Functional Relationships of Binge Drinking and Alcohol-Related Problems With Posttraumatic Stress Symptoms in a Pilot Sample of Veterans.

IF 2.6 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2025-10-06 DOI:10.1080/15504263.2025.2559168

Angela J Zaur, Christopher Latourrette, Lance M Rappaport, Caitlin Fountain, William C Walker, Tara A Austin, Sarah L Martindale, Ananda B Amstadter, Christina M Sheerin

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引用次数: 0

Abstract

Objective: Posttraumatic stress (PTS) symptoms and problematic alcohol use (e.g., binge drinking and alcohol-related problems; ARP) commonly co-occur following stressors and traumatic events. Ecological momentary assessment methods can clarify the functional relationships between these conditions.

Methods: Twenty-five trauma-exposed combat veterans with pre-pandemic heavy drinking histories completed three daily smartphone surveys for four weeks, assessing binge drinking, ARP, PTS symptoms, and positive and negative affect. Within-person multi-level models assessed PTS and alcohol relationships, covarying for affect and demographics.

Results: Within-person variation in PTS was inversely associated with binge drinking but not associated with ARP after adjustment for interindividual heterogeneity. Within-person variation in ARP was not associated with PTS after adjustment for interindividual heterogeneity. The covariate of negative affect was positively associated with ARP and PTS.

Conclusions: Findings suggest negative affect, rather than PTS, has the strongest association with variation in ARP symptoms in this at-risk sample. There was also evidence of individual differences in the strength and direction of effects.

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退伍军人试点样本中酗酒和酒精相关问题与创伤后应激症状的功能关系

目的：创伤后应激（PTS）症状和问题性酒精使用（例如，酗酒和酒精相关问题；ARP）通常在应激源和创伤性事件后共同发生。生态瞬时评价方法可以明确这些条件之间的功能关系。方法：25名有大流行前重度饮酒史的创伤暴露战斗退伍军人完成了为期四周的每日三次智能手机调查，评估酗酒、ARP、PTS症状以及积极和消极影响。人体内多层次模型评估PTS和酒精的关系，共变的影响和人口统计学。结果：在调整个体间异质性后，PTS的个人变异与酗酒呈负相关，但与ARP无关。在调整个体间异质性后，ARP的个体内变异与PTS无关。负性情绪协变量与ARP和PTS呈正相关。结论：研究结果表明，在这一高危样本中，负面情绪，而不是PTS，与ARP症状的变化有最密切的联系。也有证据表明，影响的强度和方向存在个体差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.