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创伤后应激障碍症状与睡眠障碍在大学生饮酒应对动机方面的潜在特征。

Latent profiles of posttraumatic stress disorder symptoms and sleep disturbances in relation to drinking to cope motives among college students.

机构信息

University of North Texas, Department of Psychology, USA.

University of North Texas, Department of Psychology, USA.

出版信息

J Psychiatr Res. 2023 Nov;167:37-45. doi: 10.1016/j.jpsychires.2023.10.006. Epub 2023 Oct 6.

DOI:10.1016/j.jpsychires.2023.10.006
PMID:37832202
Abstract

BACKGROUND

Posttraumatic stress disorder (PTSD), sleep disturbances, and problematic alcohol use are frequently comorbid. Research shows that individuals with more PTSD symptom severity and poorer sleep are highly susceptible to drinking alcohol to cope with negative affect. The current study examined the number and nature of different subgroups of trauma-exposed college students based on endorsed PTSD symptoms and sleep disturbances; and how such subgroups relate to drinking to cope motives.

METHOD

The sample included 474 trauma-exposed college students (M = 20.69 years; 75.50% female) who completed self-report surveys.

RESULTS

Latent profile analyses revealed three subgroups: High PTSD-Sleep Disturbances (n = 71), Moderate PTSD-Sleep Disturbances (n = 135), and Low PTSD-Sleep Disturbances (n = 268). Results indicated that college students in the Low PTSD-Sleep Disturbances group endorsed the lowest amount of coping-related drinking motives; however, college students in the Moderate PTSD-Sleep Disturbances group did not endorse significantly different levels of coping-related drinking motives than college students in the High PTSD-Sleep Disturbances group.

CONCLUSIONS

College students with subclinical presentations of psychopathology are at risk for endorsing risky drinking motives. As they adjust to a stressful environment with a culture of heavy drinking, providing context-relevant intervention efforts such as adaptive coping strategies, relaxation skills designed to facilitate restful sleep, and trauma-informed care may be highly beneficial for college students.

摘要

背景

创伤后应激障碍(PTSD)、睡眠障碍和酒精使用问题经常同时存在。研究表明,PTSD 症状严重和睡眠质量差的个体更容易通过饮酒来应对负面情绪。本研究根据 PTSD 症状和睡眠障碍,对经历过创伤的大学生进行分组,以考察不同亚组的数量和特征;以及这些亚组与饮酒应对动机的关系。

方法

样本包括 474 名经历过创伤的大学生(M=20.69 岁;75.50%为女性),他们完成了自我报告调查。

结果

潜在剖面分析显示有三个亚组:高 PTSD-睡眠障碍组(n=71)、中 PTSD-睡眠障碍组(n=135)和低 PTSD-睡眠障碍组(n=268)。结果表明,低 PTSD-睡眠障碍组的大学生报告的与应对相关的饮酒动机最少;然而,中 PTSD-睡眠障碍组的大学生与高 PTSD-睡眠障碍组的大学生相比,并没有表现出明显不同水平的与应对相关的饮酒动机。

结论

有亚临床精神病理学表现的大学生有出现危险饮酒动机的风险。由于他们需要适应充满压力且饮酒文化盛行的环境,提供相关的干预措施,如适应性应对策略、促进睡眠的放松技巧和创伤知情护理,可能对大学生非常有益。

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