Childhood Trauma, Emotion Regulation, and Pain in Individuals With Alcohol Use Disorder

Bibliographic Data

ID15529280
AuthorsJustyna Zaorska (0000-0001-7766-7653, Medical University of Warsaw), Maciej Kopera (0000-0001-8526-9778, Medical University of Warsaw, corresponding author), Elisa M Trucco (0000-0002-9922-8608, Florida Department of Children and Families), Hubert Suszek (0000-0002-6655-4124, University of Warsaw), Paweł Kobyliński (0000-0001-5598-3292, National Information Processing Institute), Andrzej Jakubczyk (0000-0001-8714-0118, Medical University of Warsaw)
Year2020
Volume11
Pages554150-554150
Publication date2020-10-30
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.554150
PMID33192667
OpenAlexW3097945184
LanguageEN
Citations received4
References cited93

Introduction: Several studies have confirmed that the experience of childhood trauma, poor emotion regulation, as well as the experience of physical pain may contribute to the development and poor treatment outcomes of alcohol use disorder (AUD). However, little is known about how the joint impact of these experiences may contribute to AUD. Objectives: To analyze associations between childhood trauma, emotion regulation, and pain in individuals with AUD. Methods: The study sample included 165 individuals diagnosed with AUD. The Childhood Trauma Questionnaire (CTQ) was used to investigate different types of trauma during childhood (physical, emotional, and sexual abuse and neglect), the Brief Symptom Inventory was used to assess anxiety symptoms, the Difficulties in Emotion Regulation Scale (DERS) was used to assess emotional dysregulation, and the Pain Resilience Scale and Pain Sensitivity Questionnaire were used to measure self-reported pain tolerance and sensitivity. Results: Childhood emotional abuse (CTQ subscale score) was positively associated with anxiety, anxiety was positively associated with emotional dysregulation, and emotional dysregulation was negatively associated with pain tolerance. Accordingly, there was support for a significant indirect negative association between childhood emotional abuse and pain tolerance. The serial mediation statistical procedure demonstrated that anxiety and emotional dysregulation mediated the effect of childhood emotional abuse on pain resilience among individuals with AUD. Conclusions: Targeting emotional dysregulation and physical pain that can result from childhood trauma may have particular therapeutic utility among individuals treated for AUD

Alcohol use disorder · Anxiety · Anxiety sensitivity · CTQ tree · Domestic violence · Emotional dysregulation · Injury prevention · Physical abuse · Poison control · Psychiatry · Psychological abuse · Sexual abuse · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Psychology · Resilience and Mental Health

Tools

Open DOIOpen Access