Gobin Robyn L, Green Kelly E, Iverson Katherine M
a Department of Psychology , VA San Diego Healthcare System , San Diego , California , USA.
b Department of Psychology , St. Edward's University , Austin , Texas , USA and VA Boston Healthcare System , Boston , Massachusetts , USA.
Subst Use Misuse. 2015;50(14):1765-77. doi: 10.3109/10826084.2015.1037398. Epub 2015 Dec 7.
The correlates of alcohol misuse among female Veterans are not well understood. The present study explored associations among alcohol misuse, demographic/military-related characteristics, interpersonal violence exposure, and posttraumatic stress disorder (PTSD) and depression symptom severity.
Participants were 369 female Veteran patients of the VA New England Healthcare System. Participants completed a paper-and-pencil mail survey that included validated assessments of alcohol misuse, interpersonal violence, and psychological distress.
Younger age, adulthood physical abuse, military sexual trauma, past-year psychological aggression by an intimate partner, and PTSD and depression symptom severity showed significant univariate associations with alcohol misuse (as indicated by unsafe drinking levels, presence or incipience of an alcohol use disorder, intrapersonal alcohol-related concerns, and/or interpersonal alcohol-related concerns). A couple of these associations remained significant when examined in logistic regression models.
Findings suggest that female Veterans who are at risk for alcohol use disorders and/or are experiencing alcohol-related problems may benefit from screening and intervention efforts that take into account interpersonal violence exposures and mental health symptoms on a case-by-case basis. Results also suggest the importance of future research examining correlates and risk factors for substance misuse among female Veterans.
女性退伍军人中酒精滥用的相关因素尚未得到充分了解。本研究探讨了酒精滥用、人口统计学/军事相关特征、人际暴力暴露以及创伤后应激障碍(PTSD)和抑郁症状严重程度之间的关联。
参与者为369名美国退伍军人事务部新英格兰医疗保健系统的女性退伍军人患者。参与者完成了一项纸笔邮寄调查,其中包括对酒精滥用、人际暴力和心理困扰的有效评估。
年龄较小、成年期身体虐待、军事性创伤、过去一年亲密伴侣的心理攻击以及PTSD和抑郁症状严重程度与酒精滥用存在显著的单变量关联(以不安全饮酒水平、酒精使用障碍的存在或初期、与酒精相关的个人问题和/或与酒精相关的人际问题表示)。在逻辑回归模型中进行检验时,其中一些关联仍然显著。
研究结果表明,有酒精使用障碍风险和/或正在经历与酒精相关问题的女性退伍军人可能会从筛查和干预措施中受益,这些措施应逐案考虑人际暴力暴露和心理健康症状。结果还表明未来研究检查女性退伍军人中物质滥用的相关因素和风险因素的重要性。