ArticleEuropean journal of investigation in health, psychology and education2023
An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors.
Article in European journal of investigation in health, psychology and education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Assessment of Cognitive Emotion Regulation in Gambling Disorder: A Systematic Review of the Literature.Clinics and practice · 2026Review
- Heterogeneity in childhood trauma and impulsivity among adolescents with new psychoactive substance use disorders: a latent profile analysis.Frontiers in psychology · 2026Article
- Validation of the Alcohol Use Questionnaire (AUQ) in the Italian Context: A Measure for Assessing Alcohol Intake and Binge Drinking.European journal of investigation in health, psychology and education · 2025Article
- Alexithymia and problematic sexual behaviour: the mediation of dissociative patterns.Health psychology report · 2025Article
- Risk Factors for Love Addiction in a Sample of Young Adult Students: A Multiple Mediation Model Exploring the Role of Adult Attachment, Separation Anxiety, and Defense Mechanisms.Behavioral sciences (Basel, Switzerland) · 2024Article
- Problematic Gambling Behavior in a Sample of Gamblers: The Role of Alexithymia, Dissociation Features, and External Locus of Control.Journal of gambling studies · 2024Article
- The emerging role of glucagon-like peptide 1 in binge eating.The Journal of endocrinology · 2024Review
- The Mediating Role of Affect Dysregulation and Dissociation in the Relationship Between Attachment and Compulsive Online Shopping: A Path Analysis Model.Clinical neuropsychiatry · 2024Article
- Family Functioning Styles and Exercise Addiction: Disengaged, Enmeshed, and Rigid Family Patterns Are Associated with Exercise Addiction.European journal of investigation in health, psychology and education · 2024Article
- The relationship between social media addiction, fear of missing out and family functioning: a structural equation mediation model.BMC psychology · 2023Article
- Press Play to Feel: The Role of Attachment Styles and Alexithymic Features in Problematic Gaming.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to explore the relationships among the variables involved in a Comprehensive Model of Addiction (CMA), which posits that the presence and severity of addictive behaviors are related to the configuration of seven psychological variables, namely childhood trauma, insecure attachment, affect dysregulation, dissociation, impulsivity, compulsiveness, and obsessiveness. A vulnerability model was proposed, in which it was suggested that affect dysregulation and complex trauma mediated the association between insecure attachment and dissociation. Furthermore, a maintenance model was elaborated, in which it was hypothesized that dissociation influenced affect dysregulation via impulsivity, compulsiveness, and obsessiveness. A clinical sample of 430 individuals with substance use disorder was involved. All participants received a DSM-5 clinical diagnosis of Substance-Related and Addictive Disorders and were recruited from the Italian National Health System. A parallel mediation emerged, confirming the vulnerability model, with complex trauma and affect dysregulation mediating the relationship between insecure attachment and dissociation. Furthermore, a mixed serial-parallel mediation described the maintenance model, where impulsiveness, compulsiveness, and obsessiveness significantly mediated the relationship between dissociation and affect dysregulation. Our findings offer a better understanding of the variables associated with addictive disorders, thus providing important indications for both treatment and preventive interventions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.