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The role of distress tolerance in the relationship between cognitive schemas and alcohol problems among college students

机译：痛苦耐受对大学生认知模式与酒精问题关系的作用

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Abstract Introduction The current study tested the role of distress tolerance in the relationship between three early maladaptive cognitive schemas (Abandonment, Defectiveness/Shame, and Insufficient Self-Control) and alcohol problems among college students (N=364). Previous research suggests that maladaptive cognitive schemas may be a risk factor for alcohol-related problems. However, the mechanism underlying this association is unclear. One's tolerance for emotional distress may play an important role in understanding the nature of this association. Methods We tested a structural equation model where distress tolerance was expected to explain or moderate associations between early maladaptive schemas and alcohol outcomes. Results Results indicated distress tolerance partially mediated the relationships between schemas of Abandonment and Insufficient Self-Control and alcohol problems. Distress tolerance also significantly moderated the relationship between the Defectiveness/Shame schema and alcohol-related problems, reducing the strength of the association. Conclusions Distress tolerance is a modifiable risk factor and the results of this study support the inclusion of emotional regulation strategies in the prevention and treatment of alcohol problems among young adults. Highlights ? Distress tolerance mediates the relationship between Abandonment and Insufficient Control schemas and alcohol problems. ? Distress tolerance skills buffered the effects of Shame/Defectiveness on alcohol problems. ? Maladaptive schemas inhibit development of the ability to tolerate negative emotions. ? Decreasing the rigidity of cognitive schemas and increasing distress tolerance are suggested for intervention.
机译：摘要介绍目前的研究测试了痛苦耐受性在三个早期不良认知模式（放弃，缺陷/羞耻，自我控制不足）之间的关系和大学生中的酒精问题（n = 364）之间的作用。以前的研究表明，不良认知模式可能是与酒精相关问题的危险因素。然而，这种关联的机制尚不清楚。一个人对情绪困扰的宽容可能在了解这个协会的性质方面发挥着重要作用。方法我们测试了一种结构方程模型，预计会有痛苦耐受性解释或适度的不良可能性模式和酒精结果之间的关联。结果结果表明困扰耐受性部分介导放弃和酗酒不足模式之间的关系。痛苦耐受性也显着调节了缺陷/羞耻架构和与酒精相关问题之间的关系，降低了联想的强度。结论痛苦耐受性是可改变的危险因素，这项研究结果支持在年轻成年人中预防和治疗酒精问题中的情绪调节策略。强调 ？痛苦宽容介导放弃和控制模式和酒精问题之间的关系。还困扰宽容技能缓冲了羞耻/缺陷对酒精问题的影响。还不适的模式抑制了容忍负面情绪的能力的发展。还提出了减少认知模式的刚性和增加痛苦耐受性的干预。

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