Influence of anxious attachment on the relationship between primary emotions and substance-related addictive behaviors.

Objectives: To date there is no universally accepted model that describes the development of substance related addictive behavior. In order to address this gap, the study sought to examine whether the association between primary emotions and the inclination toward addictive behavior is mediated by an anxious attachment style.
Methods: The total sample consisted of 900 German speaking non-clinical adults (age: M  = 27; SD  = 9.60; 71.6% female). Structural Equation Modeling (SEM) was applied to examine the connection between the primary emotions (SADNESS and ANGER), and the latent variables attachment anxiety and symptoms of addictive behavior.
Results: Substance use symptomatology was correlated with higher attachment anxiety ( r  = 0.15), SADNESS ( r  = 0.15), and ANGER ( r  = 0.11). The effect of SADNESS on addictive behavior is mediated by attachment anxiety ( p  < 0.01) whereas ANGER had a direct effect on addictive behavior ( p  < 0.01). The final SEM explains 4% of the variance of addictive behaviors and 22% of attachment anxiety.
Conclusion: Our findings suggest that both SADNESS and ANGER, along with attachment anxiety, are dispositions that contribute to the risk of engaging in addictive behavior. However, while ANGER directly influences addictive behavior, SADNESS acts through its impact on attachment anxiety.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Fuchshuber, Andres, Prandstätter, Roithmeier, Schmautz, Schwerdtfeger and Unterrainer.)