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The Effect of Affects linked to Avoidance/Withstanding Options on Distress Tolerance in Long-term Heavy Drinkers

Abstract

Distress tolerance (DT) has been considered as an important factor that pertains to the manifestation and maintenance of problematic/heavy drinking. However, to date, there have only been a few studies that examined variables influencing DT in heavy drinkers. This study aimed to examine the variables proposed by the affective judgment model regarding the process of withstanding distress in long-term heavy drinkers. We examined whether the positive/negative affects linked to avoidance options (AO) and withstanding options (WO) influence DT using an experimental design. Thirty long-term heavy drinkers participated in this study. Participants in the experimental group performed a series of tasks (i.e., the Lexical Decision Task with emotional words and the Withstanding Behaviors Task) that were developed to enhance the negative affect associated with AO and the positive affect associated with WO. Those who in the control group performed the monitoring task of drinking behaviors and the Lexical Decision Task with neutral words for one week. The level of DT after the tasks were higher than the level before the tasks in the experimental group; conversely, the level of DT showed no significant changes in the control group. These results support the idea that affects related to AO and WO influence DT in long-term heavy drinkers. Implications and future directions of research are discussed.

keywords
문제음주, 고통 감내력, 정동, 정동적 판단, 회피, 감내, heavy drinking, distress tolerance, affect, affective judgment, avoidance, withstanding

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