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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

The Relationship Between Goal-Focused Self-Regulation and Impaired Control on Alcohol: Mediation Effects of Emotion Regulation and Impulsivity

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2017, v.22 no.4, pp.969-994
https://doi.org/10.17315/kjhp.2017.22.4.008


Abstract

Although goal-focused self-regulation is presumed to be a major predictor variable of impaired control on alcohol, it lacks empirical support. Thus, this study verifies the hypothesis that the relationship between goal-focused self-regulation and impaired control on alcohol would be mediated by impulsivity and emotion regulation. The goal-focused self-regulation scale, impulsivity scale, emotion regulation scale, and impaired control scale were completed by 363 participants age 18-60. In correlation analysis, goal-focused self-regulation was negatively associated with impaired control on alcohol. In hierarchical regression analysis, the former negatively predicted the latter. When controlling for goal-focused self-regulation and impulsivity, the effect of emotion regulation on impaired control on alcohol was significant. In structural equation modeling verification, the study model performs better, in terms of fit, than the competing model. Unexpectedly, when impulsivity and emotion regulation are entered as mediating variables, goal-focused self-regulation positively predicted impaired control on alcohol. However, the former negatively predicted the latter through impulsivity and emotion regulation. Consequently, the results support that impulsivity as well as emotion regulation are necessary to predict impaired control on alcohol. Hence, intervention to promote emotion regulation and reduce impulsivity should be implemented to decrease impaired control on alcohol.

keywords
목표중심 자기조절, 중독, 알코올 조절실패, 정서조절, 충동성, goal-focused self-regulation, addiction, alcohol regulation failure, impulsivity, emotion regulation

Reference

1.

강이슬, 김미연, 정다은, 조사랑, 최희수 (2015). 성인 초기 남녀의 정서조절양식과 성 인식 및 성 태도가관계중독에 미치는 영향. 한국심리학회 학술대회자료집, pp. 451-451. 8월 20-22일. 서울: 그랜드힐튼 서울 컨벤션 센터.

2.

김교헌 (2006). 중독과 자기조절: 인지신경과학적 접근. 한국심리학회지: 건강, 11(1), 63-105.

3.

김교헌 (2007). 중독, 그 미궁을 헤쳐 나가기. 한국심리학회지: 건강, 12(4), 677-693.

4.

김완석, 유연재 (2015). 역기능적 소비행동에 대한 마음챙김 소비의 영향 연구. 한국심리학회지: 소비자·광고, 16(1), 125-145.

5.

문용린 (1999). 인성 교육을 위한 정서 지능 개발 프로그램에 관한 연구. 서울대학교 사대논총, 59, 31-98.

6.

박상규, 강성군, 김교헌, 서경현, 신성만, 이형초, 전영민 (2017). 중독의 이해와 상담 실제. 서울: 학지사.

7.

박희랑 (2011). 목표지향 행동모델을 적용한 인터넷 구매행동의 이해: 인지욕구를 중심으로. 광고학연구, 22(2), 67-95.

8.

신지원, 양난미 (2014). 대학생의 충동성과 문제음주 사이의 관계: 음주동기와 예방행동전략의 매개효과. 상담학연구, 15(5), 1831-1848.

9.

양승애, 서경현 (2017). 충동성과 대학생의 문제음주 간의 관계에서 음주거부효능감의 매개효과. 청소년학연구, 24(2), 277-295.

10.

우종필 (2012). 우종필교수의 구조방정식모델 개념과 이해. 서울: 한나래.

11.

원성두, 김임렬, 이민규 (2015a). 자기조절 연구 현황 및발전 방향. 한국심리학회지:일반, 34(1), 279-303.

12.

원성두, 오송인, 박선희, 이민규 (2015b). 목표중심 자기조절 척도의 개발 및 타당화. 한국심리학회지: 건강, 20(4), 785-802.

13.

원성두, 김수룡 (2017). 목표중심 자기조절이 알코올 사용 문제에 미치는 영향: 우울의 매개효과. Korean Journal of Clinical Psychology, 36(3), 291-300.

14.

원성두, 김수룡, 한형경, 한창우 (2015c). 재원 남성 알코올 사용장애 환자에서 우울증상, 자기조절 및 주관적 안녕감 간의 관계에 대한 예비연구. 여성정신의학, 13(1), 78-87.

15.

이은숙, 신윤정 (2016). 청소년의 불안정 애착이 스마트미디어 중독 경향성에 미치는 영향. 한국심리학회학술대회 자료집, pp. 340-340. 8월 18-20일. 군산:GSCO.

16.

정명선 (2017). 유아교사의 감정노동과 직무소진에 있어목표중심 자기조절의 완충역할에 대한 융합연구. 한국융합학회논문지, 8(6), 291-297.

17.

정재홍, 이민규 (2014). 감각추구, 충동성, 인터넷 중독및 부정적 정서 간의 인과모형 탐색. 한국심리학회지: 건강, 19(3), 747-771.

18.

조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26(4), 1015-1038.

19.

허심양, 오주용, 김지혜 (2012). 한국판 Barratt 충동성검사-11 의 신뢰도 및 타당도 연구. 한국심리학회지: 일반, 31(3), 769-782.

20.

홍세희 (2000). 구조 방정식 모형의 적합도 지수 선정기준과 그 근거. 한국심리학회지: 임상, 19(1), 161-177.

21.

Achtziger, A., Gollwitzer, P. M., & Sheeran, P. (2008). Implementation intentions and shielding goal striving from unwanted thoughts and feelings. Personality and Social Psychology Bulletin, 34(3), 381-393.

22.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington, VA: American Psychiatric Pub.

23.

Armitage, C. J. (2009). Effectiveness of experimenterprovided and self-generated implementation intentions to reduce alcohol consumption in a sample of the general population: A randomized exploratory trial. Health Psychology, 28(5), 545-553.

24.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.

25.

Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111(1), 33-51.

26.

Baumeister, R. F. (2003). Ego depletion and self regulation failure: A resource model of self control. Alcoholism: Clinical and Experimental Research, 27(2), 281-284.

27.

Baumeister, R. F., Bratslavsky, E., Muraven, M., & Tice, D. M. (1998). Ego depletion: Is the active self a limited resource? Journal of Personality and Social Psychology, 74(5), 1252-1265.

28.

Baumeister, R. F., & Heatherton, T. F. (1996). Selfregulation failure: An overview. Psychological Inquiry, 7(1), 1-15.

29.

Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and why people fail at self-regulation. San Diego, CA: Academic Press.

30.

Bickel, W. K., Odum, A. L., & Madden, G. J. (1999). Impulsivity and cigarette smoking: Delay discounting in current, never, and ex-smokers. Psychopharmacology, 146(4), 447-454.

31.

Brown, S. M., Manuck, S. B., Flory, J. D., & Hariri, A. R. (2006). Neural basis of individual differences in impulsivity: Contributions of corticolimbic circuits for behavioral arousal and control. Emotion, 6(2), 239-245.

32.

Brown, J. M., Miller, W. R., & Lawendowski, L. A. (1999). The self-regulation questionnaire. In L. VanderCreek & T. L. Jackson (Eds.), Innovations in clinical practice: A sourcebook (Vol. 17, pp. 281-292). Sarasota, FL: Professional Resource Press/Professional Resource Exchange.

33.

Buss, A. H. (1995). Personality: Temperament, social behavior, and the self: Boston: Allyn & Bacon.

34.

Carey, K. B., Neal, D. J., & Collins, S. E. (2004). A psychometric analysis of the self-regulation questionnaire. Addictive Behaviors, 29(2), 253-260.

35.

Carver, C. S., & Scheier, M. F. (2011). Selfregulation of action and affect. In K. D. Vohs &R. F. Baumeister (Eds.), Handbook of self-regulation: Research, theory, and applications (Vol. 2, pp. 3-21). New York:Guilford Press.

36.

Cheetham, A., Allen, N. B., Yücel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30(6), 621-634.

37.

Clarke, D. (2006). Impulsivity as a mediator in the relationship between depression and problem gambling. Personality and Individual Differences, 40(1), 5-15.

38.

Claus, E. D., Kiehl, K. A., & Hutchison, K. E. (2011). Neural and Behavioral Mechanisms of Impulsive Choice in Alcohol Use Disorder. Alcoholism:Clinical and Experimental Research, 35(7), 1209-1219.

39.

Collins, S. E., Grazioli, V. S., Torres, N. I., Taylor, E. M., Jones, C. B., Hoffman, G. E., . . . Koker, M. J. (2015). Qualitatively and quantitatively evaluating harm-reduction goal setting among chronically homeless individuals with alcohol dependence. Addictive Behaviors, 45, 184-190.

40.

Cooper, M. L. (1994). Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment, 6(2), 117-128.

41.

Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69(5), 990-1005.

42.

Cummings, C., Gordon, J. R., & Marlatt, G. A. (1980). Relapse: Strategies of prevention and prediction. In W. R. Miller (Ed.), The addictive behaviors (pp. 291-321). Oxford, England: Pergamon.

43.

Cyders, M. A., Combs, J., Fried, R. E., Zapolski, T. C. B., & Smith, G. T. (2009). Emotion-based impulsivity and its importance for impulsive behavior outcomes. In G. H. Lassiter (Ed.), Impulsivity: Causes, Control and Disorders (pp. 105-126). New York: Nova Science Publishers.

44.

Cyders, M. A., & Smith, G. T. (2008). Emotion-Based Dispositions to Rash Action:Positive and Negative Urgency. Psychological Bulletin, 134(6), 807-828.

45.

Davidson, R. J., Putnam, K. M., & Larson, C. L. (2000). Dysfunction in the neural circuitry of emotion regulation--A possible prelude to violence. Science, 289(5479), 591-594.

46.

Deyoung, C. G. (2011). Impulsivity as a Personality Trait. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: Research, theory, and applications (Vol. 2, pp. 3485-3504). New York: Guilford Press.

47.

Edwards, G., & Gross, M. M. (1976). Alcohol dependence: provisional description of a clinical syndrome. British Medical Journal, 1(6017), 1058-1061.

48.

Gollwitzer, P. M., & Brandstätter, V. (1997). Implementation intentions and effective goal pursuit. Journal of Personality and Social Psychology, 73(1), 186-199.

49.

Grant, A. M. (2012). An integrated model of goal-focused coaching: An evidence-based framework for teaching and practice. International Coaching Psychology Review, 7(2), 146-165.

50.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54.

51.

Gray, J. A. (1970). The psychophysiological basis of introversion-extraversion. Behaviour Research and Therapy, 8(3), 249-266.

52.

Gray, J. A. (1990). Brain systems that mediate both emotion and cognition. Cognition & Emotion, 4(3), 269-288.

53.

Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (Vol. 3, pp. 3-26). New York: Guilford Press.

54.

Hagger, M. S., Lonsdale, A., Koka, A., Hein, V., Pasi, H., Lintunen, T., & Chatzisarantis, N. L. (2012). An intervention to reduce alcohol consumption in undergraduate students using implementation intentions and mental simulations: A crossnational study. International Journal of Behavioral Medicine, 19(1), 82-96.

55.

Hammarberg, A., Öster, C., & Nehlin, C. (2017). Drinking motives of adult patients seeking treatment for problematic alcohol use. Journal of Addictive Diseases, 36(2), 127-135.

56.

Heather, N. (2017). Addiction as a form of akrasia. In N. H. G. Segal (Ed.), Addiction & Choice:Rethinking the relationship (pp. 131-150). Oxford, UK: Oxford University Press.

57.

Heather, N., Booth, P., & Luce, A. (1998). Impaired control scale: Cross‐validation and relationships with treatment outcome. Addiction, 93(5), 761-771.

58.

Heather, N., & Dawe, S. (2005). Level of impaired control predicts outcome of moderation‐oriented treatment for alcohol problems. Addiction, 100(7), 945-952.

59.

Heather, N., Tebbutt, J. S., Mattick, R., & Zamir, R. (1993). Development of a scale for measuring impaired control over alcohol consumption: A preliminary report. Journal of Studies on Alcohol and Drugs, 54(6), 700-709.

60.

Hedgcock, W. M., Vohs, K. D., & Rao, A. R. (2012). Reducing self-control depletion effects through enhanced sensitivity to implementation: Evidence from fMRI and behavioral studies. Journal of Consumer Psychology, 22(4), 486-495.

61.

Hinshaw, S. P. (2003). Impulsivity, emotion regulation, and developmental psychopathology: Specificity versus generality of linkages. Annals of the New York Academy of Sciences, 1008(1), 149-159.

62.

Holzhauer, C. G., & Gamble, S. A. (2017). Depressive Symptoms Mediate the Relationship Between Changes in Emotion Regulation During Treatment and Abstinence Among Women With Alcohol Use Disorders. Psychology of Addictive Behaviors, 31(3), 1-11.

63.

Hull, J. G., & Slone, L. B. (2004). Alcohol and self-regulation. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation:Research, Theory, and Applications (pp. 466-491). New York: Guilford Press.

64.

Johnson, M. W., & Bickel, W. K. (2002). Withinsubject comparison of real and hypothetical money rewards in delay discounting. Journal of the Experimental Analysis of Behavior, 77(2), 129-146.

65.

Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4(5), 231-244.

66.

Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling (Vol. 3rd). New York: Guilford publications.

67.

Kopp, C. B. (1982). Antecedents of self-regulation: A developmental perspective. Developmental Psychology, 18(2), 199-214.

68.

Leeman, R. F., Fenton, M., & Volpicelli, J. R. (2007). Impaired control and undergraduate problem drinking. Alcohol and Alcoholism, 42(1), 42-48.

69.

Leeman, R. F., Toll, B. A., Taylor, L. A., & Volpicelli, J. R. (2009). Alcohol-induced disinhibition expectancies and impaired control as prospective predictors of problem drinking in undergraduates. Psychology of Addictive Behaviors, 23(4), 553-563.

70.

Leeman, R. F., Patock-Peckham, J. A., & Potenza, M. N. (2012). Impaired control over alcohol use: An under-addressed risk factor for problem drinking in young adults? Experimental and Clinical Psychopharmacology, 20(2), 92.

71.

Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151-173.

72.

Locke, E. A. (1968). Toward a theory of task motivation and incentives. Organizational Behavior and Human Performance, 3(2), 157-189.

73.

Locke, E. A., & Latham, G. P. (2006). New directions in goal-setting theory. Current Directions in Psychological Science, 15(5), 265-268.

74.

Marlatt, G. A., & George, W. H. (1984). Relapse prevention: Introduction and overview of the model. British Journal of Addiction, 79(3), 261-273.

75.

Marlatt, G. A., Larimer, M. E., Baer, J. S., & Quigley, L. A. (1993). Harm reduction for alcohol problems: Moving beyond the controlled drinking controversy. Behavior Therapy, 24(4), 461-503.

76.

Marsh, A., Saunders, B., & Piek, J. (2002). The Impaired Control Scale: Confirmation of factor structure and psychometric properties for social drinkers and drinkers in alcohol treatment. Addiction, 97(10), 1339-1346.

77.

McRae, K., Ochsner, K. N., & Gross, J. J. (2011). The reason in passion: a social cognitive neuroscience approach to emotion regulation. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: Research, theory, and applications (Vol. 2, pp. 186-203). New York:Guilford Press.

78.

Messman-Moore, T. L., & Ward, R. M. (2014). Emotion dysregulation and coping drinking motives in college women. American Journal of Health Behavior, 38(4), 553-559.

79.

Muraven, M., Collins, R. L., & Neinhaus, K. (2002). Self-control and alcohol restraint: An initial application of the self-control strength model. Psychology of Addictive Behaviors, 16(2), 113-120.

80.

Muthén, L. K., & Muthén, B. O. (2012). Mplus Version 7: User's Guide. Los Angeles, CA:Muthén & Muthén.

81.

Myers, B., Fakier, N., & Louw, J. (2009). Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities. African Journal of Psychiatry, 12(3).

82.

Neal, D. J., & Carey, K. B. (2005). A follow-up psychometric analysis of the self-regulation questionnaire. Psychology of Addictive Behaviors, 19(4), 414-422.

83.

Oettingen, G., & Gollwitzer, P. M. (2010). Strategies of setting and implementing goals: Mental contrasting and implementation intentions. In J. E. Maddux & J. P. Tangney (Eds.), Social psychological foundations of clinical psychology (pp. 114-135). New York: The Guilford Press.

84.

Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51(6), 768-774.

85.

Perugini, M., & Conner, M. (2000). Predicting and understanding behavioral volitions: The interplay between goals and behaviors. European Journal of Social Psychology, 30(5), 705-731.

86.

Petry, N. M. (2001). Delay discounting of money and alcohol in actively using alcoholics, currently abstinent alcoholics, and controls. Psychopharmacology, 154(3), 243-250.

87.

Poulos, C. X., Le, A., & Parker, J. (1995). Impulsivity predicts individual susceptibility to high levels of alcohol self-administration. Behavioural Pharmacology, 6(8), 810-814.

88.

Puri, R. (1996). Measuring and modifying consumer impulsiveness: A cost-benefit accessibility framework. Journal of Consumer Psychology, 5(2), 87-113.

89.

Rindskopf, D. (1984). Using phantom and imaginary latent variables to parameterize constraints in linear structural models. Psychometrika, 49(1), 37-47.

90.

Quinn, P. D., & Fromme, K. (2010). Self-regulation as a protective factor against risky drinking and sexual behavior. Psychology of Addictive Behaviors, 24(3), 376-385.

91.

Reynolds, B., Richards, J. B., & de Wit, H. (2006). Acute-alcohol effects on the Experiential Discounting Task (EDT) and a question-based measure of delay discounting. Pharmacology Biochemistry and Behavior, 83(2), 194-202.

92.

Richards, J. B., Zhang, L., Mitchell, S. H., & Wit, H. (1999). Delay or probability discounting in a model of impulsive behavior: effect of alcohol. Journal of the Experimental Analysis of Behavior, 71(2), 121-143.

93.

Rothman, A. J., Baldwin, A. S., & Hertel, A. W. (2011). Self-regulation and behavior change:Disentangling behavioral initiation and behavioral maintenance. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: Research, Theory, and Applications (Vol. 2, pp. 106-122). New York: Guilford Press.

94.

Salmon, S. J., Adriaanse, M. A., Fennis, B. M., De Vet, E., & De Ridder, D. T. (2016). Depletion sensitivity predicts unhealthy snack purchases. Appetite, 96, 25-31.

95.

Sayette, M. A., & Griffin, K. M. (2011). Self-Regulatory failure and addiction. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: Research, Theory, and Applications (Vol. 2, pp. 505-521). New York:Guilford Press.

96.

Schomerus, G., Corrigan, P. W., Klauer, T., Kuwert, P., Freyberger, H. J., & Lucht, M. (2011). Self-stigma in alcohol dependence: consequences for drinking-refusal self-efficacy. Drug and Alcohol Dependence, 114(1), 12-17.

97.

Schunk, D. H. (2001). Self-regulation through goal setting. ERIC Digests, 2001, Article CG-01– 08. http://www.ericdigests.org/2002–4/goal.html에서2001, 11, 15 인출.

98.

Sheeran, P., Klein, W. M., & Rothman, A. J. (2017). Health behavior change: moving from observation to intervention. Annual Review of Psychology, 68, 573-600.

99.

Sheeran, P., Webb, T. L., & Gollwitzer, P. M. (2005). The interplay between goal intentions and implementation intentions. Personality and Social Psychology Bulletin, 31(1), 87-98.

100.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422-445.

101.

Smith, G. T., & Cyders, M. A. (2016). Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk. Drug and Alcohol Dependence, 163, S3-S12.

102.

Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2001). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it! Journal of Personality and Social Psychology, 80(1), 53-67.

103.

Uziel, L., & Baumeister, R. F. (2017). The Self-Control Irony: Desire for Self-Control Limits Exertion of Self-Control in Demanding Settings. Personality and Social Psychology Bulletin, 43(5), 693-705.

104.

Walitzer, K. S., & Dearing, R. L. (2006). Gender differences in alcohol and substance use relapse. Clinical Psychology Review, 26(2), 128-148.

105.

Wardell, J. D., Quilty, L. C., & Hendershot, C. S. (2016). Impulsivity, working memory, and impaired control over alcohol: A latent variable analysis. Psychology of Addictive Behaviors, 30(5), 544-554.

106.

West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with nonnormal variables: Problems and remedies. In R. H. Hoyle (Ed.), Structural Equation Modeling: concepts, Issues, and Applications (pp. 56-75). Thousand Oaks, CA: Sage.

107.

Won, S. D., & Han, C. (2017). Reliability and Validity of the Korean Version of the Impaired Control Scale (K-ICS). Manuscript submitted for publication.

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