Co-Occurring Posttraumatic Stress Disorder Symptoms and Alcohol Use Behaviors: The Mediating Role of Drinking to Cope with PTSD Symptoms.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2023-10-01 Epub Date: 2023-11-01 DOI:10.1080/15504263.2023.2260326

Mara L Ferrie, Abby Lheureux, Anka A Vujanovic, Michael J Zvolensky, Amanda M Raines

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Abstract

Objective: Posttraumatic stress disorder (PTSD) symptoms and hazardous drinking often co-occur. One widely acknowledged explanation for this co-occurrence is the self-medication hypothesis. However, only one study to date has explicitly examined the extent to which drinking to cope with trauma-related symptoms, rather than drinking to cope with negative affect more broadly, accounts for this association.

Method: Survey data were collected from a nationally representative sample of adults (n = 360; 48.9% female, Mage = 38.50 years, SD = 10.23).

Results: Results revealed a significant indirect effect of PTSD symptom severity on alcohol use frequency and alcohol use-related problems via drinking to cope with PTSD symptoms but not alcohol use quantity or binge drinking frequency. Drinking to cope with negative affect did not indirectly mediate the relations between PTSD symptom severity and any of the alcohol use-related outcomes.

Conclusions: Findings will be discussed with regard to previous and future research.

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创伤后应激障碍症状和饮酒行为的共同发生：饮酒对PTSD症状的调节作用。

目的：创伤后应激障碍（PTSD）症状和危险饮酒经常同时发生。对这种共现现象的一个公认的解释是自我用药假说。然而，迄今为止，只有一项研究明确检查了饮酒以应对创伤相关症状，而不是更广泛地饮酒以应对负面影响，在多大程度上解释了这种关联。方法：从具有全国代表性的成人样本中收集调查数据（n = 360；48.9%女性，法师=38.50 年，SD = 10.23）。结果：结果显示，PTSD症状严重程度通过饮酒来应对PTSD症状，而不是饮酒量或酗酒频率，对饮酒频率和饮酒相关问题有显著的间接影响。为应对负面影响而饮酒并没有间接调节创伤后应激障碍症状严重程度与任何饮酒相关结果之间的关系。结论：研究结果将结合以往和未来的研究进行讨论。

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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.