Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders
Background: Shame and guilt are key emotions known to amplify trauma-related symptoms in veterans. Maintenance of symptoms is facilitated by avoidance behaviors, such as substance use. However, limited research has examined the associations between shame, guilt, and substance use in daily life. Meth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Drug and Alcohol Dependence Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724623000446 |
| _version_ | 1797682987156897792 |
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| author | Pallavi Aurora Stefanie T. LoSavio Nathan A. Kimbrel Jean C. Beckham Patrick S. Calhoun Kirsten H. Dillon |
| author_facet | Pallavi Aurora Stefanie T. LoSavio Nathan A. Kimbrel Jean C. Beckham Patrick S. Calhoun Kirsten H. Dillon |
| author_sort | Pallavi Aurora |
| collection | DOAJ |
| description | Background: Shame and guilt are key emotions known to amplify trauma-related symptoms in veterans. Maintenance of symptoms is facilitated by avoidance behaviors, such as substance use. However, limited research has examined the associations between shame, guilt, and substance use in daily life. Methods: The current study sought to examine the cross-lagged association between shame, guilt, and substance use. Forty veterans completed 28 days of experience sampling reporting on their current emotional experiences and use of substances. Results: Results suggest a reciprocal relationship among shame and guilt and substance use, such that shame and guilt separately predicted subsequent substance use, and substance use predicted subsequent shame and guilt. Conclusions: These results highlight the dynamic relationship among shame, guilt, and substance use and suggest the potential value of conceptualizing these clinical targets as mutually reinforcing to inform integrative intervention strategies that can interrupt the in-the-moment cascade of negative consequences. |
| first_indexed | 2024-03-12T00:07:52Z |
| format | Article |
| id | doaj.art-1d7f0c1c54c44908b2edc525b9e93858 |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-03-12T00:07:52Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-1d7f0c1c54c44908b2edc525b9e938582023-09-16T05:32:02ZengElsevierDrug and Alcohol Dependence Reports2772-72462023-09-018100174Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disordersPallavi Aurora0Stefanie T. LoSavio1Nathan A. Kimbrel2Jean C. Beckham3Patrick S. Calhoun4Kirsten H. Dillon5Durham VA Health Care System, Durham NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA; Corresponding author at: Durham VA Health Care System, 508 Fulton Street, Durham, NC 27705, USA.Durham VA Health Care System, Durham NC, USA; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USADurham VA Health Care System, Durham NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USADurham VA Health Care System, Durham NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USADurham VA Health Care System, Durham NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USADurham VA Health Care System, Durham NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USABackground: Shame and guilt are key emotions known to amplify trauma-related symptoms in veterans. Maintenance of symptoms is facilitated by avoidance behaviors, such as substance use. However, limited research has examined the associations between shame, guilt, and substance use in daily life. Methods: The current study sought to examine the cross-lagged association between shame, guilt, and substance use. Forty veterans completed 28 days of experience sampling reporting on their current emotional experiences and use of substances. Results: Results suggest a reciprocal relationship among shame and guilt and substance use, such that shame and guilt separately predicted subsequent substance use, and substance use predicted subsequent shame and guilt. Conclusions: These results highlight the dynamic relationship among shame, guilt, and substance use and suggest the potential value of conceptualizing these clinical targets as mutually reinforcing to inform integrative intervention strategies that can interrupt the in-the-moment cascade of negative consequences.http://www.sciencedirect.com/science/article/pii/S2772724623000446Substance useGuiltShameVeterans |
| spellingShingle | Pallavi Aurora Stefanie T. LoSavio Nathan A. Kimbrel Jean C. Beckham Patrick S. Calhoun Kirsten H. Dillon Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders Drug and Alcohol Dependence Reports Substance use Guilt Shame Veterans |
| title | Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders |
| title_full | Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders |
| title_fullStr | Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders |
| title_full_unstemmed | Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders |
| title_short | Examining the daily relationship between guilt, shame, and substance use among veterans with psychiatric disorders |
| title_sort | examining the daily relationship between guilt shame and substance use among veterans with psychiatric disorders |
| topic | Substance use Guilt Shame Veterans |
| url | http://www.sciencedirect.com/science/article/pii/S2772724623000446 |
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