Inhibitory control and alcohol use history predict changes in posttraumatic stress disorder symptoms.

IF 2.6 3区心理学 Q3 NEUROSCIENCES

Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-06-15 DOI:10.1037/neu0000909

Joseph DeGutis, Sam Agnoli, Charles E Gaudet, Anna Stumps, Sahra Kim, Travis C Evans, Audreyana Jagger-Rickels, William Milberg, Regina McGlinchey, Catherine B Fortier, Michael Esterman

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引用次数: 0

Abstract

Objective: Posttraumatic stress disorder (PTSD) is associated with significant disability and can become chronic. Predictors of PTSD symptom changes over time, especially in those with a PTSD diagnosis, remain incompletely characterized.

Method: In the present study, we examined 187 post-9/11 veterans (M_age = 32.8 years, 87% male) diagnosed with PTSD who performed two extensive clinical and cognitive evaluations approximately 2 years apart.

Results: We found that greater PTSD symptom reductions over time were related to lower lifetime drinking history and better baseline inhibitory control ability (Color-Word Inhibition and Inhibition/Switching), though not performance on other executive function tasks. Further, groups with reliably Improved, Worsened, or Chronic PTSD symptoms demonstrated significant differences in baseline inhibitory control and lifetime drinking history, with marked drinking differences starting in the early-to-mid 20s. We also found that PTSD symptom changes showed little-to-no associations with changes in inhibitory control or alcohol consumption.

Conclusions: Together, these findings suggest that, in those diagnosed with PTSD, inhibitory control and alcohol use history reflect relatively stable risk/resiliency factors predictive of PTSD chronicity. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

查看原文本刊更多论文

抑制控制和饮酒史可预测创伤后应激障碍症状的变化。

目的：创伤后应激障碍（PTSD）与严重残疾有关，并可能成为慢性疾病。PTSD症状随时间变化的预测因素，尤其是那些被诊断为PTSD的患者，仍不完全确定。方法：在本研究中，我们检查了187名被诊断为创伤后应激障碍的9/11后退伍军人（Mage=32.8岁，87%为男性），他们相隔约2年进行了两次广泛的临床和认知评估。结果：我们发现，随着时间的推移，PTSD症状的减少程度越大，与较低的终生饮酒史和更好的基线抑制控制能力（颜色词抑制和抑制/切换）有关，但与其他执行功能任务的表现无关。此外，有可靠改善、加重或慢性创伤后应激障碍症状的组在基线抑制控制和终生饮酒史方面表现出显著差异，从20多岁早期到中期开始有显著的饮酒差异。我们还发现，PTSD症状的变化与抑制控制或饮酒的变化几乎没有关联。结论：总之，这些发现表明，在那些被诊断为创伤后应激障碍的患者中，抑制性控制和酒精使用史反映了相对稳定的风险/恢复因素，可以预测创伤后应激功能障碍的慢性性。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

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

Neuropsychology 医学-神经科学

CiteScore

4.10

自引率

4.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.