Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: The role of experiential avoidance

Brem Meagan J.; Shorey Ryan C.; Anderson Scott; Stuart Gregory L.

摘要

>Nearly one‐third of individuals in treatment for substance use disorders endorse at‐risk levels of compulsive sexual behaviours (CSBs). Untreated sexual compulsivity may facilitate relapse for treatment‐seeking men. Previous research and theory suggest that CSBs are maintained by efforts to escape or alter negative affect (e.g., depression and anxiety). However, this hypothesis has not been examined within a sample of men in treatment for substance use disorders. In an effort to better understand CSBs within a population of men with substance use disorders, the present study is the first to examine experiential avoidance as one potential mechanism underlying the relation between men's symptoms of depression and anxiety and their use of CSBs. The present study reviewed medical records of 150 men in residential treatment for substance use disorders. Structural equation modelling was used to examine pathways from men's depression and anxiety symptoms to CSBs directly and indirectly through experiential avoidance while controlling for alcohol/drug problems and use. Results revealed significant indirect effects of both depression and anxiety symptoms on CSB through experiential avoidance. These results support and extend existing research on CSB in a treatment population. Findings suggest that intervention efforts for CSB may benefit by targeting men's avoidance of painful internal events.

Key Practitioner Message > <list style="bulleted" xml:id="cpp2085-list-0001"> <listItem xml:id="cpp2085-li-0001">Compulsive sexual behaviour is related to symptoms of depression and anxiety amongst men in residential treatment for substance use disorders.</listItem> <listItem xml:id="cpp </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：lang =“en”> <section xml：id =“cpp2085-sec-1001”> >几乎用于物质使用疾病的治疗中的三分之一的人患有强迫性行为的风险水平（CSB）。未经治疗的性强制可以促进寻求治疗男性的复发。以前的研究和理论表明，CSB通过努力逃避或改变负面影响（例如，抑郁和焦虑）。然而，该假设尚未在用于物质使用障碍的男性样本中进行检查。为了更好地了解具有物质使用障碍的人群中的CSB，本研究是首先检查体验避免作为一个潜在机制，作为男性抑郁和焦虑症状与其使用CSB之间的关系。本研究审查了用于物质使用障碍的住宅治疗中150名男性的病历。结构方程模型用于检查男性抑郁和焦虑症状的途径直接，间接地通过体验避免，同时控制酒精/药物问题和使用。结果通过体验避免，抑郁和焦虑症状的显着间接影响CSB。这些结果支持并延长治疗人群中CSB的现有研究。调查结果表明，CSB的干预努力可以通过针对男性的避免痛苦的内部事件来利益。</ p> </ section> <section xml：id =“cppp2085-sec-1002”编号=“否”> <标题类型=“主要“>关键从业者消息</ tite> > > > > > > =”项目符号“xml：id =”cpp2085-list-0001“> <listitem xml：id =”cpp2085-li-0001“>强迫性行为是与人类使用疾病的男性抑郁症和焦虑症状有关。</ listitem> <listitem xml：id =“cpp </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-16678/'>《Clinical Psychology & Psychotherapy》</a> <b style="margin: 0 2px;">|</b><span>2017年第6期</span><b style="margin: 0 2px;">|</b><span>共8页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Brem Meagan J.&option=202" target="_blank" rel="nofollow">Brem Meagan J.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Shorey Ryan C.&option=202" target="_blank" rel="nofollow">Shorey Ryan C.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Anderson Scott&option=202" target="_blank" rel="nofollow">Anderson Scott;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Stuart Gregory L.&option=202" target="_blank" rel="nofollow">Stuart Gregory L.;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>PsychologyUniversity of TennesseeKnoxville Tennessee USA;</p> <p>PsychologyOhio UniversityAthens Ohio USA;</p> <p>Clinical DirectorCornerstone of RecoveryLouisville Tennessee USA;</p> <p>PsychologyUniversity of TennesseeKnoxville Tennessee USA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5893.html" title="医学心理学">医学心理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=anxiety&option=203" rel="nofollow">anxiety;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=compulsive sexual behaviour&option=203" rel="nofollow">compulsive sexual behaviour;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depression&option=203" rel="nofollow">depression;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=experiential avoidance&option=203" rel="nofollow">experiential avoidance;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=sex addiction&option=203" rel="nofollow">sex addiction;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=substance use&option=203" rel="nofollow">substance use;</a> </p> <div class="translation"> 机译：焦虑;强迫性行为;抑郁症;体验避免;性成瘾;物质使用; </div> </li> </ul> </div> </div> <div class="literature cardcommon" id="literaturereference" style="display:none"> <div class="similarity "> <h3 class="all_title" id="enpatent111">引文网络</h3> <div class="referencetab clearfix"> <ul id="referencedaohang"> <li dataid="referenceul">参考文献</li> <li dataid="citationul">引证文献</li> <li dataid="commonreferenceul">共引文献</li> 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</span> <span> . 2019</span><span>,第010期</span> </span> </div> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/academic-journal-cn_today-nurse_thesis/0201224247217.html">男性更年期焦虑抑郁情绪障碍的干预</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=余梅&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 余梅</a> <span> <a href="/journal-cn-5816/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 当代护士（专科版） </a> </span> <span> . 2014</span><span>,第009期</span> </span> </div> </li> <li> <div> <b>6. </b><a class="enjiyixqcontent" href="/academic-conference-cn_meeting-64703_thesis/020222908620.html">潜在类别模型在男男性行为HIV感染者安全套使用行为中的应用</a> <b>[C]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=曾澄波&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 曾澄波</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=李丽霞&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,李丽霞</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=张晋昕&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,张晋昕</a> <span> <a href="/conference-cn-64703/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 2017年中国卫生统计学学术年会 </a> <span> <span> . -1</span> </span> </div> </li> <li> <div> <b>7. </b><a class="enjiyixqcontent" href="/academic-degree-domestic_mphd_thesis/020311460430.html">基于结构方程模型的男男性行为接触者焦虑、抑郁症状影响因素研究</a> <b>[A] </b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=荆少华&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 荆少华</a> <span> . 2016</span> </span> </div> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/patent-detail/06120104548195.html">沙利度坦及其可药用的盐在制造用于治疗和预防情绪障碍、适应能力障碍或焦虑－抑郁混合病症总体上的药物方面的应用</a> <b>[P]</b> . <span> 中国专利： CN1348371A </span> <span> . 2002-05-08</span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/patent-detail/06120109927748.html">用于治疗男性勃起障碍的药物及其制备和使用方法</a> <b>[P]</b> . <span> 中国专利： CN107412264A </span> <span> . 2017-12-01</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130440126299.html">Compound; method of treatment of an individual with depression, anxiety, panic disorder, post-traumatic tension, premenstrual dysphoric, attention deficit, obsessive-compulsive and eating disorders, obesity, vasomotor flushing, alcohol dependence and cocaine and sexual dysfunction; pharmaceutical composition and use thereof</a> <b>[P]</b> . <span> 外国专利：  BR0314277A </span> <span> . 2005-07-26</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：复合;治疗患有抑郁症，焦虑症，恐慌症，创伤后紧张情绪，经前烦躁不安，注意力缺陷，强迫症和进食障碍，肥胖症，血管舒缩潮红，酒精依赖和可卡因及性功能障碍的个体的治疗方法;药物组合物及其用途 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130440126296.html">Compound; method of treatment of an individual with depression, anxiety, panic disorder, post-traumatic tension, premenstrual dysphoric, attention deficit, obsessive-compulsive and eating disorders, obesity, vasomotor flushing, alcohol dependence and cocaine and sexual dysfunction; pharmaceutical composition and use thereof</a> <b>[P]</b> . <span> 外国专利：  BR0314280A </span> <span> . 2005-07-26</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：复合;治疗患有抑郁症，焦虑症，恐慌症，创伤后紧张情绪，经前烦躁不安，注意力缺陷，强迫症和进食障碍，肥胖症，血管舒缩潮红，酒精依赖和可卡因及性功能障碍的个体的治疗方法;药物组合物及其用途 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130432810987.html">In view of their capability to antagonize the actions of neurokinins by blocking the neurokinin receptors, and in particular antagonizing the actions of substance P by blocking the NK1 receptor, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of neurokinin-mediated conditions, such as, for instance CNS disorders, in particular depression, anxiety disorders, stress-related disorders, sleep disorders, cognitive disorders, personality disorders, schizoaffective disorders, eating disorders, neurodegenerative diseases, addiction disorders, mood disorders, sexual dysfunction, pain and other CNS-related conditions; inflammation; allergic disorders; emesis; gastrointestinal disorders, in particular irritable bowel syndrome (IBS); skin disorders; vasospastic diseases; fibrosing and collagen diseases; disorders related to immune enhancement or suppression and rheumatic diseases and body weight control.</a> <b>[P]</b> . <span> 外国专利：  EA009217B1 </span> <span> . 2007-12-28</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：考虑到它们通过阻断神经激肽受体来拮抗神经激肽的作用，特别是通过阻断NK1受体来拮抗P物质的作用的能力，根据本发明的化合物可用作药物，特别是在预防和治疗中。治疗神经激肽介导的疾病，例如中枢神经系统疾病，尤其是抑郁症，焦虑症，与压力有关的疾病，睡眠障碍，认知障碍，人格障碍，精神分裂性障碍，进食障碍，神经退行性疾病，成瘾障碍，情绪疾病，性功能障碍，疼痛和其他中枢神经系统相关疾病;炎;过敏性疾病呕吐胃肠道疾病，特别是肠易激综合症（IBS）;皮肤疾病;血管痉挛性疾病;纤维化和胶原蛋白疾病;与免疫增强或抑制，风湿性疾病和体重控制有关的疾病。 </span> </p> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon clearfix" style="margin-bottom: 10px;display:none;" > </div> </div> </div> <div id="thesis_get_original1" class="downloadBth" style="bottom: 19px;z-index: 999;" onclick="ywcd('0704022202577','4',7,2,1,'',this,24)" class="delivery" prompt="010401" title="通过人工服务将文献原文发送至邮箱" >获取原文</div> <div class="journalsub-pop-up" style="display: none"> <div 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