Patock-Peckham Julie A, Belton Daniel A, D'Ardenne Kimberlee, Tein Jenn-Yun, Bauman Dylan C, Infurna Frank J, Sanabria Federico, Curtis John, Morgan-Lopez Antonio A, McClure Samuel M
Arizona State University, Department of Psychology, Tempe, AZ, 85287, USA.
RTI, USA.
Addict Behav Rep. 2020 Sep 23;12:100304. doi: 10.1016/j.abrep.2020.100304. eCollection 2020 Dec.
Post-Traumatic Stress Disorder (PTSD) develops after experiencing events that evoke fear, helplessness, or horror. The Hyperarousablity Hypothesis suggests that those with PTSD may drink more to dampen physiological reactivity. We examined the direct and indirect relationships between childhood trauma (e.g., physical-neglect, emotional-abuse, physical-abuse, sexual-abuse) versus an emotionally-supportive-family on PTSD, impaired control over drinking (IC), alcohol-use, and alcohol-related-problems. IC reflects consuming more alcohol than one originally intended.
We fit a multiple-group SEM to data on 835 participants. Mediational analyses were conducted by using the (K = 20,000) bootstrap technique with confidence intervals.
Physical-neglect was directly linked to more IC among both genders. Emotional abuse was also found to be directly linked to more PTSD among both genders. Furthermore, PTSD was directly linked to more impaired control over alcohol use (IC) among both genders. Mediational analyses showed that physical-neglect was indirectly linked to more alcohol-related-problems through increased IC. Having an emotionally supportive family was directly linked to fewer PTSD symptoms among women. For both genders, emotional abuse was indirectly linked to more alcohol-related-problems through more PTSD symptoms, impaired control over alcohol use difficulties, and in turn, more alcohol-use. Sexual abuse was indirectly linked to increased alcohol-related- problems through increased PTSD symptoms and more IC, and in turn, more alcohol-use among men.
Recalled childhood trauma (sexual and emotional abuse) may contribute to PTSD symptoms and dysregulated drinking. In conclusion, our data suggest that reducing PTSD symptoms may assist individuals in regaining control over their drinking.
创伤后应激障碍（PTSD）在经历引发恐惧、无助或恐惧的事件后出现。高唤醒假说表明，患有创伤后应激障碍的人可能会更多地饮酒以减轻生理反应。我们研究了童年创伤（如身体忽视、情感虐待、身体虐待、性虐待）与情感支持型家庭对创伤后应激障碍、饮酒失控（IC）、酒精使用及酒精相关问题的直接和间接关系。IC反映饮酒量超过最初预期。
我们对835名参与者的数据进行了多组结构方程模型分析。中介分析采用（K = 20,000）自抽样技术并计算置信区间。
身体忽视与男女双方更多的饮酒失控直接相关。情感虐待也与男女双方更多的创伤后应激障碍直接相关。此外，创伤后应激障碍与男女双方更多的酒精使用失控直接相关。中介分析表明，身体忽视通过饮酒失控增加与更多酒精相关问题间接相关。拥有情感支持型家庭与女性较少的创伤后应激障碍症状直接相关。对男女双方而言，情感虐待通过更多的创伤后应激障碍症状、酒精使用控制困难增加，进而更多的酒精使用与更多酒精相关问题间接相关。性虐待通过增加的创伤后应激障碍症状和更多的饮酒失控，进而男性更多的酒精使用与增加的酒精相关问题间接相关。
回忆起的童年创伤（性虐待和情感虐待）可能导致创伤后应激障碍症状和饮酒失调。总之，我们的数据表明，减轻创伤后应激障碍症状可能有助于个体恢复对饮酒的控制。
