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3 - The Role of Self-Regulation Strategies in Recovery from Alcohol Use Disorder

from Part I - Micro Level

Published online by Cambridge University Press:  23 December 2021

Jalie A. Tucker
Affiliation:
University of Florida
Katie Witkiewitz
Affiliation:
University of New Mexico
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Summary

Self-regulation strategies–overt or covert behaviors executed during goal pursuit–are theorized to play a key role in recovery from alcohol use disorder (AUD). This chapter describes putatively adaptive self-regulation strategies (e.g., stimulus control, problem solving) and discusses their role in AUD recovery, defined here as a dynamic process in which individuals strive toward valued goals in many life domains (e.g., relationships, occupation, mental health). Research is then summarized that links these strategies to recovery outcomes and shows that most strategies are associated with reduced alcohol use. However, there is a notable dearth of data on how self-regulation strategies relate to broader AUD recovery outcomes beyond alcohol use. This is an unfortunate gap, especially for advancing a broader understanding of AUD recovery. The chapter concludes that research on self-regulation strategies in AUD recovery needs to be expanded to examine outcomes beyond alcohol-related outcomes, such as well-being, social/occupational functioning, and quality of life.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Aase, D. M., Gorka, S. M., Greenstein, J. E., Proescher, E., Crane, N. A., Everett, L.-K., Hassan, I., Osborn, A., Schroth, C., & Kennedy-Krage, A. (2018). Cognitive reappraisal moderates the relationship between PTSD symptoms and alcohol use over time in post–9/11 US military veterans. Drug and Alcohol Dependence, 191, 159164. https://doi.org/10.1016/j.drugalcdep.2018.06.032Google Scholar
Alayan, N., Eddie, D., Eller, L., Bates, M. E., & Carmody, D. P. (2019). Substance craving changes in university students receiving heart rate variability biofeedback: A longitudinal multilevel modeling approach. Addictive Behaviors, 97, 3541. https://doi.org/10.1016/j.addbeh.2019.05.005Google Scholar
Alayan, N., Eller, L., Bates, M. E., & Carmody, D. P. (2018). Current evidence on heart rate variability biofeedback as a complementary anticraving intervention. The Journal of Alternative and Complementary Medicine, 24(11), 10391050. https://doi.org/10.1089/acm.2018.0019CrossRefGoogle ScholarPubMed
Beck, A. T. (1979). Cognitive therapy of depression. Guilford Press.Google Scholar
Best, D., Honor, S., Karpusheff, J., Loudon, L., Hall, R., Groshkova, T., & White, W. (2012). Well-being and recovery functioning among substance users engaged in posttreatment recovery support groups. Alcoholism Treatment Quarterly, 30(4), 397406. https://doi.org/10.1080/07347324.2012.718956Google Scholar
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., & Velting, D. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230241. https://doi.org/10.1093/clipsy.bph077Google Scholar
Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide. Guilford Press.Google Scholar
Carey, K. B., Neal, D. J., & Collins, S. E. (2004). A psychometric analysis of the self-regulation questionnaire. Addictive Behaviors, 29(2), 253260. https://doi.org/10.1016/j.addbeh.2003.08.001CrossRefGoogle ScholarPubMed
Carey, K. B., Scott-Sheldon, L. A., Carey, M. P., & DeMartini, K. S. (2007). Individual-level interventions to reduce college student drinking: A meta-analytic review. Addictive Behaviors, 32(11), 24692494. https://doi.org/10.1016/j.addbeh.2007.05.004Google Scholar
Carroll, K. (1998). A cognitive-behavioral approach: Treating cocaine addiction (NIH Publication Number 98-4308). US Department of Health and Human Services. https://archives.drugabuse.gov/sites/default/files/cbt.pdfGoogle Scholar
Carver, C. S., & Scheier, M. F. (2001). On the self-regulation of behavior. Cambridge University Press.Google Scholar
Cavicchioli, M., Movalli, M., & Maffei, C. (2018). The clinical efficacy of mindfulness-based treatments for alcohol and drug use disorders: A meta-analytic review of randomized and nonrandomized controlled trials. European Addiction Research, 24, 137162. https://doi.org/10.1159/000490762Google Scholar
Cheetham, A., Allen, N. B., Yücel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30(6), 621634. https://doi.org/10.1016/j.cpr.2010.04.005Google Scholar
Chung, T., Langenbucher, J., Labouvie, E., Pandina, R. J., & Moos, R. H. (2001). Changes in alcoholic patients’ coping responses predict 12-month treatment outcomes. Journal of Consulting and Clinical psychology, 69(1), 92100. https://doi.org/10.1037/0022-006X.69.1.92Google Scholar
Csabonyi, M., & Phillips, L. J. (2020). Meaning in life and substance use. Journal of Humanistic Psychology, 60(1), 319. https://doi.org/10.1177/0022167816687674CrossRefGoogle Scholar
Dolan, S. L., Rohsenow, D. J., Martin, R. A., & Monti, P. M. (2013). Urge-specific and lifestyle coping strategies of alcoholics: Relationships of specific strategies to treatment outcome. Drug and Alcohol Dependence, 128(1–2), 814. https://doi.org/10.1016/j.drugalcdep.2012.07.010Google Scholar
Dulin, P. L., & Gonzalez, V. M. (2017). Smartphone-based, momentary intervention for alcohol cravings amongst individuals with an alcohol use disorder. Psychology of Addictive Behaviors, 31(5), 601607. https://doi.org/10.1037/adb0000292Google Scholar
Everitt, B. J., & Robbins, T. W. (2005). Neural systems of reinforcement for drug addiction: From actions to habits to compulsion. Nature Neuroscience, 8(11), 14811489. https://doi.org/10.1038/nn1579Google Scholar
Garland, E. L. (2013). Mindfulness-oriented recovery enhancement for addiction, stress, and pain. National Association of Social Workers Press.Google Scholar
Garland, E. L., Roberts-Lewis, A., Tronnier, C. D., Graves, R., & Kelley, K. (2016). Mindfulness-oriented recovery enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: proximal outcomes from a pragmatic randomized trial. Behavior Research and Therapy, 77, 716. https://doi.org/10.1016/j.brat.2015.11.012Google Scholar
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical Psychology Review, 59, 5260. https://doi.org/10.1016/j.cpr.2017.10.011Google Scholar
Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: Neuroimaging findings and clinical implications. Nature Reviews Neuroscience, 12(11), 652669. https://doi.org/10.1038/nrn3119Google Scholar
Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In Gross, J. J. (Ed.), Handbook of emotion regulation (pp. 324). Guilford Press.Google Scholar
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.Google Scholar
Hustad, J. T., Carey, K. B., Carey, M. P., & Maisto, S. A. (2009). Self-regulation, alcohol consumption, and consequences in college student heavy drinkers: A simultaneous latent growth analysis. Journal of Studies on Alcohol and Drugs, 70(3), 373382. https://doi.org/10.15288/jsad.2009.70.373Google Scholar
Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8(3), 255270. https://doi.org/10.1093/clipsy.8.3.255Google Scholar
Kadden, R. M., Litt, M. D., Cooney, N. L., & Busher, D. A. (1992). Relationship between role-play measures of coping skills and alcoholism treatment outcome. Addictive Behaviors, 17(5), 425437. https://doi.org/10.1016/0306-4603(92)90003-EGoogle Scholar
Karyadi, K. A., VanderVeen, J. D., & Cyders, M. A. (2014). A meta-analysis of the relationship between trait mindfulness and substance use behaviors. Drug and Alcohol Dependence, 143, 110. https://doi.org/10.1016/j.drugalcdep.2014.07.014CrossRefGoogle ScholarPubMed
Kiluk, B. D., Nich, C., Babuscio, T., & Carroll, K. M. (2010). Quality versus quantity: Acquisition of coping skills following computerized cognitive–behavioral therapy for substance use disorders. Addiction, 105(12), 21202127. https://doi.org/10.1111/j.1360-0443.2010.03076.xGoogle Scholar
Kober, H. (2014). Emotion regulation in substance use disorders. In Gross, J. J. (Ed.), Handbook of emotion regulation (pp. 428446). Guilford Press.Google Scholar
Kober, H., Kross, E. F., Mischel, W., Hart, C. L., & Ochsner, K. N. (2010). Regulation of craving by cognitive strategies in cigarette smokers. Drug and Alcohol Dependence, 106(1), 5255. https://doi.org/10.1016/j.drugalcdep.2009.07.017Google Scholar
Koob, G. F., Buck, C. L., Cohen, A., Edwards, S., Park, P. E., Schlosburg, J. E., Schmeichel, B., Vendruscolo, L. F., Wade, C. L., & Whitfield, T. W. Jr (2014). Addiction as a stress surfeit disorder. Neuropharmacology, 76, 370382. https://doi.org/10.1016/j.neuropharm.2013.05.024Google Scholar
Koob, G. F., & Le Moal, M. (2001). Drug addiction, dysregulation of reward, and allostasis. Neuropsychopharmacology, 24(2), 97129. https://doi.org/10.1016/S0893–133X(00)00195-0Google Scholar
Koob, G. F., & Volkow, N. D. (2010). Neurocircuitry of addiction. Neuropsychopharmacology, 35(1), 217238. https://doi.org/10.1038/npp.2009.110Google Scholar
Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760773. https://doi.org/10.1016/s2215–0366(16)00104-8Google Scholar
Lee, E. B., An, W., Levin, M. E., & Twohig, M. P. (2015). An initial meta-analysis of acceptance and commitment therapy for treating substance use disorders. Drug and Alcohol Dependence, 155, 17. https://doi.org/10.1016/j.drugalcdep.2015.08.004Google Scholar
Leeman, R. F., DeMartini, K. S., Gueorguieva, R., Nogueira, C., Corbin, W. R., Neighbors, C., & O’Malley, S. S. (2016). Randomized controlled trial of a very brief, multicomponent web-based alcohol intervention for undergraduates with a focus on protective behavioral strategies. Journal of Consulting and Clinical Psychology, 84(11), 10081015. https://dx.doi.org/10.1037%2Fccp0000132Google Scholar
Lévesque, A., Campbell, A. N., Pavlicova, M., Hu, M.-C., Walker, R., McClure, E. A., Ghitza, U. E., Bailey, G., Stitzer, M., & Nunes, E. V. (2017). Coping strategies as a mediator of internet-delivered psychosocial treatment: Secondary analysis from a NIDA CTN multisite effectiveness trial. Addictive Behaviors, 65, 7480. https://doi.org/10.1016/j.addbeh.2016.09.012CrossRefGoogle ScholarPubMed
Li, W., Howard, M. O., Garland, E. L., McGovern, P., & Lazar, M. (2017). Mindfulness treatment for substance misuse: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 75, 6296. https://doi.org/10.1016/j.jsat.2017.01.008Google Scholar
Lindsay, E. K., & Creswell, J. D. (2017). Mechanisms of mindfulness training: Monitor and acceptance theory. Clinical Psychology Review, 51, 4859. https://dx.doi.org/10.1016%2Fj.cpr.2016.10.011Google Scholar
Linehan, M. (2015). DBT skills training manual. Guilford Press.Google Scholar
Litt, M. D., Kadden, R. M., & Kabela‐Cormier, E. (2009). Individualized assessment and treatment program for alcohol dependence: Results of an initial study to train coping skills. Addiction, 104(11), 18371838. https://dx.doi.org/10.1111%2Fj.1360-0443.2009.02693.xGoogle Scholar
Litt, M. D., Kadden, R. M., Cooney, N. L., & Kabela, E. (2003). Coping skills and treatment outcomes in cognitive-behavioral and interactional group therapy for alcoholism. Journal of Consulting and Clinical Psychology, 71(1), 118128. https://doi.org/10.1037//0022-006x.71.1.118Google Scholar
Litt, M. D., Kadden, R. M., & Tennen, H. (2018). Treatment response and non‐response in CBT and network support for alcohol disorders: Targeted mechanisms and common factors. Addiction, 113(8), 14071417.Google Scholar
Longabaugh, R., Wirtz, P. W., Zywiak, W. H., & O’malley, S. S. (2010). Network support as a prognostic indicator of drinking outcomes: The COMBINE study. Journal of Studies on Alcohol and Drugs, 71(6), 837846. https://doi.org/10.1111/add.14224Google Scholar
Lozano, B. E., & Stephens, R. S. (2010). Comparison of participatively set and assigned goals in the reduction of alcohol use. Psychology of Addictive Behaviors, 24(4), 581591. https://psycnet.apa.org/doi/10.1037/a0021444Google Scholar
Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of Consulting and Clinical Psychology, 87(12), 10931105. https://doi.org/10.1037/ccp0000447Google Scholar
Magill, M., Tonigan, J. S., Kiluk, B., Ray, L., Walthers, J., & Carroll, K. (2020). The search for mechanisms of cognitive behavioral therapy for alcohol or other drug use disorders: A systematic review. Behaviour Research and Therapy, 103648. https://doi.org/10.1016/j.brat.2020.103648Google Scholar
Marlatt, G. A., & Donovan, D. M. (Eds.) (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. Guilford Press.Google Scholar
Marlatt, G. A., & Witkiewitz, K. (2002). Harm reduction approaches to alcohol use: Health promotion, prevention, and treatment. Addictive Behaviors, 27(6), 867886. https://doi.org/10.1016/s0306–4603(02)00294-0CrossRefGoogle ScholarPubMed
McGrath, E., Elliott, R., Millar, T., & Armitage, C. J. (2020). The role of neuropsychological mechanisms in implementation intentions to reduce alcohol consumption among heavy drinkers: A randomized trial. Journal of Behavioral Medicine, 43(4), 576586. https://doi.org/10.1007/s10865–019-00078-5Google Scholar
McHugh, R. K., & Kneeland, E. T. (2019). Affective vulnerability in substance use disorders. Current Opinion in Psychology, 30 , 5458. https://doi.org/10.1016/j.copsyc.2019.01.011Google Scholar
Mellis, A. M., Snider, S. E., Deshpande, H. U., LaConte, S. M., & Bickel, W. K. (2019). Practicing prospection promotes patience: Repeated episodic future thinking cumulatively reduces delay discounting. Drug and Alcohol Dependence, 204 , 107507. https://doi.org/10.1016/j.drugalcdep.2019.06.010Google Scholar
Monti, P. M. (2002). Treating alcohol dependence: A coping skills training guide. Guilford Press.Google Scholar
Murphy, C. M., & MacKillop, J. (2014). Mindfulness as a strategy for coping with cue‐elicited cravings for alcohol: An experimental examination. Alcoholism: Clinical and Experimental Research, 38(4), 11341142. https://dx.doi.org/10.1111%2Facer.12322Google Scholar
Murphy, J. G., Dennhardt, A. A., Martens, M. P., Borsari, B., Witkiewitz, K., & Meshesha, L. Z. (2019). A randomized clinical trial evaluating the efficacy of a brief alcohol intervention supplemented with a substance-free activity session or relaxation training. Journal of Consulting and Clinical Psychology, 87(7), 657669. https://doi.org/10.1037/ccp0000412Google Scholar
Naqvi, N. H., Ochsner, K. N., Kober, H., Kuerbis, A., Feng, T., Wall, M., & Morgenstern, J. (2015). Cognitive regulation of craving in alcohol‐dependent and social drinkers. Alcoholism: Clinical and Experimental Research, 39(2), 343349. https://doi.org/10.1111/acer.12637Google Scholar
Nezu, A. M., Nezu, C. M., & D’Zurilla, T. (2012). Problem-solving therapy: A treatment manual. Springer.CrossRefGoogle Scholar
Park, C. L., Armeli, S., & Tennen, H. (2004). The daily stress and coping process and alcohol use among college students. Journal of Studies on Alcohol, 65(1), 126135. https://doi.org/10.15288/jsa.2004.65.126Google Scholar
Pearson, M. R. (2013). Use of alcohol protective behavioral strategies among college students: A critical review. Clinical Psychology Review, 33(8), 10251040. https://doi.org/10.1016/j.cpr.2013.08.006Google Scholar
Pearson, M. R., D’Lima, G. M., & Kelley, M. L. (2011). Self-regulation as a buffer of the relationship between parental alcohol misuse and alcohol-related outcomes in first-year college students. Addictive Behaviors, 36(12), 13091312. https://doi.org/10.1016/j.addbeh.2011.07.009Google Scholar
Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., & Patra, J. (2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet, 373(9682), 22232233. https://doi.org/10.1016/s0140–6736(09)60746-7CrossRefGoogle ScholarPubMed
Rodriguez, L. M., Neighbors, C., & Knee, C. R. (2014). Problematic alcohol use and marital distress: An interdependence theory perspective. Addiction Research & Theory, 22(4), 294312. https://doi.org/10.3109/16066359.2013.841890Google Scholar
Rohsenow, D. J., Monti, P. M., Rubonis, A. V., Gulliver, S. B., Colby, S. M., Binkoff, J. A., & Abrams, D. B. (2001). Cue exposure with coping skills training and communication skills training for alcohol dependence: 6‐ and 12‐month outcomes. Addiction, 96(8), 11611174. https://doi.org/10.1046/j.1360-0443.2001.96811619.xGoogle Scholar
Roos, C., Bowen, S., & Witkiewitz, K. (2020). Approach coping and substance use outcomes following mindfulness-based relapse prevention among individuals with negative affect symptomatology. Mindfulness, 11 , 23972410. https://doi.org/10.1007/s12671–020-01456-wGoogle Scholar
Roos, C. R., Carroll, K. M., Nich, C., Frankforter, T., & Kiluk, B. D. (2020a). Short-and long-term changes in substance-related coping as mediators of in-person and computerized CBT for alcohol and drug use disorders. Drug and Alcohol Dependence, 212 ,108044. https://doi.org/10.1016/j.drugalcdep.2020.108044Google Scholar
Roos, C. R., Kirouac, M., Pearson, M. R., Fink, B. C., & Witkiewitz, K. (2015). Examining temptation to drink from an existential perspective: Associations among temptation, purpose in life, and drinking outcomes. Psychology of Addictive Behaviors, 29(3), 716724. https://dx.doi.org/10.1037%2Fadb0000063CrossRefGoogle ScholarPubMed
Roos, C.R., Kober, H., Trull, T.J., MacLean, R.R., Mun, C.J. (2020b). Intensive longitudinal methods for studying the role of self-regulation strategies in substance use behavior change. Current Addiction Reports, 7, 301316. https://doi.org/10.1007/s40429–020-00329-5Google Scholar
Roos, C. R., Maisto, S. A., & Witkiewitz, K. (2017). Coping mediates the effects of cognitive–behavioral therapy for alcohol use disorder among out‐patient clients in Project MATCH when dependence severity is high. Addiction, 112(9), 15471557. https://doi.org/10.1111/add.13841Google Scholar
Roos, C. R., & Witkiewitz, K. (2016). Adding tools to the toolbox: The role of coping repertoire in alcohol treatment. Journal of Consulting and Clinical Psychology, 84(7), 599611. https://doi.org/10.1037/ccp0000102CrossRefGoogle Scholar
Roos, C. R., & Witkiewitz, K. (2017). A contextual model of self-regulation change mechanisms among individuals with addictive disorders. Clinical Psychology Review, 57, 117128. https://doi.org/10.1016/j.cpr.2017.08.008Google Scholar
Schacht, J. P., Anton, R. F., & Myrick, H. (2013). Functional neuroimaging studies of alcohol cue reactivity: A quantitative meta‐analysis and systematic review. Addiction Biology, 18(1), 121133. https://doi.org/10.1111/j.1369-1600.2012.00464.xGoogle Scholar
Scott-Sheldon, L. A., Carey, K. B., Johnson, B. T., Carey, M. P., & Team, M. R. (2017). Behavioral interventions targeting alcohol use among people living with HIV/AIDS: A systematic review and meta-analysis. AIDS and Behavior, 21(2), 126143. https://dx.doi.org/10.1007%2Fs10461–017-1886-3Google Scholar
Skinner, M. D., & Aubin, H.-J. (2010). Craving’s place in addiction theory: Contributions of the major models. Neuroscience and Biobehavioral Reviews, 34(4), 606623. https://doi.org/10.1016/j.neubiorev.2009.11.024Google Scholar
Sliedrecht, W., de Waart, R., Witkiewitz, K., & Roozen, H. G. (2019). Alcohol use disorder relapse factors: A systematic review. Psychiatry Research, 278, 97115. https://doi.org/10.1016/j.psychres.2019.05.038CrossRefGoogle ScholarPubMed
Snider, S. E., LaConte, S. M., & Bickel, W. K. (2016). Episodic future thinking: Expansion of the temporal window in individuals with alcohol dependence. Alcoholism: Clinical and Experimental Research, 40(7), 15581566. https://doi.org/10.1111/acer.13112Google Scholar
Suzuki, S., Mell, M. M., O’Malley, S. S., Krystal, J. H., Anticevic, A., & Kober, H. (2020). Regulation of craving and negative emotion in alcohol use disorder. Biological Psychiatry, 5(2), 239250. https://dx.doi.org/10.1016%2Fj.bpsc.2019.10.005Google Scholar
Tucker, J. A., Cheong, J., Chandler, S. D., Crawford, S. M., & Simpson, C. A. (2015). Social networks and substance use among at‐risk emerging adults living in disadvantaged urban areas in the southern United States: A cross‐sectional naturalistic study. Addiction, 110(9), 15241532. https://doi.org/10.1111/add.13010Google Scholar
Tucker, J. A., Roth, D. L., Huang, J., Crawford, M. S., & Simpson, C. A. (2012). Effects of interactive voice response self-monitoring on natural resolution of drinking problems: Utilization and behavioral economic factors. Journal of Studies on Alcohol and Drugs, 73(4), 686698. https://doi.org/10.15288/jsad.2012.73.686CrossRefGoogle ScholarPubMed
Tucker, J. A., Vuchinich, R. E., & Rippens, P. D. (2002). Environmental contexts surrounding resolution of drinking problems among problem drinkers with different help-seeking experiences. Journal of Studies on Alcohol, 63 , 334341. https://doi.org/10.15288/jsa.2002.63.334Google Scholar
Vuchinich, R. E., & Tucker, J. A. (1996). Life events, alcoholic relapse, and behavioral theories of choice: A prospective analysis. Experimental and Clinical Psychopharmacology, 4, 1928. https://psycnet.apa.org/doi/10.1037/1064-1297.4.1.19Google Scholar
Weiss, N. H., Bold, K. W., Sullivan, T. P., Armeli, S., & Tennen, H. (2017). Testing bidirectional associations among emotion regulation strategies and substance use: A daily diary study. Addiction, 112(4), 695704. https://doi.org/10.1111/add.13698Google Scholar
Wise, R. A., & Koob, G. F. (2014). The development and maintenance of drug addiction. Neuropsychopharmacology, 39(2), 254262. https://doi.org/10.1038/npp.2013.261CrossRefGoogle ScholarPubMed
Witkiewitz, K., Bowen, S., Douglas, H., & Hsu, S. H. (2013). Mindfulness-based relapse prevention for substance craving. Addictive Behaviors, 38(2), 15631571. https://doi.org/10.1016/j.addbeh.2012.04.001Google Scholar
Witkiewitz, K., Donovan, D. M., & Hartzler, B. (2012). Drink refusal training as part of a combined behavioral intervention: Effectiveness and mechanisms of change. Journal of Consulting and Clinical Psychology, 80(3), 440449. https://dx.doi.org/10.1037%2Fa0026996CrossRefGoogle ScholarPubMed
Witkiewitz, K., & Marlatt, G. A. (2009). Relapse prevention for alcohol and drug problems: That was Zen, this is Tao. American Psychologist, 59 (4), 224235. https://doi.org/10.1037/0003-066x.59.4.224Google Scholar
Witkiewitz, K., Roos, C. R., Tofighi, D., & Van Horn, M. L. (2018). Broad coping repertoire mediates the effect of the combined behavioral intervention on alcohol outcomes in the COMBINE study: An application of latent class mediation. Journal of Studies on Alcohol and Drugs, 79(2), 199207. https://doi.org/10.15288/jsad.2018.79.199Google Scholar

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