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Abuse, Emotion Dysregulation, and Problematic Alcohol Use in African American Young Women

Hitch, Anthony E.

Abstract Details

2019, MA, University of Cincinnati, Arts and Sciences: Psychology.
Objectives: This study examined the associations between history of abuse, emotion dysregulation, and negative alcohol-related outcome among African American young women who use alcohol. It was hypothesized that: (1) having a history of abuse would be positively associated with greater problematic alcohol use severity and heavy alcohol consumption relative to no history of abuse, (2) having a history of abuse would be positively associated with greater emotion dysregulation severity relative to no history of abuse, (3) greater emotion dysregulation severity would be positively associated with greater problematic alcohol use severity and heavy alcohol consumption, and (4) emotion dysregulation severity would partially mediate the associations between history of abuse and problematic alcohol use and history of abuse and heavy alcohol consumption. Method: The current study analyzed baseline data from the N-LITEN study, a comparative treatment efficacy trial of a STI/HIV prevention intervention for African America young women. African American young females (N = 560), 18-24 years old, who had consumed alcohol on three or more occasions in the past 90 days completed the baseline assessment. History of abuse was assessed using a measure of emotional, physical, and sexual abuse; problematic alcohol use was assessed the Alcohol Use Disorder Identification Test (AUDIT); heavy alcohol consumption was assessed using the Alcohol Use Disorder Identification Test-Concise (AUDIT-C); emotion dysregulation was assessed using the Shedler-Westen Assessment Procedure (SWAP-200), Factor 5: Emotional Dysregulation scale. Results: Having a history of abuse was positively associated with greater problematic alcohol use severity, heavy alcohol consumption, and emotion dysregulation severity. Emotion dysregulation severity was positively associated with greater problematic alcohol use severity and heavy alcohol consumption, and emotion dysregulation mediated the relations between history of abuse and both problematic alcohol use and heavy alcohol consumption. Post-hoc analyses revealed that history of abuse and emotion dysregulation were positively associated with greater frequency of alcohol use, amount of alcohol consumed, and binge drinking frequency relative to no abuse. Emotion dysregulation mediated the association between history of abuse and frequency of alcohol use and binge drinking frequency, but not amount of alcohol consumed. Experiencing multiple types of abuse was associated with all alcohol-related outcomes relative to no abuse but experiencing a single type of abuse was not. Both single type of abuse and multiple types of abuse were associated with greater emotion dysregulation severity relative to no abuse. Indirect effects of both single abuse and multiple abuse on a) problematic alcohol use, b) heavy alcohol consumption, c) frequency of alcohol consumption, and d) binge drinking frequency were found. Emotion dysregulation did not mediate the associations between either single type of abuse or multiple types of abuse and amount of alcohol consumed. Conclusions: This study provides preliminary evidence that there may be high prevalence of hazardous alcohol consumption among African American young women who use alcohol. Emotion dysregulation may play an important role in the association between abuse and negative alcohol-related outcomes in African American young women and may be a potential mechanism of change in alcohol use treatment approaches for this population.
Jennifer Brown, Ph.D. (Committee Chair)
Erica Birkley, Ph.D. (Committee Member)
Sarah Whitton, Ph.D. (Committee Member)
80 p.

Recommended Citations

Citations

  • Hitch, A. E. (2019). Abuse, Emotion Dysregulation, and Problematic Alcohol Use in African American Young Women [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563525545282689

    APA Style (7th edition)

  • Hitch, Anthony. Abuse, Emotion Dysregulation, and Problematic Alcohol Use in African American Young Women. 2019. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563525545282689.

    MLA Style (8th edition)

  • Hitch, Anthony. "Abuse, Emotion Dysregulation, and Problematic Alcohol Use in African American Young Women." Master's thesis, University of Cincinnati, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563525545282689

    Chicago Manual of Style (17th edition)