Thought suppression, impaired regulation of urges, and Addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults
► Thought suppression is associated with deficient HRV response to alcohol cues. ► Impaired regulation of urges is associated with deficient HRV response to alcohol cues. ► Addiction-Stroop is associated with deficient HRV response to alcohol cues. ► State suppression exhausts cognitive control reso...
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| Veröffentlicht in: | Biological psychology 2012-01, Vol.89 (1), p.87-93 |
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| creator | Garland, Eric L. Carter, Kristin Ropes, Katie Howard, Matthew O. |
| description | ► Thought suppression is associated with deficient HRV response to alcohol cues. ► Impaired regulation of urges is associated with deficient HRV response to alcohol cues. ► Addiction-Stroop is associated with deficient HRV response to alcohol cues. ► State suppression exhausts cognitive control resources reflected in stress and HRV.
Abstinent alcohol dependent individuals commonly employ thought suppression to cope with stress and intrusive cognitions about alcohol. This strategy may inadvertently bias attention towards alcohol-related stimuli while depleting neurocognitive resources needed to regulate urges, manifested as decreased heart rate variability (HRV) responsivity to alcohol cues. The present study tested the hypothesis that trait and state thought suppression, impaired regulation of urges, and alcohol attentional bias as measured by the Addiction-Stroop would have significant effects on the HRV responsivity of 58 adults in residential treatment for alcohol dependence (mean age=39.6±9.4, 81% female) who participated in an affect-modulated cue-reactivity protocol. Regression analyses controlling for age, level of pre-treatment alcohol consumption, and baseline HRV indicated that higher levels of trait thought suppression, impaired regulation of alcohol urges, and attentional fixation on alcohol cues were associated with lower HRV responsivity during stress-primed alcohol cue-exposure. Moreover, there was a significant state×trait suppression interaction on HRV cue-responsivity, such that alcohol dependent persons reporting high levels of state and trait suppression exhibited less HRV during cue-exposure than persons reporting low levels of state and trait suppression. Results suggest that chronic thought suppression taxes regulatory resources reflected in reduced HRV responsivity, an effect that is particularly evident when high trait suppressors engage in intensive suppression of drinking-related thoughts under conditions of stress. Treatment approaches that offer effective alternatives to the maladaptive strategy of suppressing alcohol urges may be crucial for relapse prevention. |
| doi_str_mv | 10.1016/j.biopsycho.2011.09.010 |
| format | Article |
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Abstinent alcohol dependent individuals commonly employ thought suppression to cope with stress and intrusive cognitions about alcohol. This strategy may inadvertently bias attention towards alcohol-related stimuli while depleting neurocognitive resources needed to regulate urges, manifested as decreased heart rate variability (HRV) responsivity to alcohol cues. The present study tested the hypothesis that trait and state thought suppression, impaired regulation of urges, and alcohol attentional bias as measured by the Addiction-Stroop would have significant effects on the HRV responsivity of 58 adults in residential treatment for alcohol dependence (mean age=39.6±9.4, 81% female) who participated in an affect-modulated cue-reactivity protocol. Regression analyses controlling for age, level of pre-treatment alcohol consumption, and baseline HRV indicated that higher levels of trait thought suppression, impaired regulation of alcohol urges, and attentional fixation on alcohol cues were associated with lower HRV responsivity during stress-primed alcohol cue-exposure. Moreover, there was a significant state×trait suppression interaction on HRV cue-responsivity, such that alcohol dependent persons reporting high levels of state and trait suppression exhibited less HRV during cue-exposure than persons reporting low levels of state and trait suppression. Results suggest that chronic thought suppression taxes regulatory resources reflected in reduced HRV responsivity, an effect that is particularly evident when high trait suppressors engage in intensive suppression of drinking-related thoughts under conditions of stress. Treatment approaches that offer effective alternatives to the maladaptive strategy of suppressing alcohol urges may be crucial for relapse prevention.</description><identifier>ISSN: 0301-0511</identifier><identifier>EISSN: 1873-6246</identifier><identifier>DOI: 10.1016/j.biopsycho.2011.09.010</identifier><identifier>PMID: 21967855</identifier><identifier>CODEN: BLPYAX</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adaptation, Psychological ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcohol dependence ; Alcoholism ; Alcoholism - complications ; Alcoholism - psychology ; Alcoholism - rehabilitation ; Alcoholism and acute alcohol poisoning ; Attention - physiology ; Attentional bias ; Behavioral psychophysiology ; Bias ; Biological and medical sciences ; Cognition Disorders - etiology ; Cue-reactivity ; Cues ; Electrocardiography ; Female ; Fundamental and applied biological sciences. Psychology ; Heart Rate - physiology ; HRV ; Humans ; Male ; Medical sciences ; Middle Aged ; Models, Psychological ; Neuropsychological Tests ; Pain Measurement ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Psychopathology. Psychiatry ; Regression Analysis ; Repression, Psychology ; Statistics as Topic ; Stroop ; Thought suppression ; Toxicology</subject><ispartof>Biological psychology, 2012-01, Vol.89 (1), p.87-93</ispartof><rights>2011 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier B.V. All rights reserved.</rights><rights>2011 Elsevier B.V. All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-3afeaf0381df06a79e318f6b9d09c7252173197d1911ec20ac1c8c20b689cab93</citedby><cites>FETCH-LOGICAL-c536t-3afeaf0381df06a79e318f6b9d09c7252173197d1911ec20ac1c8c20b689cab93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.biopsycho.2011.09.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25403501$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21967855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garland, Eric L.</creatorcontrib><creatorcontrib>Carter, Kristin</creatorcontrib><creatorcontrib>Ropes, Katie</creatorcontrib><creatorcontrib>Howard, Matthew O.</creatorcontrib><title>Thought suppression, impaired regulation of urges, and Addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults</title><title>Biological psychology</title><addtitle>Biol Psychol</addtitle><description>► Thought suppression is associated with deficient HRV response to alcohol cues. ► Impaired regulation of urges is associated with deficient HRV response to alcohol cues. ► Addiction-Stroop is associated with deficient HRV response to alcohol cues. ► State suppression exhausts cognitive control resources reflected in stress and HRV.
Abstinent alcohol dependent individuals commonly employ thought suppression to cope with stress and intrusive cognitions about alcohol. This strategy may inadvertently bias attention towards alcohol-related stimuli while depleting neurocognitive resources needed to regulate urges, manifested as decreased heart rate variability (HRV) responsivity to alcohol cues. The present study tested the hypothesis that trait and state thought suppression, impaired regulation of urges, and alcohol attentional bias as measured by the Addiction-Stroop would have significant effects on the HRV responsivity of 58 adults in residential treatment for alcohol dependence (mean age=39.6±9.4, 81% female) who participated in an affect-modulated cue-reactivity protocol. Regression analyses controlling for age, level of pre-treatment alcohol consumption, and baseline HRV indicated that higher levels of trait thought suppression, impaired regulation of alcohol urges, and attentional fixation on alcohol cues were associated with lower HRV responsivity during stress-primed alcohol cue-exposure. Moreover, there was a significant state×trait suppression interaction on HRV cue-responsivity, such that alcohol dependent persons reporting high levels of state and trait suppression exhibited less HRV during cue-exposure than persons reporting low levels of state and trait suppression. Results suggest that chronic thought suppression taxes regulatory resources reflected in reduced HRV responsivity, an effect that is particularly evident when high trait suppressors engage in intensive suppression of drinking-related thoughts under conditions of stress. Treatment approaches that offer effective alternatives to the maladaptive strategy of suppressing alcohol urges may be crucial for relapse prevention.</description><subject>Adaptation, Psychological</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol dependence</subject><subject>Alcoholism</subject><subject>Alcoholism - complications</subject><subject>Alcoholism - psychology</subject><subject>Alcoholism - rehabilitation</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Attention - physiology</subject><subject>Attentional bias</subject><subject>Behavioral psychophysiology</subject><subject>Bias</subject><subject>Biological and medical sciences</subject><subject>Cognition Disorders - etiology</subject><subject>Cue-reactivity</subject><subject>Cues</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heart Rate - physiology</subject><subject>HRV</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Neuropsychological Tests</subject><subject>Pain Measurement</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Repression, Psychology</subject><subject>Statistics as Topic</subject><subject>Stroop</subject><subject>Thought suppression</subject><subject>Toxicology</subject><issn>0301-0511</issn><issn>1873-6246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAURSMEokPhF8AbxKYJfvE4iTdIowoKUiUWlLXl2C-JR0kc7GSk-Yl-M45mmMKK1bOez72-8k2Sd0AzoFB83Ge1dVM46s5lOQXIqMgo0GfJBqqSpUW-LZ4nG8oopJQDXCWvQthTGs-cv0yuchBFWXG-SR4fOre03UzCMk0eQ7BuvCF2mJT1aIjHdunVHJfENWTxLYYbokZDdsZYve7TH7N3biJRvG6IahrUczo4swqjhV4w9agifLDzkajBjS1RvXad64nBCUeDY9RFfg6vkxeN6gO-Oc_r5OeXzw-3X9P773ffbnf3qeasmFOmGlQNZRWYhhaqFMigaopaGCp0mfMcSgaiNCAAUOdUadBVnHVRCa1qwa6TTyffaakHNDom8KqXk7eD8kfplJX_3oy2k607SJZveQV5NPhwNvDu14JhloMNGvtejeiWIAVUtIRqyyJZnkjtXQgem8srQOVaptzLS5lyLVNSIWOZUfn275AX3Z_2IvD-DKigVd94NWobnji-pYxTiNzuxGH80oNFL4O2OOrYmI9lSePsf8P8Bg2BxwE</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Garland, Eric L.</creator><creator>Carter, Kristin</creator><creator>Ropes, Katie</creator><creator>Howard, Matthew O.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>20120101</creationdate><title>Thought suppression, impaired regulation of urges, and Addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults</title><author>Garland, Eric L. ; Carter, Kristin ; Ropes, Katie ; Howard, Matthew O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-3afeaf0381df06a79e318f6b9d09c7252173197d1911ec20ac1c8c20b689cab93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adaptation, Psychological</topic><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol dependence</topic><topic>Alcoholism</topic><topic>Alcoholism - complications</topic><topic>Alcoholism - psychology</topic><topic>Alcoholism - rehabilitation</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Attention - physiology</topic><topic>Attentional bias</topic><topic>Behavioral psychophysiology</topic><topic>Bias</topic><topic>Biological and medical sciences</topic><topic>Cognition Disorders - etiology</topic><topic>Cue-reactivity</topic><topic>Cues</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heart Rate - physiology</topic><topic>HRV</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Neuropsychological Tests</topic><topic>Pain Measurement</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Repression, Psychology</topic><topic>Statistics as Topic</topic><topic>Stroop</topic><topic>Thought suppression</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garland, Eric L.</creatorcontrib><creatorcontrib>Carter, Kristin</creatorcontrib><creatorcontrib>Ropes, Katie</creatorcontrib><creatorcontrib>Howard, Matthew O.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Biological psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garland, Eric L.</au><au>Carter, Kristin</au><au>Ropes, Katie</au><au>Howard, Matthew O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thought suppression, impaired regulation of urges, and Addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults</atitle><jtitle>Biological psychology</jtitle><addtitle>Biol Psychol</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>89</volume><issue>1</issue><spage>87</spage><epage>93</epage><pages>87-93</pages><issn>0301-0511</issn><eissn>1873-6246</eissn><coden>BLPYAX</coden><abstract>► Thought suppression is associated with deficient HRV response to alcohol cues. ► Impaired regulation of urges is associated with deficient HRV response to alcohol cues. ► Addiction-Stroop is associated with deficient HRV response to alcohol cues. ► State suppression exhausts cognitive control resources reflected in stress and HRV.
Abstinent alcohol dependent individuals commonly employ thought suppression to cope with stress and intrusive cognitions about alcohol. This strategy may inadvertently bias attention towards alcohol-related stimuli while depleting neurocognitive resources needed to regulate urges, manifested as decreased heart rate variability (HRV) responsivity to alcohol cues. The present study tested the hypothesis that trait and state thought suppression, impaired regulation of urges, and alcohol attentional bias as measured by the Addiction-Stroop would have significant effects on the HRV responsivity of 58 adults in residential treatment for alcohol dependence (mean age=39.6±9.4, 81% female) who participated in an affect-modulated cue-reactivity protocol. Regression analyses controlling for age, level of pre-treatment alcohol consumption, and baseline HRV indicated that higher levels of trait thought suppression, impaired regulation of alcohol urges, and attentional fixation on alcohol cues were associated with lower HRV responsivity during stress-primed alcohol cue-exposure. Moreover, there was a significant state×trait suppression interaction on HRV cue-responsivity, such that alcohol dependent persons reporting high levels of state and trait suppression exhibited less HRV during cue-exposure than persons reporting low levels of state and trait suppression. Results suggest that chronic thought suppression taxes regulatory resources reflected in reduced HRV responsivity, an effect that is particularly evident when high trait suppressors engage in intensive suppression of drinking-related thoughts under conditions of stress. Treatment approaches that offer effective alternatives to the maladaptive strategy of suppressing alcohol urges may be crucial for relapse prevention.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>21967855</pmid><doi>10.1016/j.biopsycho.2011.09.010</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Addictive behaviors Adult Adult and adolescent clinical studies Alcohol dependence Alcoholism Alcoholism - complications Alcoholism - psychology Alcoholism - rehabilitation Alcoholism and acute alcohol poisoning Attention - physiology Attentional bias Behavioral psychophysiology Bias Biological and medical sciences Cognition Disorders - etiology Cue-reactivity Cues Electrocardiography Female Fundamental and applied biological sciences. Psychology Heart Rate - physiology HRV Humans Male Medical sciences Middle Aged Models, Psychological Neuropsychological Tests Pain Measurement Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Regression Analysis Repression, Psychology Statistics as Topic Stroop Thought suppression Toxicology |
| title | Thought suppression, impaired regulation of urges, and Addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults |
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