PMID- 30634108 OWN - NLM STAT- MEDLINE DCOM- 20190625 LR - 20190625 IS - 1879-0046 (Electronic) IS - 0376-8716 (Linking) VI - 195 DP - 2019 Feb 1 TI - The role of emotion dysregulation in the relation of childhood trauma to heroin craving in individuals with heroin dependence. PG - 132-139 LID - S0376-8716(19)30005-5 [pii] LID - 10.1016/j.drugalcdep.2018.12.008 [doi] AB - OBJECTIVES: Difficulties in emotion regulation (DER) may be important in heroin craving in individuals with heroin dependence who have experienced childhood trauma (CT). However, no research has been performed on DER in the context of heroin dependence. The aim of this study was to evaluate direct and indirect relations of CT to the subscales of heroin craving (i.e., heroin thoughts and interference, intention to use heroin and control of its consumption, and resistance to thoughts and decisions to use heroin) via DER dimensions in individuals with a DSM diagnosis of heroin dependence. METHODS: In a cross-sectional design, 330 males with heroin dependence completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Difficulties in Emotion Regulation Scale (DERS), the Obsessive-Compulsive Drug Use Scale-Form Heroin (OCDUS-Form Heroin), and the Depression Anxiety Stress Scales (DASS). RESULTS: The results revealed that CT had no direct relations to the subscales of heroin craving, but it indirectly was related to all three subscales of heroin craving via one of the DER dimensions named limited access to emotion regulation strategies (Strategies) after adjusting for demographic and clinical factors. CONCLUSIONS: The findings suggest that Strategies may be related to heroin craving in individuals with heroin dependence who have CT. This proposes that treatment and prevention attempts focused on training the use of effective emotion regulation strategies may be useful to reduce heroin craving in individuals with heroin dependence who have experienced a history of CT. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Ghorbani, Fatemeh AU - Ghorbani F AD - Clinical Research Development Center of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: fghorbani.5713@sbmu.ac.ir. FAU - Khosravani, Vahid AU - Khosravani V AD - Clinical Research Development Center of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: vahid.psy@gmail.com. FAU - Mohammadzadeh, Ali AU - Mohammadzadeh A AD - Department of Psychology, Payame Noor University, Tehran, Iran. Electronic address: a_mohammadzadeh@pnu.ac.ir. FAU - Shadnia, Shahin AU - Shadnia S AD - Department of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: shadniatrc@sbmu.ac.ir. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190104 PL - Ireland TA - Drug Alcohol Depend JT - Drug and alcohol dependence JID - 7513587 SB - IM MH - Adolescent MH - Adult MH - Adverse Childhood Experiences/*trends MH - Affective Symptoms/diagnosis/*epidemiology/*psychology MH - Aged MH - *Craving/physiology MH - Cross-Sectional Studies MH - Emotions/physiology MH - Heroin Dependence/diagnosis/*epidemiology/*psychology MH - Humans MH - Male MH - Middle Aged MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Childhood trauma OT - Difficulties in emotion regulation OT - Heroin craving OT - Individuals with heroin dependence EDAT- 2019/01/12 06:00 MHDA- 2019/06/27 06:00 CRDT- 2019/01/12 06:00 PHST- 2018/11/03 00:00 [received] PHST- 2018/12/02 00:00 [revised] PHST- 2018/12/11 00:00 [accepted] PHST- 2019/01/12 06:00 [pubmed] PHST- 2019/06/27 06:00 [medline] PHST- 2019/01/12 06:00 [entrez] AID - S0376-8716(19)30005-5 [pii] AID - 10.1016/j.drugalcdep.2018.12.008 [doi] PST - ppublish SO - Drug Alcohol Depend. 2019 Feb 1;195:132-139. doi: 10.1016/j.drugalcdep.2018.12.008. Epub 2019 Jan 4.