| Autor: |
Danielson CK; Department of Psychiatry & Behavioral Science, Medical University of South Carolina, Charleston, SC 29425, USA., Hahn AM; Department of Psychiatry & Behavioral Science, Medical University of South Carolina, Charleston, SC 29425, USA., Bountress KE; Virginia Institute for Psychiatry and Behavioral Genetics, Richmond, VA, USA., Gilmore AK; Department of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA., Roos L; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA.; EvolveWell Research Partners, Cincinnati, OH, USA., Adams ZW; Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA., Kirby CM; Department of Psychiatry & Behavioral Science, Medical University of South Carolina, Charleston, SC 29425, USA., Amstadter AB; Virginia Institute for Psychiatry and Behavioral Genetics, Richmond, VA, USA. |
| Abstrakt: |
Trauma exposure and alcohol use often co-occur. Unveiling predictors of drinking behavior, including among those with varying levels of trauma exposure, can inform behavioral health prevention and treatment efforts in at-risk populations. The current study examined associations between depressive symptoms, avoidant coping, gender, and alcohol use among emerging adults with and without trauma exposure and posttraumatic stress disorder (PTSD). Participants were 238 emerging adults between the ages of 21 and 30 years ( M = 24.75; SD = 2.61) in one of three groups: trauma-exposed with PTSD ( n = 70); trauma-exposed with no PTSD ( n = 83); or a no trauma (control) group ( n = 85). Demographics, parental alcohol problems, depressive symptoms, and avoidant coping were examined as predictors of drinks per drinking day. Chi-square, t-test, bivariate, and group path analysis were conducted. Among participants, men consumed greater amounts of alcohol than women across all three groups. Group assignment based on trauma history and PTSD significantly moderated the association between avoidant coping and alcohol use such that avoidant coping had a significant effect on alcohol use among participants in the trauma-exposed and PTSD groups. There was also a significant group × gender × avoidant coping interaction such that, among participants in the control group, men had attenuated alcohol use at low levels of avoidant coping and increased at high levels of avoidant coping. No effects of race were observed. Results highlight the importance of avoidant coping as a risk factor for problematic drinking, unveiling a specific intervention target for reducing co-occurring PTSD and problematic alcohol use. |
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