Posttraumatic Stress Disorder Symptom Association With Subsequent Risky and Problem Drinking Initiation
| Autor: | Kara M. Bensley, Arthur V. Peterson, Jonathan B. Bricker, Alyson J. Littman, Anna C Rivera, Edward J Boyko, Emily C. Williams, Richard F. Armenta, Rudolph P. Rull, Isabel G Jacobson, Charles Maynard, Amber D Seelig |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Anger Irritability Article Arousal Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences Risk-Taking 0302 clinical medicine Internal medicine Humans Medicine Pharmacology (medical) Longitudinal Studies 030212 general & internal medicine Young adult Veterans media_common Psychiatric Status Rating Scales Sleep disorder business.industry Middle Aged medicine.disease United States Confidence interval Alcoholism Psychiatry and Mental health Military Personnel Millennium Cohort Study (United States) Relative risk Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Addiction Medicine. 12:353-362 |
| ISSN: | 1935-3227 1932-0620 2001-2012 |
| Popis: | Objectives Posttraumatic stress disorder (PTSD) and unhealthy alcohol use are commonly associated conditions. It is unknown whether specific symptoms of PTSD are associated with subsequent initiation of unhealthy alcohol use. Methods Data from the first 3 enrollment panels (n = 151,567) of the longitudinal Millennium Cohort Study of military personnel were analyzed (2001-2012). Complementary log-log models were fit to estimate whether specific PTSD symptoms and symptom clusters were associated with subsequent initiation of 2 domains of unhealthy alcohol use: risky and problem drinking (experience of 1 or more alcohol-related consequences). Models were adjusted for other PTSD symptoms and demographic, service, and health-related characteristics. Results Eligible study populations included those without risky (n = 31,026) and problem drinking (n = 67,087) at baseline. In adjusted analyses, only 1 PTSD symptom-irritability/anger-was associated with subsequent increased initiation of risky drinking (relative risk [RR] 1.05, 95% confidence interval [CI] 1.00-1.09) at least 3 years later. Two symptom clusters (dysphoric arousal [RR 1.17, 95% CI 1.11-1.23] and emotional numbing [RR 1.30, 95% CI 1.22-1.40]) and 5 symptoms (restricted affect [RR 1.13, 95% CI 1.08-1.19], sense of foreshortened future [RR 1.12, 95% CI 1.06-1.18], exaggerated startle response [RR 1.07, 95% CI 1.01-1.13], sleep disturbance [RR 1.11, 95% CI 1.07-1.15], and irritability/anger [RR 1.12, 95% CI 1.07-1.17]) were associated with subsequent initiation of problem drinking. Conclusions Findings suggest that specific PTSD symptoms and symptom clusters are associated with subsequent initiation of unhealthy alcohol use. |
| Databáze: | OpenAIRE |
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