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Distress Driven Impulsivity as a Risk Factor and Treatment Target for Substance Use Disorder

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dc.contributor.advisor Tangney, June P. Malouf, Elizabeth Taymans
dc.creator Malouf, Elizabeth Taymans en_US 2013-08-19T21:15:37Z 2013-08-19T21:15:37Z 2013-08 en_US
dc.description.abstract This dissertation investigated distress-driven impulsivity as a potential treatment target for substance misuse among jail inmates. This dissertation included two studies that examined: 1) the relationship between distress-driven impulsivity and pre-incarceration substance misuse [Study 1] and 2) changes in distress-driven impulsivity before and after a mindfulness-based intervention [Study 2]. In Study 1, 108 jail inmates completed self-report and behavioral measures of distress-driven impulsivity and provided retrospective reports of pre-incarceration substance misuse. A self-report measure of distress-driven impulsivity was significantly related to alcohol and hard drug misuse and marginally significantly related to marijuana misuse. When controlling for the effects of general impulsivity, the relationship between self-reported distress-driven impulsivity and alcohol misuse remained significant, while the relationship with hard drug misuse dropped to non-significant. Regarding behavioral measures, a behavioral measure of distress-intolerance was related to hard drug misuse while a behavioral measure of distress-driven risk taking was related to marijuana misuse. Study 2 was a small scale Randomized Clinical Trial of a mindfulness-based re-entry intervention in a sample of 40 jail inmates. There was some evidence that the treatment group improved in general impulsivity compared to the control group. While no evidence of improvements in distress-driven impulsivity was observed, the small sample size of this study limited the ability to detect effects. Attendance and participant feedback suggested that this treatment was feasible and acceptable in a high-risk sample of jail inmates. Implications for future research and treatment are discussed.
dc.format.extent 110 pages en_US
dc.language.iso en en_US
dc.rights Copyright 2014 Elizabeth Taymans Malouf en_US
dc.subject Psychology en_US
dc.subject Distress Tolerance en_US
dc.subject Impulsivity en_US
dc.subject Negative Urgency en_US
dc.subject Substance Abuse en_US
dc.subject Substance Use Disorder en_US
dc.title Distress Driven Impulsivity as a Risk Factor and Treatment Target for Substance Use Disorder en_US
dc.type Dissertation en Doctoral en Psychology, Clinical Psychology Concentration en George Mason University en

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