Lifetime trauma endorsement, posttraumatic stress disorder, and alcohol dependence as a function of sexual minority status
| Autor: | Sage McNett, Erin C. Berenz, Hanaan Bing-Canar, Roxann Roberson-Nay, Adam Gonzalez, Rachel M. Ranney, Katherine C. Paltell |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Social Psychology Alcohol Drinking business.industry Alcohol dependence Alcohol use disorder Odds ratio PsycINFO Logistic regression medicine.disease Sexual minority Stress Disorders Post-Traumatic Clinical Psychology Alcoholism Sexual and Gender Minorities mental disorders Epidemiology Medicine Bisexuality Humans Female Lesbian business Clinical psychology |
| Zdroj: | Psychological trauma : theory, research, practice and policy. 14(7) |
| ISSN: | 1942-969X |
| Popis: | OBJECTIVE Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) frequently co-occur, with elevated rates of both disorders in lesbian, gay, or bisexual (LGB) samples. Few studies have compared the strength of PTSD-AUD associations between LGB and heterosexual individuals or evaluated the role of nontraumatic LGB discrimination in these relationships among sexual minorities. METHOD The current study utilized nationally representative epidemiological data (N = 29,646) to (a) examine whether associations between lifetime trauma endorsement/PTSD and lifetime alcohol dependence (AD) differ as a function of sexual minority status and (b) evaluate the role of LGB-specific discrimination in trauma/PTSD and AD associations among LGB individuals. RESULTS Logistic regression analyses showed the association between lifetime trauma endorsement and lifetime AD was significantly greater in magnitude for LGB individuals (odds ratio [OR] = 2.17) compared to heterosexual individuals (OR = 1.32; Z = 2.51, p .05), after controlling for trauma endorsement. Among the LGB subsample, logistic regression analyses did not support a significant main effect for LGB discrimination nor an interaction between trauma endorsement and nontraumatic LGB discrimination, nor between PTSD and nontraumatic LGB discrimination, on lifetime AD (ps > .05). CONCLUSIONS LGB individuals demonstrate stronger associations between lifetime trauma endorsement and AD, relative to heterosexual counterparts; however, this association may not be accounted for or moderated by nontraumatic LGB discrimination. (PsycINFO Database Record (c) 2020 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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