title: Difficulties in emotion regulation are associated with panic symptom severity following a quit attempt among cannabis dependent veterans.
abstract: OBJECTIVE
  Prior research suggests that difficulties in emotion regulation are associated with elevations in panic symptoms. The present study aimed to extend this work by prospectively examining the relation between difficulties in emotion regulation and panic symptoms over the course of a self-guided cannabis cessation attempt.
  
  
  METHODS
  One hundred and four cannabis-dependent military veterans participated in the study. Difficulties in emotion regulation and panic symptoms were assessed at baseline and at each week during a four-week cessation attempt for a total of five time-points.
  
  
  RESULTS
  Fewer difficulties in emotion regulation were associated with a greater reduction in panic symptoms during the self-guided cannabis cessation period. RESULTS remained significant after statistically adjusting for mean substance use (i.e., cannabis, alcohol, and tobacco) during the study period.
  
  
  CONCLUSIONS
  RESULTS are discussed in terms of integrating adaptive emotion regulation skills training into existing evidence-based treatments for cannabis dependence.
authors.affiliation: a Department of Psychiatry and Behavioral Sciences, School of Medicine , Johns Hopkins University , 600 North Wolfe Street, Baltimore , MD 21287 , USA.
authors.forename: Jessica N
authors.initials: JN
authors.lastname: Galang
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Babson
authors.forename: Matthew Tyler
authors.initials: MT
authors.lastname: Boden
authors.forename: Marcel O
authors.initials: MO
authors.lastname: Bonn-Miller
mesh_terms: D002140:California; D015897:Comorbidity; D004644:Emotions; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D010200:Panic; D016584:Panic Disorder / Q000453:epidemiology / Q000523:psychology*; D011446:Prospective Studies; D012720:Severity of Illness Index; D013375:Substance Withdrawal Syndrome / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data
keywords: cannabis; cessation; emotion regulation; marijuana; panic