Mediating Role of Cognitive Flexibility in Predicting the relationship between Childhood Traumatic experiences and Substance Abuse Tendency among Adolescent Females

Document Type : Original Article

Authors

1 Clinical Psychology, Islamic Azad University, Science and Research Branch, Yazd, Yazd, Iran

2 Clinical Psychology, Shahid Bahonar University of Kerman. Kerman, Iran

Abstract

Background: Drug abuse is a major issue and one of the main causes of health, psychological, and social problems. The present study aimed to investigate the mediating role of cognitive flexibility in predicting the relationship between childhood traumatic experiences and the tendency to abuse addictive substances among adolescent females in Yazd, Iran, in the academic year 2022-23.
 
Objectives: The present study aimed to investigate the mediating role of cognitive flexibility in predicting the relationship between childhood traumatic experiences and the tendency to abuse addictive substances among adolescent females in Yazd, Iran, in the academic year 2022-23.
 
Methods: The research method is correlated. The study's statistical population included all female high school students in Yazd, Iran for the academic year 2022-23. A sample of 200 adolescent girls (ages 13-15) was recruited using multistage sampling. Participants had at least one self-injurious behavior in their medical records. Cognitive Flexibility Inventory-Iranian Version, Adverse Experiences in Childhood Relationships, and Readiness Scale for Substance Abuse were completed. SPSS software (version 23) was sued to analyze data paths and standard coefficients.
 
Results: The obtained results indicated a significant relationship between all correlation coefficients obtained between a tendency to abuse addictive substances, traumatic experiences in childhood, and cognitive flexibility at the P<0.01 level. In addition, the indirect effect of cognitive flexibility on the tendency to abuse drugs was significant, and the proposed model was confirmed.
 
Conclusion: As evidenced by the results of this study, cognitive flexibility was associated with childhood traumatic experiences and the tendency to abuse addictive substances. In addition, cognitive flexibility mediates the relationship between childhood traumatic experiences and the tendency to abuse addictive substances among adolescent females.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Nishi M. Effects of early-life stress on the brain and behaviors: implications of early maternal separation in rodents. Int J Mol Sci. 2020;21(19):7212. doi:10.3390/ijms21197212. [PubMed:33003605].
https://doi.org/10.3390/ijms21197212
PMid:33003605 PMCid:PMC7584021
 
2. Wu J, Yuan M, Kou Y. Disadvantaged early-life experience negatively predicts prosocial behavior: The roles of Honesty-Humility and dispositional trust among Chinese adolescents. Pers. Individ. Differ. 2020; 152:109608. doi: 10.1016/j.paid.2019.109608.
https://doi.org/10.1016/j.paid.2019.109608
 
3. Svirin E, Veniaminova E, Costa-Nunes JP, Gorlova A, Umriukhin A, Kalueff AV, Proshin A, Anthony DC, Nedorubov A, Tse AC, Walitza S. Predation Stress Causes Excessive Aggression in Female Mice with Partial Genetic Inactivation of Tryptophan Hydroxylase-2: Evidence for Altered Myelination-Related Processes. Cells. 2022;11(6):1036 doi: 10.3390/cells11061036. [PubMed: 35326487].
https://doi.org/10.3390/cells11061036
PMid:35326487 PMCid:PMC8947002
 
4. Hua P, Maple M, Hay K, Bugeja L. Theoretical frameworks informing the relationship between parental death and suicidal behaviour: A scoping review. Heliyon. 2020;6(5):e03911. doi:10.1016/j.heliyon.2020.e03911. [PubMed: 32426539].
https://doi.org/10.1016/j.heliyon.2020.e03911
PMid:32426539 PMCid:PMC7226651
 
5. Walitza S. Predation Stress Causes Excessive Aggression in Female Mice with Partial Genetic Inactivation of Tryptophan Hydroxylase-2: Evidence for Altered Myelination-Related Processes. Cells. 2022;11(6):1036.
https://doi.org/10.3390/cells11061036
PMid:35326487 PMCid:PMC8947002
 
6. Zhou X, Meng Y, Schmitt HS, Montag C, Kendrick KM, Becker B. Cognitive flexibility mediates the association between early life stress and habitual behavior. Pers. Individ. Differ. 2020; 167:110231. doi:10.1016/j.paid.2020.110231
https://doi.org/10.1016/j.paid.2020.110231
 
7. Bahmani T, Naseri NS, Fariborzi E. Relation of parenting child abuse based on attachment styles, parenting styles, and parental addictions. Current psycho. 2022:1-5. doi:10.1007/s12144-021-02667-7. [PubMed: 35002186].
https://doi.org/10.1007/s12144-021-02667-7
PMid:35002186 PMCid:PMC8723913
 
8. Spoth R, Redmond C, Shin C, Trudeau L, Greenberg MT, Feinberg ME, Welsh J. Applying the PROSPER prevention delivery system with middle schools: Emerging adulthood effects on substance misuse and conduct problem behaviors through 14 years past baseline. Child Dev. 2022 ;93(4):925-940. doi: 10.1111/cdev.13746. [PubMed: 35289921].
https://doi.org/10.1111/cdev.13746
PMid:35289921 PMCid:PMC9543769
 
9. Yan W, Zhang L, Li W, Kong F. How is Subjective Family Socioeconomic Status Related to Life Satisfaction in Chinese Adolescents? The Mediating Role of Resilience, Self-Esteem, and Hope. Child Indic. Res. 2022: 15(5):1565-81.doi:10.1007/s12187-022-09936-2.
https://doi.org/10.1007/s12187-022-09936-2
 
10. ASICI E, Halil SA. The mediating role of coping strategies in the relationship between cognitive flexibility and well-being. IJSE. 2021;4(1):38-56. doi:10.52134/ueader.889204
https://doi.org/10.52134/ueader.889204
 
11. Gee DG, Hanson C, Caglar LR, Fareri DS, Gabard‐Durnam LJ, Mills‐Finnerty C, Goff B, Caldera CJ, Lumian DS, Flannery J, Hanson SJ. Experimental evidence for a child‐to‐adolescent switch in human amygdala‐prefrontal cortex communication: A cross‐sectional pilot study. Dev Sci. 2022;25(4):e13238. doi:10.1111/desc.13238. [PubMed: 35080089].
https://doi.org/10.1111/desc.13238
PMid:35080089 PMCid:PMC9232876
 
12. Sullivan RM, Opendak M. Neurobiology of infant fear and anxiety: impacts of delayed amygdala development and attachment figure quality. Biol Psychiatry. 2021;89(7):641-50. doi:10.1016/j.biopsych.2020.08.020. [PubMed: 33109337].
https://doi.org/10.1016/j.biopsych.2020.08.020
PMid:33109337 PMCid:PMC7914291
 
13. Kalia V, Knauft K, Hayatbini N. Cognitive flexibility and perceived threat from COVID-19 mediate the relationship between childhood maltreatment and state anxiety. PLoS one. 2020;15(12): e0243881. doi:10.1371/journal.pone.0243881 .[PubMed: 33306748].
https://doi.org/10.1371/journal.pone.0243881
PMid:33306748 PMCid:PMC7732062
 
14. Lähdepuro, A., Savolainen, K., Lahti-Pulkkinen, M. et al. The Impact of Early Life Stress on Anxiety Symptoms in Late Adulthood. Sci Rep. 2019;9, 4395. doi:10.1038/s41598-019-40698-0
https://doi.org/10.1038/s41598-019-40698-0
PMid:30867476 PMCid:PMC6416302
 
15. Smith KE, Pollak SD. Early life stress and development: potential mechanisms for adverse outcomes. J Neurodev Disord. 2020; 12(1):34:1-5. doi: 10.1186/s11689-020-09337-y.[PubMed: 33327939].
https://doi.org/10.1186/s11689-020-09337-y
PMid:33327939 PMCid:PMC7745388
 
16. Silveira S, Shah R, Nooner KB, Nagel BJ, Tapert SF, De Bellis MD, Mishra J. Impact of childhood trauma on executive function in adolescence-mediating functional brain networks and prediction of high-risk drinking. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020;5(5):499-509. doi: 10.1016/j.bpsc.2020.01.011.[PubMed: 32299789].
https://doi.org/10.1016/j.bpsc.2020.01.011
PMid:32299789 PMCid:PMC8366521
 
17. Odacı H, Bülbül K, Türkkan T. The Mediating Role of Cognitive Flexibility in the Relationship between Traumatic Experiences in the Childhood Period and Substance Abuse Proclivity. J. Ration. - Emot. Cogn. - Behav. Ther. 2021;39(4):538-54. doi: 10.1007/s10942-020-00385-w
https://doi.org/10.1007/s10942-020-00385-w
 
18. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn. Ther. Res. 2010;34(3):241-53. doi:10.1007/s10608-009-9276-4
https://doi.org/10.1007/s10608-009-9276-4
 
19. Shareh H, Farmani A, Soltani E. Investigating the reliability and validity of the Cognitive Flexibility Inventory (CFI-I) among Iranian university students. Pract Clin Psychol. 2014; 2 (1): 43-50. doi:10.32598/ijpcp.27.2.225.12.
https://doi.org/10.32598/ijpcp.27.2.225.12
 
20. Boullier M, Blair M. Adverse childhood experiences. Paediatrics and Child Health. 2018;28(3):132-7. doi:10.1016/j. paed.2017.12.008.
https://doi.org/10.1016/j.paed.2017.12.008
 
21. Nijenhuis ER, Van der Hart O, Kruger K. The psychometric characteristics of the Traumatic Experiences Checklist (TEC): First findings among psychiatric outpatients. Clinical Psychology & Psychotherapy: An J. Serv. Theory Pract. 2002;9(3):200-10. doi:10.1002/cpp.332.
https://doi.org/10.1002/cpp.332
 
22. Rad AS, Mohammadipour M, Sarai AA. The effectiveness of planned behavior training on tendency to addiction, self-restraint and risk-taking of university students. JFMH. 2021: 23(4), 241-249. doi: 10.22038/JFMH.2021.18971.
 
23. Adams GR. [Adolescent development: the essential readings]. UK: Blackwell; 2000. https://cir.nii.ac.jp/crid/1130000798286714880
 
24. Schimmenti A, Billieux J, Santoro G, Casale S, Starcevic V. A trauma model of substance use: elaboration and preliminary validation. Addict Behav. 2022;134:107431. doi:10.1016/j.addbeh.2022.107431 [PubMed: 35905595].
https://doi.org/10.1016/j.addbeh.2022.107431
PMid:35905595
 
25. Hoffmann JP, Jones MS. Cumulative stressors and adolescent substance use: A review of 21st-century literature. TVA. 2022;23(3):891-905. doi:10.1177/1524838020979674. [PubMed: 33345723].
https://doi.org/10.1177/1524838020979674
PMid:33345723
 
26. Williams JR, Cole V, Girdler SS, Cromeens MG. Personal resource profiles of individuals with a history of interpersonal trauma and their impact on opioid misuse. Psychol Trauma. 2022;14(S1):S119. doi:10.1037/tra0001089. [PubMed: 34383519].
https://doi.org/10.1037/tra0001089
PMid:34383519
 
27. Rogers CJ, Pakdaman S, Forster M, Sussman S, Grigsby TJ, Victoria J, Unger JB. Effects of multiple adverse childhood experiences on substance use in young adults: a review of the literature. Drug Alcohol Depend .2022:109407. doi: 10.1016/j.drugalcdep.2022.109407. [PubMed: 35306395].
https://doi.org/10.1016/j.drugalcdep.2022.109407
PMid:35306395
 
28. Efrati Y, Goldman K, Levin K, Rosca P. Early-life trauma, negative and positive life events, compulsive sexual behavior disorder and risky sexual action tendencies among young women with substance use disorder. Addict Behav. 2022:107379. doi:10.1016/j.addbeh.2022.107379. [PubMed: 35659693].
https://doi.org/10.1016/j.addbeh.2022.107379
PMid:35659693
 
29. Bullerjahn MR, Charles NE, Burns LC, Barry CT. Impulsivity and Stressful Life Events Independently Relate to Problematic Substance Use in At-Risk Adolescents. Int. J. Ment. Health Addict. 2022;21: 2334-2353. doi: 10.1007/s11469-021-00725-6.
https://doi.org/10.1007/s11469-021-00725-6
 
30. Ozcan NA. The Mediator Role of Cognitive Flexibility and Mindfulness in Relationship between Perceived Stress and Distress Tolerance among University Students. Eur. J. Educ. 2019;6(9):316-32. doi: 10.46827/ejes.v0i0.2783.
 
31. Lund JI, Toombs E, Radford A, Boles K, Mushquash C. Adverse childhood experiences and executive function difficulties in children: a systematic review. Child Abuse Negl. 2020;106:104485. doi:10.1016/j.chiabu.2020.104485. [PubMed: 31204249].
https://doi.org/10.1016/j.chiabu.2020.104485
PMid:32388225
 
32. Casey BJ, Cannonier T, Conley MI, Cohen AO, Barch DM, Heitzeg MM, Soules ME, Teslovich T, Dellarco DV, Garavan H, Orr CA. The adolescent brain cognitive development (ABCD) study: imaging acquisition across 21 sites. Dev. Cogn. Neurosci. 2018;32:43-54. doi: 10.1016/j.dcn.2018.03.001. [PubMed: 29567376].
https://doi.org/10.1016/j.dcn.2018.03.001
PMid:29567376 PMCid:PMC5999559
 
33. Robbins TW, Costa RM. Habits. Curr Biol. 2017;27(22):R1200-6. doi: 10.1016/j.cub.2017.09.060. [PubMed: 29161553].
https://doi.org/10.1016/j.cub.2017.09.060
PMid:29161553
 
34. Zhou X, Zimmermann K, Xin F, Zhao W, Derckx RT, Sassmannshausen A, Scheele D, Hurlemann R, Weber B, Kendrick KM, Becker B. Cue reactivity in the ventral striatum characterizes heavy cannabis use, whereas reactivity in the dorsal striatum mediates dependent use. Biol. Psychiatry: Cogn. Neurosci. Neuroimaging. 2019;4(8):751-62. doi:10.1016/j.bpsc.2019.04.006. [PubMed: 31204249].
https://doi.org/10.1016/j.bpsc.2019.04.006
PMid:31204249
Razavi International Journal of Medicine
Volume 11, Issue 4
November 2023
Pages 34-40

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