PTSD symptom clusters in relationship to alcohol misuse among Iraq and Afghanistan war veterans seeking post-deployment VA health care

被引:168
作者
Jakupcak, Matthew [1 ,2 ]
Tull, Matthew T. [3 ]
McDermott, Michael J. [4 ]
Kaysen, Debra [2 ]
Hunt, Stephen
Simpson, Tracy [1 ,2 ]
机构
[1] VA Puget Sound Hlth Care Syst, MIRECC, Seattle, WA 98108 USA
[2] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[3] Univ Mississippi, Med Ctr, Dept Psychiat & Human Behav, Jackson, MS 39216 USA
[4] Univ Mississippi, Dept Psychol, Oxford, MS USA
关键词
Iraq and Afghanistan War Veterans; Alcohol misuse; PTSD; Depression; POSTTRAUMATIC-STRESS-DISORDER; CONFIRMATORY FACTOR-ANALYSIS; DUTY MILITARY PERSONNEL; SUBSTANCE-ABUSE; COMBAT VETERANS; DRINKING; DIMENSIONALITY; SOLDIERS; BEHAVIOR; TRENDS;
D O I
10.1016/j.addbeh.2010.03.023
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Demographic factors, characteristics of military service, PTSD, and depression were examined as predictors of alcohol misuse in Iraq and Afghanistan War Veterans (N = 287) presenting for post-deployment Veteran Affairs (VA) health care. Results indicated that alcohol misuse was more common among younger male Veterans who served in the Army or Marine Corps. Accounting for demographic factors and characteristics of service, Veterans who screened positive for PTSD or depression were two times more likely to report alcohol misuse relative to Veterans who did not screen positive for these disorders. The examination of specific PTSD symptom clusters suggested that emotional numbing symptoms were most strongly associated with alcohol misuse. The implications for interventions for alcohol misuse in returning Veterans are discussed. Published by Elsevier Ltd.
引用
收藏
页码:840 / 843
页数:4
相关论文
共 31 条
[1]   Military culture and drinking Behavior among US navy careerists [J].
Ames, Genevieve M. ;
Cunradi, Carol B. ;
Moore, Roland S. ;
Stern, Pamela .
JOURNAL OF STUDIES ON ALCOHOL AND DRUGS, 2007, 68 (03) :336-344
[2]   Comparison of Immediate-Onset and Delayed-Onset Posttraumatic Stress Disorder in Military Veterans [J].
Andrews, Bernice ;
Brewin, Chris R. ;
Stewart, Lorna ;
Philpott, Rosanna ;
Hejdenberg, Jennie .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2009, 118 (04) :767-777
[3]   Dimensionality of posttraumatic stress symptoms: a confirmatory factor analysis of DSM-IV symptom clusters and other symptom models [J].
Asmundson, GJG ;
Frombach, I ;
McQuaid, J ;
Pedrelli, P ;
Lenox, R ;
Stein, MB .
BEHAVIOUR RESEARCH AND THERAPY, 2000, 38 (02) :203-214
[4]   Drinking and spouse abuse among US Army soldiers [J].
Bell, NS ;
Hanford, T ;
McCarroll, JE ;
Senier, L .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2004, 28 (12) :1890-1897
[5]  
Bray R., 2006, Department of Defense survey of health related behaviors among active duty military personnel
[6]   Substance use trends among active duty military personnel: findings from the United States Department of Defense Health Related Behavior Surveys, 1980-2005 [J].
Bray, Robert M. ;
Hourani, Laurel L. .
ADDICTION, 2007, 102 (07) :1092-1101
[7]  
Bremner JD, 1996, AM J PSYCHIAT, V153, P369
[8]   Taxometric investigation of PTSD: Data from two nationally representative samples [J].
Broman-Fulks, Joshua J. ;
Ruggiero, Kenneth J. ;
Green, Bradley A. ;
Kilpatrick, Dean G. ;
Danielson, Carla Kmett ;
Resnick, Heidi S. ;
Saunders, Benjamin E. .
BEHAVIOR THERAPY, 2006, 37 (04) :364-380
[9]   Hazardous Alcohol Use and Receipt of Risk-Reduction Counseling Among US Veterans of the Wars in Iraq and Afghanistan [J].
Calhoun, Patrick S. ;
Elter, John R. ;
Jones, Everett R., Jr. ;
Kudler, Harold ;
Straits-Troester, Kristy .
JOURNAL OF CLINICAL PSYCHIATRY, 2008, 69 (11) :1686-1693
[10]   DRINKING TO REGULATE POSITIVE AND NEGATIVE EMOTIONS - A MOTIVATIONAL MODEL OF ALCOHOL-USE [J].
COOPER, ML ;
FRONE, MR ;
RUSSELL, M ;
MUDAR, P .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1995, 69 (05) :990-1005