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Text
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URL Address
<a href="http://doi.org/10.1037/adb0000262" target="_blank" rel="noreferrer noopener">http://doi.org/10.1037/adb0000262</a>
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Pages
326-335
Issue
3
Volume
31
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Title
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The Association Between Daily Ptsd Symptom Severity And Alcohol-related Outcomes In Recent Traumatic Injury Victims
Publisher
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Psychology of Addictive Behaviors
Date
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2017
2017-05
Subject
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alcohol; college-students; combat veterans; dependence; drinking; experience sampling; functional outcomes; hospitalization; interventions; posttraumatic stress disorder (PTSD); posttraumatic stress disorder (PTSD); prolonged exposure; Psychology; Substance Abuse; traumatic injury; us
Creator
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Hruska B; Pacella M L; George R L; Delahanty D L
Description
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The self-medication hypothesis proposes that individuals experiencing posttraumatic stress disorder (PTSD) symptoms may use alcohol (or other substances) to self-medicate distress, while the mutual maintenance hypothesis proposes that alcohol use also exacerbates or maintains distress. Existing research largely supports the self-medication hypothesis. However, findings are often based upon retrospective reporting of problems and assessment of symptoms anchored to a trauma occurring in the remote past. To improve on these retrospective designs, the current study examined the relationship between daily PTSD symptom severity and alcohol-related outcomes during the early phase of recovery following a traumatic physical injury. Specifically, 36 injury victims reported on PTSD symptom severity, alcohol craving, alcohol consumption, and negative drinking consequences thrice daily (morning, afternoon, night) over 7 days beginning 6 weeks postinjury. Results indicated relationships between PTSD symptom severity and alcohol craving/negative consequences when these experiences were assessed concurrently within the same signal (particularly during the nighttime assessments). Prospective models found that nighttime PTSD symptom severity was related to negative drinking consequences occurring the following morning, even after controlling for consumption level, suggesting a more general behavioral regulation problem. Results were less supportive of the mutual maintenance hypothesis. Collectively, these results suggest that health interventions targeting PTSD symptom severity in recent injury victims-particularly when delivered at night-may be able to prevent problematic alcohol use.
Identifier
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<a href="http://doi.org/10.1037/adb0000262" target="_blank" rel="noreferrer noopener">10.1037/adb0000262</a>
Format
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Journal Article or Conference Abstract Publication
2017
Alcohol
college-students
combat veterans
Delahanty D L
dependence
drinking
experience sampling
functional outcomes
George R L
Hospitalization
Hruska B
interventions
Journal Article or Conference Abstract Publication
Pacella M L
posttraumatic stress disorder (PTSD)
Prolonged exposure
Psychology
Psychology of Addictive Behaviors
Substance Abuse
traumatic injury
us