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Wellness, Emotion Regulation, and Relapse During Substance Use Disorder Treatment
Author(s) -
Clarke Philip B.,
Lewis Todd F.,
Myers Jane E.,
Henson Robert A.,
Hill Brent
Publication year - 2020
Publication title -
journal of counseling and development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.805
H-Index - 78
eISSN - 1556-6676
pISSN - 0748-9633
DOI - 10.1002/jcad.12296
Subject(s) - mediation , psychology , clinical psychology , odds ratio , odds , logistic regression , covert , psychotherapist , medicine , linguistics , philosophy , political science , law
Using a cross‐sectional study design, the authors investigated the impact of wellness and emotion regulation on relapse in 179 individuals currently enrolled in substance use disorder treatment. An integration of the indivisible self model of wellness (Myers & Sweeney, 2004) and the covert antecedents model of relapse (Marlatt, 1985) informed the study hypothesis that emotion regulation mediates the wellness‐relapse relationship. Binomial logistic regressions revealed that Creative Self wellness (odds ratio [OR] = 1.09, p = .002), reappraisal (OR = 1.08, p = .008), difficulties in emotion regulation (OR = 1.03, p = .007), and Physical Self wellness (OR = 0.95, p < .001) were associated with the odds of relapse on any given day during treatment. Sobel tests indicated 2 occurrences of full mediation, including that difficulties in emotion regulation mediated the relationship between Coping Self wellness and relapse (OR = 0.97, p = .015).