Effectiveness of Emotion Regulation Training on the Reduction of Craving ‎in Drug Abusers

Document Type : Original Article(s)


1 ‎Department of Counseling, School of Psychology and Education, Allameh Tabataba'i ‎University, Tehran, Iran

2 ‎Assistant Professor, Department of Counseling, School ‎of Psychology and Education ‎Sciences, Allameh Tabataba'i University, Tehran, Iran‎

3 ‎PhD Student, Department of Clinical Psychology, School of Psychology and Education, ‎Allameh Tabataba'i University, Tehran, Iran

4 ‎PhD Student, Department of Counseling, University of Social Welfare and Rehabilitation ‎Sciences, Tehran, Iran

5 Assistant Professor, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, ‎Tehran, Iran

6 Researcher, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran


Background: Emotion regulation appears to provide individuals with a doubled ability to avoid drug relapse and assists with the control of temptation to reuse, which is a type of tendency-avoidance conflict. The present study aims to investigate the effect of Gross model-based emotion regulation training on the reduction of craving beliefs in drug-addicted people.Methods: The present study was a quasi-experimental design. This was a pre- and post-test design that consisted of control and experimental groups. The study population comprised all addicted individuals who visited addiction treatment clinics in Marivan, Iran. About 30 drug-addicted individuals by the random selection method were chosen. Participants were randomly assigned to either the experimental or control groups. Results were analyzed by univariate covariance analysis.Findings: Gross model-based emotion regulation training reduced signs and beliefs associated with temptation in drug-addicted people (P < 0.001).Conclusion: Considering the present study’s findings, we recommend that addiction treatment centers teach strategies of emotion regulation to drug-addicted people by establishing workshops with the intent to reduce temptation signs.


  1. Grant BF, Dawson DA, Stinson FS, Chou SP, Dufour MC, Pickering RP. The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001- 2002. Drug Alcohol Depend 2004; 74(3): 223-34.
  2. Rostami R, Nosratabadi M, Mohammadi F. Primary evaluation of the diagnostic accuracy of the AAS, MAC-R, and APS. Psychological Research 2007; 10(1-2): 11-28. [In Persian].
  3. Sloan DM, Kring AM. Measuring changes in emotion during psychotherapy: conceptual and methodological issues. Clin Psychol Sci Prac 2007; 14: 307-22.
  4. Mauss IB, Evers C, Wilhelm FH, Gross JJ. How to bite your tongue without blowing your top: implicit evaluation of emotion regulation predicts affective responding to anger provocation. Pers Soc Psychol Bull 2006; 32(5): 589-602.
  5. Koenen KC, Amstadter AB, Nugent NR. Gene- environment interaction in posttraumatic stress disorder: an update. J Trauma Stress 2009; 22(5): 416-26.
  6. Niemetz R, Gross GG. Ellagitannin biosynthesis: laccase-catalyzed dimerization of tellimagrandin II to cornusiin E in Tellima grandiflora. Phytochemistry 2003; 64(7): 1197-201.
  7. Gross JJ. Handbook of emotion regulation. New York, NY: Guilford Press; 2007. p. 27.
  8. Bridges LJ, Denham SA, Ganiban JM. Definitional issues in emotion regulation research. Child Dev 2004; 75(2): 340-5.
  9. Mayer JD, Salovey P, Caruso DR, Sitarenios G. Measuring emotional intelligence with the MSCEIT V2.0. Emotion 2003; 3(1): 97-105.
  10. Parker JDA, Taylor R, Eastabrook J, Schell S, Wood LM. Problem gambling in adolescence: Relationships with internet misuse, gaming abuse and emotional intelligence. Personality and Individual Differences 2008; 45(2): 174-80.
  11. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev 2010; 30(2): 217-37.
  12. Witkiewitz K, Marlatt GA, Walker D. Mindfulness- based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy: An International Quarterly 2005; 19(3): 211-28.
  13. Addolorato G, Leggio L, Abenavoli L, Gasbarrini G. Neurobiochemical and clinical aspects of craving in alcohol addiction: a review. Addict Behav 2005; 30(6): 1209-24.
  14. Gelman A, Carlin JB, Stern HS, Rubin DB. Bayesian data analysis. London, UK: Chapman and Hall/CRC; 1995.
  15. Massah O, Sohrabi F, A’azami Y, Doostian Y, Farhoudian A, Daneshmand R. Effectiveness of gross model-based emotion regulation strategies training on anger reduction in drug-dependent individuals and its sustainability in follow-up. Int J High Risk Behav Addict 2016: 5(1): e24327.
  16. Szasz PL, Szentagotai A, Hofmann SG. The effect of emotion regulation strategies on anger. Behav Res Ther 2011; 49(2): 114-9.
  17. Fox HC, Axelrod SR, Paliwal P, Sleeper J, Sinha R. Difficulties in emotion regulation and impulse control during cocaine abstinence. Drug Alcohol Depend 2007; 89(2-3): 298-301.
  18. Trinidad DR, Johnson CA. The association between emotional intelligence and early adolescent tobacco and alcohol use. Personality and Individual Differences 2002; 32(1): 95-105.
  19. Beck AT. Cognitive therapy of substance abuse. New York, NY: Guilford Press; 1993.
  20. Rahmanian M, Mirjafari A, Hasani J. The relationship between craving and attentional bias in opioid dependent, relapsed and abstinent individuals. Iran J Psychiatry Clin Psychol 2006; 12(3): 216-22. [In Persian].
  21. Mohammadkhani S, Sadegi N, Farzad V. The causal model of relationships of negative emotions, core beliefs, substance-related beliefs, craving and emotion regulation with substance abuse relapse. Journal of Psychology 2011; 6(23): 159-85. [In Persian].
  22. Cooney NL, Kadden RM, Litt MD, Getter H. Matching alcoholics to coping skills or interactional therapies: two-year follow-up results. J Consult Clin Psychol 1991; 59(4): 598-601.
  23. Piper ME, Piasecki TM, Federman EB, Bolt DM, Smith SS, Fiore MC, et al. A multiple motives approach to tobacco dependence: the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68). J Consult Clin Psychol 2004; 72(2): 139-54.
  24. Doran N, McChargue D, Cohen L. Impulsivity and the reinforcing value of cigarette smoking. Addict Behav 2007; 32(1): 90-8.
  25. Mulligan ME, McKay D. Hyperventilation, anxiety sensitivity, and the expectations for alcohol use: subjective and physiological reactivity to alcohol cues. Addict Behav 2001; 26(3): 375-83.
  26. Skinner MD, Aubin HJ. Craving's place in addiction theory: contributions of the major models. Neurosci Biobehav Rev 2010; 34(4): 606-23.
  27. Khantzian EJ. Understanding addictive vulnerability: an evolving psychodynamic perspective. Neuro- Psychoanalysis, 2003; 5(1): 5-21.
  28. Suh J, Ruffins S, Robins C, Albanese M, Khantzian E. Self-medication hypothesis: Connecting affective experience and drug choice. Psychoanalytic Psychology 2008; 25(3): 518-32.
  29. Dimeff LA, Koerner K. Dialectical behavior therapy in clinical practice: applications across disorders and settings. New York, NY: Guilford Press; 2007.
  30. Terry-McElrath YM, Emery S, Wakefield MA, O'Malley PM, Szczypka G, Johnston LD. Effects of tobacco-related media campaigns on smoking among 20-30-year-old adults: longitudinal data from the USA. Tob Control 2013; 22(1): 38-45.
  31. Kuntsche E, Knibbe R, Gmel G, Engels R. Why do young people drink? A review of drinking motives. Clin Psychol Rev 2005; 25(7): 841-61.
  32. Shiffman S, Balabanis MH, Gwaltney CJ, Paty JA, Gnys M, Kassel JD, et al. Prediction of lapse from associations between smoking and situational antecedents assessed by ecological momentary assessment. Drug Alcohol Depend 2007; 91(2-3): 159-68.
  33. Aftanas L, Golosheykin S. Impact of regular meditation practice on EEG activity at rest and during evoked negative emotions. Int J Neurosci 2005; 115(6): 893-909.
  34. Cooper ML, Frone MR, Russell M, Mudar P. Drinking to regulate positive and negative emotions: a motivational model of alcohol use. J Pers Soc Psychol 1995; 69(5): 990-1005.