The Association Between Daily Ptsd Symptom Severity And Alcohol-related Outcomes In Recent Traumatic Injury Victims

Title

The Association Between Daily Ptsd Symptom Severity And Alcohol-related Outcomes In Recent Traumatic Injury Victims

Creator

Hruska B; Pacella M L; George R L; Delahanty D L

Publisher

Psychology of Addictive Behaviors

Date

2017
2017-05

Description

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.

Subject

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

Identifier

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

326-335

Issue

3

Volume

31

Citation

Hruska B; Pacella M L; George R L; Delahanty D L, “The Association Between Daily Ptsd Symptom Severity And Alcohol-related Outcomes In Recent Traumatic Injury Victims,” NEOMED Bibliography Database, accessed July 29, 2021, https://neomed.omeka.net/items/show/10253.

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