The Common and Specific Role of Emotional Factors in Current Cravings and Thoughts-Imagination of Consumption in Opioid Dependent Patients

Abstract
Background: Craving has an important place in the structure of the literature on consumption disorders. Objectives: The present research investigates the relationship between emotional factors (such as positive and negative effects, emotion regulation, emotion regulation strategies, emotional processing, emotional stimulation, attention to emotional stimuli, emotional separation, and emotional response) with consumption craving. Patients and Methods: The statistical population of current descriptive-correlational research consisted of all opium-dependent patients living in medium-term accommodation centers (camps) in Zahedan, Iran, from 2018 to 2019. Among 21 allowed accommodation centers, 12 were randomly selected. A purposive sampling method was used to select 243 patients. For collecting data, multiple questionnaires were used. Pearson correlation coefficient test and stepwise multivariate regression were used for analyzing the data. Data were analyzed using SPSS-16 software. Results: The results showed that among emotional factors, emotional excitement could only predict 0.020 of variations in instant craving, and other emotional factors did not have much explanatory power. However, to predict drug carvings and desires, more emotional variables (emotional arousal, emotional processing, affection, emotion regulation, and emotional separation) were entered into the equation, and the set could predict 0.156% of drug carving. Conclusions: Cultural factors play an important role in the expression of emotion, and it is important to consider them in the field of drug prevention. Concurrent attention is needed to be paid to the biological, psychological, and social dimensions. In addition, concurrent treatment can lead to interdisciplinary collaboration.