ArticleJournal of abnormal psychology2017
A network approach to modeling comorbid internalizing and alcohol use disorders.
Article in Journal of abnormal psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 68 citations in OpenAlex.
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- Effects of Initiating Abstinence from Alcohol on Daily Craving and Negative Affect: Results from a Pharmacotherapy Clinical Trial.Alcoholism, clinical and experimental research · 2018Trial
- Arabic Validation of the Problematic Pornography Consumption Scale: Psychometric Properties, Measurement Invariance, and Gender-Specific Network Analysis.Archives of sexual behavior · 2026Article
- A systematic review of operational research modelling for alcohol consumption and its consequences.Health systems (Basingstoke, England) · 2026Review
- Examining the Link Between Problematic Smartphone Use and Substance Use Disorders Among College Students: Association Patterns Using Network Analysis.International journal of environmental research and public health · 2025Article
- A narrative review on alcohol use in women: insight into the telescoping hypothesis from a biopsychosocial perspective.The American journal of drug and alcohol abuse · 2025Review
- Alcohol Consumption Among Persons Living with HIV: Perceptions, Messages and Interventions-A Qualitative Study at an HIV Treatment Clinic in South Western Uganda.AIDS and behavior · 2024Article
- Transdiagnosis of alcohol use and psychopathologies: A systematic review.Addictive behaviors reports · 2024Review
- The Predictive Role of Tolerance and Health Problems in Problem Gambling: A Cross-Sectional and Cross-Lagged Network Analyses.Journal of gambling studies · 2023Article
- Do Coping Motives and Perceived Impaired Control Mediate the Indirect Links from Childhood Trauma Facets to Alcohol-Related Problems?Behavioral sciences (Basel, Switzerland) · 2023Article
- Therapeutics for Substance-Using Women: The Need to Elucidate Sex-Specific Targets for Better-Tailored Treatments.Handbook of experimental pharmacology · 2023Article
- Bridge Nodes between Personality Traits and Alcohol-Use Disorder Criteria: The Relevance of Externalizing Traits of Risk Taking, Callousness, and Irresponsibility.Journal of clinical medicine · 2022Article
- Efficacy of the Unified Protocol for the treatment of comorbid alcohol use and anxiety disorders: Study protocol and methods.Contemporary clinical trials · 2021Article
- Change processes in cognitive behavioral therapy and motivational interviewing for depression and heavy alcohol use: A network approach.Journal of affective disorders reports · 2021Article
- State anxiety and alcohol choice: Evidence from experimental and online observational studies.Journal of psychopharmacology (Oxford, England) · 2020Observational
- Relative expected value of drugs versus competing rewards underpins vulnerability to and recovery from addiction.Behavioural brain research · 2020Review
- Depicting the associations between different forms of psychopathology in trauma-exposed adolescents.European child & adolescent psychiatry · 2020Article
- Racial discrimination and alcohol problems among African American young adults: Examining the moderating effects of racial socialization by parents and friends.Cultural diversity & ethnic minority psychology · 2020Article
- Network analysis of mood symptoms in adolescents with or at high risk for bipolar disorder.Bipolar disorders · 2020Article
- Nexus of despair: A network analysis of suicidal ideation among veterans.Archives of suicide research : official journal of the International Academy for Suicide Research · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
Internalizing disorders co-occur with alcohol use disorder (AUD) at a rate that exceeds chance and compromise conventional AUD treatment. The "vicious cycle" model of comorbidity specifies drinking to cope (DTC) as a link between these disorders that, when not directly addressed, undermines the effectiveness of conventional treatments. Interventions based on this model have proven successful but there is no direct evidence for how and to what extent DTC contributes to the maintenance of comorbidity. In the present study, we used network analysis to depict associations between syndrome-specific groupings of internalizing symptoms, alcohol craving, and drinking behavior, as well as DTC and other extradiagnostic variables specified in the vicious cycle model (e.g., perceived stress and coping self-efficacy). Network analyses of 362 individuals with comorbid anxiety and AUD assessed at the beginning of residential AUD treatment indicated that while internalizing conditions and drinking elements had only weak direct associations, they were strongly connected with DTC and perceived stress. Consistent with this, centrality indices showed that DTC ranked as the most central/important element in the network in terms of its "connectedness" to all other network elements. A series of model simulations-in which individual elements were statistically controlled for-demonstrated that DTC accounted for all the relationships between the drinking-related elements and internalizing elements in the network; no other variable had this effect. Taken together, our findings suggest that DTC may serve as a "keystone" process in maintaining comorbidity between internalizing disorders and AUD. (PsycINFO Database Record
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