HomePsychology and Education: A Multidisciplinary Journalvol. 5 no. 12 (2022)

The Mediating Role of Cognitive Reappraisal Between Childhood Physical Abuse and Substance Abuse Among Young Adult Residents in a Selected Treatment and Rehabilitation Center in Bicutan

Kimberly O. Bacorro | Clarissa F. Delariarte

Discipline: Education

 

Abstract:

Exposure to early physical abuse is common among individuals with Substance Use Disorder. However, little is known about how cognitive reappraisal affects the relationship between childhood physical abuse and adult substance abuse. The main goal of the study was to identify whether participants reporting experiences of childhood physical abuse were more likely to engage in substance abuse, such as drug abuse and alcohol abuse, and whether cognitive reappraisal played a role in this relationship. Data for the study were from the young adult residents in a treatment and rehabilitation center in Bicutan. Purposive sampling method was used to select the 300 participants. Childhood Trauma Questionnaire, Emotion Regulation Questionnaire, Drug Abuse Screening Test-10 and Alcohol Use Disorder Identification Test were translated into Filipino language. Four steps were followed according to the procedure suggested by the World Health Organization in translating instruments. Results showed that cognitive reappraisal fully mediated the relationship between childhood physical abuse and drug abuse, as well as in the relationship between childhood physical abuse and alcohol abuse.



References:

  1. Adewuya, A. O. (2005) Validation Of The Alcohol Use Disorders Identification Test (AUDIT) As A Screening Tool For AlcoholRelated Problems Among Nigerian University Students. Alcohol a n d A l c o h o l i s m , 4 0 ( 6 ) , 5 7 5 – 5 7 7 . https://di.org/10.1093/alcalc/agh197
  2. Afifi, T. O., MacMillan, H. L., Boyle, M., Taillieu, T., Cheung, K., & Sareen, J. (2014). Child abuse and mental disorders in Canada. CMAJ : Canadian Medical Association Journal, 186(9), 324–332. https://doi.org/10.1503/cmaj.131792
  3. Aguilar de Arcos, F., Verdejo-Garcia, A., Ceverino, A., MontanezPareja, M., Lopez-Juarez, E., Sanchez- Barrera, M., Lopez-Jimenez, A., & Perez-Garcia, M. (2008). PEPSA Team Dysregulation of emotional response in current and abstinent heroin users: Negative heightening and positive blunting. Psychopharmacol. (Berl.), 198, 159–166
  4. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotionregulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237.
  5. Allen, J., Litten, R., Fertig, J., & Babor, T. (1997). A review of research on the Alcohol Use Disorders Identification Test. Alcoholism: Clinical and Experimental Research, 21(4), 613-619
  6. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  7. Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. (2014). The Impact of Childhood Abuse on Inpatient Substance Users: Specific Links with Risky Sex, Aggression, and Emotion D y s reg u l atio n . Child Abuse & Neg lect, 38 (5 ), 928– 938. https://doi.org/10.1016/j.chiabu.2013.12.007
  8. Bariola, E., Gullone, E., & Hughes, E. K. (2011). Child and Adolescent Emotion Regulation: The Role of Parental Emotion Regulation and Expression. Clinical Child and Family Psychology Review, 14(2), 198-212. https://doi.org/10.1007/s10567-011-0092-5
  9. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173– 1182.
  10. Bernstein, D. P. & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report manual. San Antonio, TX: The Psychological Corporation.
  11. Bernstein, D. P., Fink, L., Handelsman, L., & Foote, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151(8), 1132- 1136.
  12. Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. C h i l d A b u s e & N e g l e c t , 2 7 ( 2 ) , 169-190. https://doi.org/10.1016/S0145-2134(02)00541-0
  13. Bonn-Miller, M. O., Vujanovic, A. A., & Zvolensky, M. J. (2008). Emotional dysregulation: Association with coping-oriented marijuana use motives among current marijuana users. Substance U s e & M i s u s e . 4 3 ( 1 1 ) , 1 6 5 3 – 1 6 6 5 . h ttp s://do i.o rg/1 0.1080 /108 26 0808 0224 1292
  14. Brans, K., Koval, P., Verduyn, P., Lim, Y. L., & Kuppens, P. (2013). The regulation of negative and positive affect in daily life. Emotion, 13, 926–939. https://doi.org/10.1037/a0032400
  15. Briere, J. (1992). Child abuse trauma: Theory and treatment of the lasting effects. Newbury Park, CA: Sage Publications.
  16. Bureau for International Narcotics and Law Enforcement Affairs. (2017). International Narcotics Control Strategy Report.
  17. Butler, E. A., Egloff, B., Wilhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive s u p p r e s s i o n . E m o t i o n , 3 , 4 8 - 6 7 . h ttp s://do i.o rg/1 0.1037 /152 8 -3 542 .3.1.48
  18. Catalano, R., Oxford, M., Harachi, T., Abbott, R., & Haggerty, K. (1999). A test of the social development model to predict problem behavior during the elementary school period. Criminal Behavior and Mental Health, 9, 39-56
  19. Council for the Welfare of Children and United Nations Children’s Fund. (2015). National Baseline Study on Violence Against C h i l d r e n . R e t r i e v e d f r o m https://www.unicef.org/philippines/media/556/file
  20. Dangerous Drug Board. (2015). Retrieved from http://www.ddb.gov.ph/researchstatistics
  21. Darke, S. & Torok, M. (2013). The association of childhood physical abuse with the onset ad extent of drug use among regular injecting drug users. Addiction, 109, 610-616.
  22. DeCicco, J. M., Solomon, B., & Dennis, T. A. (2012). Neural correlates of cognitive reappraisal in children: An ERP study. Developmental Cognitive Neuroscience, 2, 70–80. https://doi.org/10.1016/j.dcn.2011.05.009
  23. Denson, T. F., Grisham, J. R., & Moulds, M. L. (2011). Cognitive reappraisal increases heart rate variability in response to an anger provocation. Motivation and Emotion, 35, 14-22. https://doi.org/10.1007/s11031-%20011-%209201-5
  24. Department of Health Treatment and Rehabilitation Center – Bicutan. (n.d.). Retrieved from https://dohtrc-bicutan.weebly.com
  25. Dillon, D. G., Ritchey, M., Johnson, B. D., & LaBar, K. (2007). Dissociable effects of conscious emotion regulation strategies on explicit and implicit memory. Emotion, 7, 354-365. https://doi.org/10.1037/1528-3542.7.2.354
  26. Dorard, G., Berthoz, S., Phan, O., Corcos, M., & Bungener, C. (2008). Affect dysregulation in cannabis abusers: A study in adolescents and young adults. Europian Child & Adolescent P s y c h i a t r y . 1 7 ( 5 ) , 2 7 4 2 82. https://doi.org/10.1007/s00787-007-0663-7
  27. Drug and Alcohol Rehab Asia. (2019). Alcoholism in the P h i l i p p i n e s . R e t r i e v e d f r o m https://alcoholrehab.com/alcoholism/alcoholism-in-the-philippines/
  28. Dvorak, R. D., Pearson, M. R., Sargent, E. M., Stevenson, B. L., & Mfon, A. M. (2016). Daily Associations between Emotional Functioning and Alcohol Involvement: Moderating Effects of Response Inhibition and Gender. Drug and Alcohol Dependence, 163(1), 46–53.
  29. Ekinci, S., & Kandemir, H. (2014). Childhood trauma in the lives of substancedependent patients: The relationship between depression, anxiety and selfesteem. Nordic Journal of Psychiatry, 69(4), 249- 253. https://doi.org/10.3109/08039488.2014.981856
  30. Esplanada, J. (2012, March 27). UN drug report: Philippines has highest rate of shabu use in East Asia, Philippine Daily Inquirer. Retrieved from http://newsinfo.inquirer.net/
  31. Fallon, B., MacLaurin, B., Daciuk, J., Felstiner, C., Black, T., Tonmyr, L., & Cloutier, R. (2010). Canadian incidence study of reported child abuse and neglect, 2008. Ottawa: Public Health Agency of Canada.
  32. Fishbein, D., Novak, S. P., Krebs, C., Warner, T., & Hammond, J. (2011). The Mediating Effect of Depressive Symptoms on the Relationship between Traumatic Childhood Experiences and Drug Use I n i t i a t i o n . A d d i c t i v e B e h a v i o r s , 3 6 (5 ) , 527– 531. https://doi.org/10.1016/j.addbeh.2010.12.030
  33. Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing Moderator and Mediator Effects in Counseling Psychology Research. Journal of C o u n s e l i n g P s y c h o l o g y , 5 1 ( 1 ) , 115-134. https://doi.org/10.1037/0022-%200167.51.1.115
  34. Futa, K., T., Nash, C. L., Hansen, D. J., & Garbon, C. P. (2003). Adult survivors of childhood abuse: Analysis of coping mechanisms used for stressful childhood memories and current stressors. Journal of Family Violence, 18(4), 227-239.
  35. Galbicsek, C. (2019, July 24). Drinking and Drugs. Retrieved from https://www.alcoholrehabguide.org/alcohol/drinking-drugs/
  36. Goldin, P. R., McRae, K., Ramel, W., & Gross, J. J. (2007). The neural bases of emotion regulation: Reappraisal and suppression of negative emotion. Biological Psychiatry, 63, 577-586. doi: 10.1016/j.biopsych.2007.05.031
  37. Gross, J. J. (1999). Emotion regulation: Past, present, future. Cognition and Emotion, 13, 551-773.
  38. Gross, J. J. (2002). Emotion regulation: Affective, cognitive and so cial c o n s e q u e n c e s . P s y c h o p h y s i o l o g y , 39, 281– 291. https://doi.org/10.1017/s0048577201393198
  39. Gross, J. J. (2013). Handbook of emotion regulation. Guildford Press
  40. Gross, J. J., & Barrett, L. F. (2011). Emotion Generation and Emotion Regulation: One or Two Depends on Your Point of View. Emotion Review: Journal of the International Society for Research on Emotion, 3(1), 8–16. https://doi.org/10.1177/1754073910380974
  41. Gross, J. J. & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348-362.
  42. Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2(2), 151-164.
  43. Gross, J. J., Sheppes, G., & Urry, H. L. (2011). Emotion generation and emotion regulation: A distinction we should make (carefully). Cognition and Emotion, 25, 765-781.
  44. Gross, J. J. & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In Gross J. J. (Ed.), Handbook of Emotion Regulation. New York: Guilford Press.
  45. Gunzler, D., Chen, T., Wu, P., & Zhang, H. (2013). Introduction to mediation analysis with structural equation modeling. Shanghai archives of psychiatry, 25(6), 390–394.
  46. Herrenkohl, T. I., Hong, S., Klika, J. B., Herrenkohl, R. C., & Russo, M. J. (2013). Developmental Impacts of Child Abuse and Neglect Related to Adult Mental Health, Substance Use, and Physical Health. Journal of Family Violence, 28(2), https://doi.org/10.1007/s10896%E2%80%93012%E2%80%939474%E2%80%939
  47. Irish, L., Kobayashi, I., & Delahanty, D. L. (2010). Long-term physical health consequences of childhood sexual abuse: A metaanalytic review. Journal of Paediatric Psychology, 35, 450- 461. https://doi.org/1093/jpepsy/jsp118
  48. Jazaieri, H., Urry, H., & Gross, J. J. (2013) Affective Disturbance and Psychopathology: An Emotion Regulation Perspective. Journal of E x p e r i m e n t a l P s y c h o p a t h o l o g y , 4 ( 5 ) , 584- 599. https://doi.org/10.5127/jep.030312
  49. John, O. P., & Gross, J. J. (2004). Healthy and unhealthy emotion regulation: Personality processes, individual differences and life span d ev elo p me n t. Jou rnal of P e r so n a lity , 72, 1301– 1334. https://doi.org/10.1111/j.1467-%206494.2004.00298.x
  50. Johnson, B. (2001). Toward a New Classification of Nonexperimental Quantitative Research. Educational Researcher, 30, 3–13.
  51. Karagöz, B., & Dağ, İ. (2015). The Relationship between Childhood Maltreatment and Emotional Dysregulation in Self Mutilation: An Investigation among Substance Dependent Patients. Nöro Psikiyatri Arşivi, 52(1), 8–14.
  52. Katembu, S. (2018). Relationship Between Alcohol Use Disorder, Cognitive Reappraisal among Youth Seeking Help in Rehabilitation Centers in Kiambu County, Kenya. International Journal of Learning a n d D e v e l o p m e n t , 8 ( 3 ) , 22-41. https://doi.org/10.5296 /ijld.v8i3.13417
  53. Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4(5), 231-244. https://doi.org/10.3109/10673229709030550
  54. Klika, J. B., & Herrenkohl, T. I. (2013). A review of developmental research on resilience in maltreated children. Trauma Violence & Abuse, 14(3), 222-234. https://doi.org/10.1177/1524838013487808
  55. Kober, H. (2014). Emotion regulation in substance use disorders. In J. J. Gross (Ed.), Handbook of emotion regulation (2nd ed., pp. 428- 446). New York, NY: Guilford.
  56. Bates, J. E., & Pettit, G. S. (2007). Early Physical Abuse and Later Violent Delinquency: A Prospective Longitudinal Study. Child Maltreatment, 12(3), 233–245.
  57. LeBaron, C. D. (2010). Childhood Physical and Sexual Abuse and Their Effects on Adult Romantic Relationship Quality: Gender Differences and Clinical Implications (Master’s Thesis). Brigham Young University
  58. Lindell, C. (2004). Child physical abuse: Reports and interventions (Doctoral dissertation). Linköping: Linköping University.
  59. Mandavia, A., Robinson, G. G. N., Bradley, B., Ressler, K. J., & Powers, A. (2016). Exposure to Childhood Abuse and Later Substance Use: Indirect Effects of Emotion Dysregulation and Exposure to Trauma. Journal of Traumatic Stress, 29(5), 422–429. https://doi.org/10.1002/jts.22131
  60. Mariani, J., Khantzian, E., & Levin, F. (2014). The self-medication hypothesis and psychostimulant treatment of cocaine dependence: An update. The American Journal on Addictions, 23(2), 189–193. https://doi.org/10.1111/j.1521-%200391.2013.12086.x
  61. McCabe, S., Cranford, J., Morales, M., & Young, A. (2006). Simultaneous and concurrent polydrug use of alcohol and prescription drugs: Prevalence, correlates, and consequences. Journal of Studies on Alcohol, 67(4), 529-537.
  62. McGath, N. (2019). Developmental Disruptions and Substance Use in an Emerging Adult Sample (Master’s Thesis). Hamboldt State U n i v e r s i t y . R e t r i e v e d f r o m https://digitalcommons.humboldt.edu/cgi/viewcontent.cgi?article=1357&context=etd
  63. Mersky, J. P., Topitzes, J., & Reynolds, A. J. (2013). Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S.Child Abuse & Neglect, 37 (11), 9 17–9 25. https://doi.org/10.1016/j.chiabu.208.07.011
  64. Mohajerin, B., Dolatshahi, B., Shahbaz, A., & Farhoudian, A. (2013). Differences Between Expressive Suppression and Cognitive Reappraisal in Opioids and Stimulant Dependent Patients. International Journal of High Risk Behaviors & Addiction, 2(1), 8- 14.
  65. National Institute on Drug Abuse. (2014). Drugs, Brains, and Behavior: The Science of Addiction. Retrieved from https://www.drugabuse.gov/publications/drugs-brains-behavior-scienceaddiction/drug-abuse-%20addiction
  66. Nikmanesh, Z., Kazemi, Y., & Khosravi, M. (2015). Role of Feeling of Loneliness and Emotion Regulation Difficulty on Drug Abuse. International Journal of Medical Toxicology and Forensic Medicine, 5(4), 185-191.
  67. Philippine National Police. (2005). Philippine Country Report. R e t r i e v e d from http://www.mhlw.go.jp/bunya/kokusaigyomu/asean/asean/kokusai/siryou/dl%20/h18_philippines2.pdf
  68. Reinert, D. F., & Edwards, C. E. (2009). Childhood Physical and Verbal Mistreatment, Psychological Symptoms, and Substance Use: Sex Differences and the Moderating Role of Attachment. Journal of F a m i l y V i o l e n c e , 2 4 ( 8 ) , 5 89 -59 6.h ttps://do i.o rg/10.100 7/s10 896 -0 09 -9 257 -0
  69. Richards, J. M. & Gross, J. J. (2000). Emotion regulation and memory: The cognitive costs of keeping one’s cool. Personality Processes and Individual Differences, 79, 410-424. https://doi.org/10.1037/0022-3514.79.3.410
  70. Rottenberg, J., & Gross, J. J. (2007). Emotion and emotion regulation: A map for psychotherapy researchers. Clinical Psychology: Science and Practice, 14(4), 323–328. https://doi.org/10.1111/j.1468-%202850.2007.00093.x
  71. Runyan, D. K., Shankar, V., Hassan, F., Hunter, W. M., Jain, D., Paula, C. S., … Bordin, I. A. (2010). International variations in h a r s h c h i l d d i s c i p l i n e . P e d i a t r i c s 1 2 6 ( 3 ) , 7 01– 1 1. https://doi.org/10.1542/peds.2008-237
  72. Sanapo, M. S., & Nakamura, Y. (2011). Gender and physical punishment: The Filipino children’s experience. Child Abuse Review, 20(1), 39–56.
  73. Sarmiento, C. R. D. B., & Rudolf, R. (2017). The impact of childhood maltreatment on young adults’ mental health: Evidence from the Philippines. Asian Social Work and Policy Review, 11(1), 76-89. https://doi.org/10.1111/aswp.12115
  74. Saunders, J. B., Aasland, O. G., Amundsen, A., & Grant, M. (1993). Alcohol consumption and related problems among primary health care patients: WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption I. Addiction, 88, 349- 362
  75. Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Consumption II. Addiction, 88, 791-804.
  76. Saxena, P., Dubey, A., & Pandey, R. (2011). Role of emotion regulation difficulties in predicting mental health and well-being. Journal of Projective Psychology and Mental Health, 18, 147–155.
  77. Seligowski, A. V., & Orcutt, H. K. (2015). Examining the Structure of Emotion Regulation: A Factor-Analytic Approach. Journal of C l i n i c a l P s y c h o l o g y , 7 1 ( 1 0 ) , 1 0 0 4 - 1 0 2 2 . https://doi.org/10.1002/jclp.22197
  78. Shields, A., Ryan, R. M., & Cicchetti, D. (2001). Narrative representations of caregivers and emotion dysregulation as predictors of maltreated children's rejection by peers. Developmental Psychology, 37(3), 321-337.
  79. Shonkoff, J., Garner, A., Siegel, B., Dobbins, M., Earls, M., Garner, A., McGuinn, L., Pascoe, J., & Wood, D. (2012). The Lifelong Effects of Early Childhood Adversity and Toxic Stress. Pediatrics 129(1), e232– e246. https://doi.org/10.1542/peds.2011-2663
  80. Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7, 363-371.
  81. Sneddon, H. (2003). The effects of maltreatment on children’s health and wellbeing. Child Care in Practice, 9, 236-250.
  82. Substance Abuse and Mental Health Services Administration. (2016). National Survey on Drug Use and Health. Retrieved from https://www.samhsa.gov/data/sites/default/files/
  83. Thornberry, T. P., Henry, K. L., Ireland, T. O., & Smith, C. A. (2010). The Causal Impact of Childhood- Limited Maltreatment and Adolescent Maltreatment on Early Adult Adjustment. The Journal of Adolescent Health: Official Publication of the Society for A d o l e s c e n t M e d i c i n e , 4 6 ( 4 ) , 3 5 9 – 3 6 5 . h ttp s://do i.o rg/1 0.1016 /j.jadoh ealth .20 09 .09 .011
  84. Troy, A. S., & Mauss, I. B. (2011). Resilience in the face of stress: Emotion regulation as a protective factor. In
  85. S. M. Southwick, B. T. Litz, D. Charney, & M. J. Friedman (Eds.), Resilience and mental health: Challenges across the lifespan (pp. 30–44). Cambridge, England: Cambridge University Press.
  86. United Nations Office on Drugs and Crime (2009). Guide to implementing family skills training programmes in drug abuse prevention. Vienna: Commission on Narcotic Drugs. Retrieved May 1 , 2 0 1 0 , from http://www.unodc.org/unodc/en/prevention/familyskillstraining .html
  87. Walton, G., Co, S. J., Milloy, M. J., Qi, J., Kerr, T., & Wood, E. (2011). High prevalence of childhood emotional, physical and sexual trauma among a Canadian cohort of HIV-seropositive illicit d r u g u s e r s . AIDS C a r e , 2 3 ( 6 ) , 714 – 7 2 1 . h ttp s://do i.o rg/1 0.1080 /095 40 121 .201 0.5 2561 8
  88. Werner, K., & Gross, J. J. (2010). Emotion regulation and psychopathology: A conceptual framework. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (p. 13–37). The Guilford Press.
  89. World Health Organization. (2018). Process of translation and a d a p t a t i o n o f i n s t r u m e n t s . R e t r i e v e d from http://www.who.int/substance_abuse/research_tools/translation /en/
  90. World Health Organization. (2016). Child maltreatment fact sheet. Retrieved from http://www.who.int/mediacentre/factsheets/fs150/en/
  91. World Health Organization. (2002). World Report on Violence and Health. Geneva, Switzerland: World Health Organization. Retrieved from http://whqlibdoc.who.int/publications/2002/
  92. Xin, Z., Lu, X., Li, F., Haitao, H., Ling, Y., & Aibao, Z. (2014). Emotion Regulation in Male Abstinent Heroin Abusers. Psychological Reports: Disability and Trauma, 114(1), 14-19.
  93. Yen, J. Y., Yeh, Y. C., Wang, P. W., Liu, T. L., Chen, Y. Y., & Ko, C. H. (2017). Emotional Regulation in Young Adults with Internet Gaming Disorder. International Journal of Environmental Research and Public Health, 15(1), 30. https://doi.org/10.3390/ijerph15010030
  94. Yudko, E., Lozhkina, O., & Fouts, A. (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment, 32, 189-198.
  95. Zhu, N. (2017). Emotion Regulation: The Role of Trauma, EmotionRelated Parenting, and Resilience (Master’s Thesis). University of Windsor.