| Autor: |
Kaufman CC; Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts, USA.; Spirituality and Mental Health Program, McLean Hospital, Belmont, Massachusetts, USA., McHugh RK; Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts, USA.; McLean Hospital Stress, Anxiety, and Substance Use Laboratory, Belmont, Massachusetts, USA., Drury M; Spirituality and Mental Health Program, McLean Hospital, Belmont, Massachusetts, USA., Merrill JG; Department of Geriatrics, McLean Hospital, Belmont, Massachusetts, USA., Rosmarin DH; Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts, USA.; Spirituality and Mental Health Program, McLean Hospital, Belmont, Massachusetts, USA. |
| Abstrakt: |
Objective: To examine the co-occurrence of alcohol misuse and posttraumatic stress disorder (PTSD) and potential sources of coping (e.g., spirituality/religion) and clinically relevant variables among first responders (e.g., firefighters, law enforcement corrections officers, paramedics). Method: We assessed rates of independent and co-occurring alcohol misuse and PTSD among a national online sample of 320 first responders as well as the prevalence and salience of S/R, guilt, shame, moral injury, aspects of S/R, and treatment interest. Results: In our sample, 46.88% ( n = 150) met criteria for comorbid alcohol misuse and probable PTSD and individuals with these comorbid conditions reported significantly greater negative religious coping, moral injury, and shame than all other diagnostic groups (i.e., independent alcohol misuse, independent PTSD, and neither). Correlations also revealed significant relationships between alcohol misuse and PTSD symptomatology with positive and negative religious coping, moral injury, shame, guilt, interest in treatment, and interest in spiritually integrated treatment. Conclusions: Findings highlight the high rates of independent and co-occurring alcohol misuse and PTSD among first responders as well as the salience of S/R in this population. |
