Citation

Bresin K, Mekawi Y, Stevens JS, Hinrichs R, Fani N, Michopoulos V, Powers A. J. Clin. Psychol. (Hoboken) 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, John Wiley and Sons)

DOI

10.1002/jclp.23288

PMID

34862625

Abstract

OBJECTIVE: A large body of research has shown that alcohol use, drug use, aggression, and self-harm often co-occur within the same individuals, suggesting the possibility of shared etiologies. Research has yet to determine the factor structure of these dysregulated behaviors.

METHODS: Participants (M(age)  = 40.33; 74% women) completed self-report and interview-based measures of dysregulated behaviors (alcohol use, drug use, aggression, and self-harm), emotion dysregulation, maladaptive personality traits, and symptoms of DSM disorders (e.g., borderline personality disorder [BPD], depression).

RESULTS: Results showed support for a bifactor model (i.e., all indicators load on a common dysregulated behavior factor and on unique alcohol, drug, aggression, and self-harm factors), which provided a better fit to the data than other models. In line with our hypotheses, the general dysregulated behavior factor was positively associated with emotion regulation difficulties, negative affect, and BPD symptoms.

CONCLUSIONS: These results have implications for several areas of psychopathology and intervention research.

Language: en

Keywords

violence; binge drinking; emotional dysregulation; self-injury