临床和咨询心理学博士生创伤后应激障碍和药物使用障碍的风险因素。

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Quyen Q Tiet, Jordan Brooks, Cyrano Patton
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引用次数: 0

摘要

研究目的本研究调查了心理学博士生中可能存在的酒精使用障碍(AUD)、药物使用障碍(DUD)和创伤后应激障碍(PTSD)的患病率。此外,该研究还探讨了风险因素(终生创伤、近期压力经历、COVID-19 相关压力、一般压力、经济压力)与 AUD、DUD 和 PTSD 之间的独特关系,同时考虑了人口统计学因素:样本包括889名临床和咨询心理学博士生,分别使用《精神疾病诊断与统计手册》(第5版)中的酒精使用障碍鉴定测试、药物使用筛查和创伤后应激障碍初级护理筛查来测量当前可能的AUD、DUD和创伤后应激障碍:结果:约 43.8%的人可能患有 AUD,23.2%的人可能患有 DUD,14.7%的人可能患有创伤后应激障碍。单变量分析结果表明,黑人、土著人、有色人种、女同性恋、男同性恋、双性恋、同性恋者和其他(LGBQ+)人群以及女学生的风险呈上升趋势。多变量逻辑回归分析的结果显示,终生创伤和 COVID-19 相关压力的增加与创伤后应激障碍的调整后几率升高有关。在 COVID-19 相关压力水平升高的人群中,以及在年轻人、女性和非西班牙裔白人中,观察到可能患有 AUD 的调整后几率更高。LGBQ+人群和无宗教信仰人群的调整后DUD概率更高:这些研究结果表明,在这一人群中,AUD、DUD 和创伤后应激障碍的发病率令人震惊,引起了人们的关注。女性、黑人、原住民、有色人种以及 LGBQ+ 人士面临着更高的创伤后应激障碍、AUD 和 DUD 风险,强调了心理学博士生和边缘化群体对心理健康护理的迫切需求。(PsycInfo Database Record (c) 2024 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。
Risk factors of PTSD and substance use disorders in clinical and counseling psychology doctoral students.

Objective: This study investigated the prevalence of probable alcohol use disorder (AUD), drug use disorders (DUDs), and posttraumatic stress disorder (PTSD) among psychology doctoral students. Additionally, it explored the unique relationships between risk factors (lifetime trauma, recent stressful experiences, COVID-19-related stress, general stress, financial stress) and AUD, DUD, and PTSD while accounting for demographic factors.

Method: The sample included 889 clinical and counseling psychology doctoral students, and the Alcohol Use Disorders Identification Test, Screen of Drug Use, and Primary Care PTSD Screen for Diagnostic and Statistical Manual of Mental Disorders (5th ed.) were used to measure current probable AUD, DUD, and PTSD, respectively.

Results: Approximately 43.8% had probable AUD, 23.2% had probable DUD, and 14.7% had probable PTSD. The univariate analysis results indicated a pattern of elevated risk among Black, Indigenous, and people of color, lesbian, gay, bisexual, queer, and other (LGBQ+) individuals, and women students. The results of the multivariate logistic regression analyses revealed that increased lifetime trauma and COVID-19-related stress were associated with higher adjusted odds of probable PTSD. Higher adjusted odds of probable AUD were observed among individuals experiencing elevated levels of COVID-19-related stress and among younger, women, and non-Hispanic White individuals. LGBQ+ individuals and those with no religious affiliation were found to have higher adjusted odds of probable DUD.

Conclusions: These findings underscore the alarming prevalence of AUD, DUD, and PTSD in this population, raising concerns that warrant attention. Women; Black, Indigenous, and people of color; and LGBQ+ individuals face heightened risks of PTSD, AUD, and DUD, emphasizing the urgent need for mental health care for psychology doctoral students and marginalized groups. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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