The Role of Emotional Avoidance in the Relation Between Posttraumatic Stress Disorder Symptoms and Alcohol Use and Related Harm Amongst Asian American Adults.

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2026-07-01 Epub Date: 2026-06-11 DOI:10.1080/15504263.2026.2686091

Diana Ho, Dominique N Sheldon, Jewelia J Ferguson, Catherine D Trinh, Ateka A Contractor, Prachi H Bhuptani, Ceren Günsoy, Nicole H Weiss

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引用次数: 0

Abstract

Objective: The aim of the current study was to investigate relations between posttraumatic (PTSD) symptom severity, negative and positive emotional avoidance, and alcohol use and related harm amongst an adult community sample of Asian Americans.

Methods: An adult sample of Asian Americans (N = 105, 67.6% women) participated in a study examining emotional experiences, including negative and positive emotional avoidance, PTSD symptom severity, and alcohol use and related harm, across different racial and ethnic groups.

Results: There was a significant indirect effect of PTSD symptom severity on alcohol use and related harm through the pathway of positive (β = -0.02, 95% CI [-0.10, 0.02]), but not negative emotional avoidance (β = 0.10, 95% CI [0.02, 0.19]).

Conclusions: The current study builds upon emerging evidence for the critical role of positive emotional experiences in the co-occurrence of PTSD and alcohol use and related harm in an underrepresented population of Asian Americans. Findings suggest that amongst Asian Americans, positive emotional avoidance may play a key role in the association between PTSD and alcohol use and related harm. Thus, it may be beneficial to address positive emotional avoidance in interventions aimed at reducing alcohol use and related harm amongst Asian Americans experiencing PTSD symptoms.

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情绪回避在亚裔美国成年人创伤后应激障碍症状与酒精使用及相关伤害关系中的作用

目的：本研究旨在调查亚裔美国成年人创伤后应激障碍（PTSD）症状严重程度、消极和积极情绪回避、酒精使用及相关伤害之间的关系。方法：一个成年亚裔美国人样本（N = 105, 67.6%女性）参与了一项研究，研究了不同种族和族裔群体的情绪体验，包括消极和积极情绪回避、创伤后应激障碍症状严重程度、酒精使用及其相关危害。结果：创伤后应激障碍症状严重程度对酒精使用及其相关危害有显著的间接影响（β = -0.02, 95% CI[-0.10, 0.02]），但不存在负性情绪回避（β = 0.10, 95% CI[0.02, 0.19]）。结论：目前的研究建立在新出现的证据的基础上，积极的情绪体验在未被充分代表的亚裔美国人的PTSD和酒精使用及相关伤害的共同发生中发挥了关键作用。研究结果表明，在亚裔美国人中，积极的情绪回避可能在创伤后应激障碍与酒精使用及相关伤害之间的关联中起着关键作用。因此，在有PTSD症状的亚裔美国人中，在减少酒精使用和相关伤害的干预措施中，解决积极的情绪回避可能是有益的。

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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.