Posttraumatic Stress, Alcohol Use, and Alcohol Use Motives among Non-Hispanic Black/African American College Students: The Role of Emotion Regulation.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2023-01-01 Epub Date: 2022-12-30 DOI:10.1080/15504263.2022.2160037

Shelby J McGrew, Amanda M Raines, Rheeda L Walker, Samuel J Leonard, Anka A Vujanovic

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Abstract

Objective: The associations between posttraumatic stress disorder (PTSD) symptom severity, alcohol use, and alcohol use motives are well-established. Emotion regulation difficulties have been implicated in the association between PTSD symptoms and alcohol use. A dearth of empirical work, however, has examined these associations among Black/African American college students, a population with high prevalence of exposure to potentially traumatic events, PTSD symptomatology, and alcohol-related consequences.

Methods: This study examined PTSD symptoms, emotion regulation difficulties, and alcohol use severity and motives among a sample of Black/African American trauma-exposed college students (N = 282; 77.4% identified as female; M age = 22.36, SD = 4.71).

Results: PTSD symptom severity was related to alcohol use and coping and conformity motives for alcohol use through heightened emotion regulation difficulties. Findings were significant above and beyond the effects of trauma load (i.e., number of potentially traumatic event types experienced).

Conclusions: This study extends past work to an understudied population and contributes to groundwork for culturally informed interventions.

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非西班牙裔黑人/非裔美国大学生的创伤后压力、饮酒和饮酒动机：情绪调节的作用

目的：创伤后应激障碍（PTSD）症状严重程度、饮酒和饮酒动机之间的关系已得到证实。情绪调节困难与创伤后应激障碍症状和饮酒之间的关系有一定的联系。然而，在黑人/非裔美国大学生中研究这些关联的实证工作却十分匮乏，而这一人群暴露于潜在创伤事件、创伤后应激障碍症状和酒精相关后果的发生率很高：本研究调查了受过创伤的黑人/非裔美国大学生样本（样本数=282；77.4%为女性；中位年龄=22.36，标码=4.71）中的创伤后应激障碍症状、情绪调节困难、酒精使用严重程度和动机：结果发现：创伤后应激障碍症状的严重程度与饮酒有关，而饮酒的应对动机和顺应动机则与情绪调节困难有关。研究结果在创伤负荷（即经历过的潜在创伤事件类型的数量）的影响之外还具有重要意义：这项研究将过去的工作扩展到了一个未被充分研究的人群，并为基于文化背景的干预措施奠定了基础。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.