Posttraumatic Stress Symptoms and Coping Motives Mediate the Association Between Childhood Maltreatment and Alcohol Problems
Autor: | Abby L. Goldstein, Mohammed Al-Hamdani, Sherry H. Stewart, Tristan Park, Christine Wekerle, Kara Thompson, Savanah Smith, Amanda Hudson |
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Rok vydání: | 2018 |
Předmět: |
Male
050103 clinical psychology Coping (psychology) Longitudinal study Adolescent Alcohol Drinking Population Poison control Suicide prevention Stress Disorders Post-Traumatic 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Injury prevention Adaptation Psychological Medicine Humans 0501 psychology and cognitive sciences Child Abuse Young adult education education.field_of_study business.industry 05 social sciences Human factors and ergonomics 030227 psychiatry Psychiatry and Mental health Clinical Psychology Alcoholism Female business Clinical psychology |
Zdroj: | Journal of traumatic stressReferences. 32(6) |
ISSN: | 1573-6598 |
Popis: | Childhood maltreatment is associated with increased risk of alcohol misuse. Posttraumatic stress symptoms (PTSS) and coping motives have both been identified, separately, as mediators of the relation between childhood maltreatment and alcohol misuse but have yet to be examined as serial mediators in a high-risk population. A total of 564 adolescents (53.7% female; M age = 15.9 years, SD = 1.1) in the care of child welfare services completed validated measures of childhood trauma, PTSS, drinking motives, and alcohol misuse across the first two waves (baseline and 6-month follow-up) of the Maltreatment and Adolescent Pathways (MAP) longitudinal study. Childhood maltreatment was associated with elevated PTSS, PTSS predicted higher coping motives, and coping motives were associated with higher levels of alcohol misuse, indirect effect (IE) = 0.03; 95% CI [0.00, 0.07]. Single mediator models with PTSS, IE = 0.03; 95% CI [-0.01, 0.05], and coping motives, IE = -0.02, 95% CI [-0.05, 0.03], as mediators were not statistically significant. The results suggest that PTSS and coping motives contribute sequentially to the association between childhood maltreatment and alcohol misuse and could thus both serve as intervention targets to prevent problem drinking in maltreated youth. |
Databáze: | OpenAIRE |
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