Delay discounting (DD) and self-regulation are important predictors of substance use disorder (SUD) outcomes. Further, regulatory flexibility (RF; i.e., selecting, monitoring, and adapting coping techniques based on contextual demands) is related to psychological resilience. However, studies have yet to examine associations between DD, RF, and remission from SUDs. Individuals (N = 148) in SUD recovery completed the Context Sensitivity Index (CSI), the Flexible Regulation of Emotional Expression (FREE) Scale, and the Perceived Ability to Cope with Trauma (PACT) Scale to assess RF and, an Adjusting Amount Delay Discounting Task. T-tests were used to examine differences in RF and DD by remission status. Univariate linear regressions were used to examine the relationship between RF and DD. Finally, mediation models examined the dynamic relationship between DD, RF, and remission status. Remitted individuals (n=82) had significantly lower DD rates (p<0.001) and higher context sensitivity (p<0.001) and coping flexibility (p<0.001). There were significant negative associations between DD and context sensitivity (p=0.008), coping flexibility (p=0.002), and emotion regulation flexibility (p<0.001). Finally, context sensitivity (p=0.023) and coping flexibility (p=0.007) mediated the relationship between DD and SUD remission. Results suggest that individuals in recovery with broader temporal windows can better identify contextual demands and flexibly cope, contributing to improved SUD recovery outcomes. / M.S. / Preference for immediate gratification (also called delay discounting), and self-regulation (the ability to control one’s emotions) are related to addiction outcomes. Regulatory flexibility - a self-regulation process by which individuals select and adapt their coping strategies based on their situation - is related to improved mental health outcomes. However, research studies have yet to examine the relationship between regulatory flexibility and delay discounting in individuals with a history of drug and/or alcohol dependence. Using a sample from an online addiction recovery research and support community called the International Quit and Recovery Registry, the current thesis examined the relationship between delay discounting and regulatory flexibility grouped by substance use disorder clinical diagnoses amongst 148 individuals. Group comparisons suggested that individuals in remission (i.e., no longer meet criteria for clinical diagnosis of addiction) were better able to delay gratification and were better able to flexibly regulate their emotions compared to individuals who relapsed. When examining the relationship between delay discounting and regulatory flexibility, we found that individuals’ who preferred delayed rewards over immediate rewards were better able to flexibly self-regulate, suggesting that being able to delay gratification is an important component of effective coping, together contributing to improved addiction recovery outcomes.
| Identifer | oai:union.ndltd.org:VTETD/oai:vtechworks.lib.vt.edu:10919/113687 |
| Date | January 2022 |
| Creators | Dwyer, Candice |
| Contributors | Psychology, Bickel, Warren K., Kim-Spoon, Jungmeen, Tegge, Allison N. |
| Publisher | Virginia Tech |
| Source Sets | Virginia Tech Theses and Dissertation |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | ETD, application/pdf, application/pdf |
| Rights | CC0 1.0 Universal, http://creativecommons.org/publicdomain/zero/1.0/ |
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