-year DSM-IV alcohol dependence diagnoses are ascertained with structured diagnostic interviews at ages 18, 21, 26, and 32. Individuals are classified as developmentally limited, persistent, or adult-onset subtypes based on their time-ordered pattern of diagnoses. The persistent subtype generally exhibits the worst scores on all correlates, including family psychiatric history, adolescent and adult externalizing and internalizing problems, adolescent and adult substance use, adult quality of life, and coping strategies. The prospective predictors that distinguished them from the developmentally limited subtype involved family liability, adolescent negative affectivity, daily alcohol use, and frequent marijuana use. Furthermore, young people who develop the persistent subtype of alcohol dependence are distinguished from the developmentally limited subtype by an inability to reduce drinking and by continued use despite problems by age 18. The adult-onset group members are virtually indistinguishable from ordinary cohort members as children or adolescents; however, in adulthood, adult-onset cases are distinguished by problems with depression, substance use, stress, and strategies for coping with stress. Information about age of onset and developmental course is fundamental for identifying subtypes of alcohol dependence. Subtype-specific etiologies point to targeted prevention and intervention efforts based on the characteristics of each subtype.


2011 ◽  
Vol 10 (2) ◽  
pp. 116-121
Author(s):  
Ye. V. Karavayeva ◽  
A. V. Ostrovskaya ◽  
N. G. Katayeva

This work is devoted to identifying the relationship between disorders of emotional personal sphere of persons with temporal lobe epilepsy and their preferred coping strategies. The objects of the study were 40 people, including 20 patients with verified diagnosis of temporal lobe epilepsy who are treated at the neurological clinic of the Siberian State University. Clinical and psychological method of research included: the study of neurological status, multivariate Personality Inventory FPI, a scale assessing the level of situational anxiety, C. Spielberger and Y. Khanin, research methods coping strategies A. Lazarus. The results obtained in the present study results confirm the need for early detection of affective spectrum disorders in patients with temporal lobe epilepsy. Because of their availability and high levels of lead to a change in methods of coping with stress, this in turn leads to restrictions in the social sphere.


2019 ◽  
Vol 20 (2) ◽  
pp. 130-137
Author(s):  
Marta Kłak ◽  
Wioletta Karina Ozga

Abstract Introduction: Nowadays more and more people struggle with mental problems associated with fast pace of life and overpowering stress. Individuals affected by mental disorders frequently apply ineffective methods of coping with stress, and their attitudes towards the disease in fact strengthen the psychopathological symptoms. The purpose of the present study was to compare disease perception and coping strategies for stress in Polish patients with various types of mental disorders. Material and Methods: The study involved 123 patients with depressive disorders, anxiety disorders, schizophrenia, alcohol related disorders, subjects detained due to psychoactive substance-induced psychotic disorders and amnestic syndromes, staying at Mental Healthcare Centre. Measurements of the variables were carried out using COPE Inventory and Disease Perception Questionnaire. Results: The type of mental disorder differentiated the group with respect to the use of strategies aimed at seeking instrumental and emotional support, planning, positive reinterpretation, focus on emotions and substance use. There are significant differences between patients in the approach to illness as a task, weakness and threat. Conclusions: The results show that the type of mental disorder is important in the context of the strategies used for coping with stress and the patients' approach to their condition.


2021 ◽  
Vol 15 ◽  
Author(s):  
Nicholas J. Beacher ◽  
Kayden A. Washington ◽  
Craig T. Werner ◽  
Yan Zhang ◽  
Giovanni Barbera ◽  
...  

Substance use disorder (SUD) is comorbid with devastating health issues, social withdrawal, and isolation. Successful clinical treatments for SUD have used social interventions. Neurons can encode drug cues, and drug cues can trigger relapse. It is important to study how the activity in circuits and embedded cell types that encode drug cues develop in SUD. Exploring shared neurobiology between social interaction (SI) and SUD may explain why humans with access to social treatments still experience relapse. However, circuitry remains poorly characterized due to technical challenges in studying the complicated nature of SI and SUD. To understand the neural correlates of SI and SUD, it is important to: (1) identify cell types and circuits associated with SI and SUD, (2) record and manipulate neural activity encoding drug and social rewards over time, (3) monitor unrestrained animal behavior that allows reliable drug self-administration (SA) and SI. Miniaturized fluorescence microscopes (miniscopes) are ideally suited to meet these requirements. They can be used with gradient index (GRIN) lenses to image from deep brain structures implicated in SUD. Miniscopes can be combined with genetically encoded reporters to extract cell-type specific information. In this mini-review, we explore how miniscopes can be leveraged to uncover neural components of SI and SUD and advance potential therapeutic interventions.


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