Barden Eileen P, Mattson Richard E, Mastroleo Nadine, Balderrama-Durbin Christina
Behavioral Science Division, National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA.
Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
J Trauma Stress. 2024 Dec;37(6):890-900. doi: 10.1002/jts.23057. Epub 2024 May 27.
Individuals with posttraumatic stress symptoms (PTSS) often consume alcohol to manage PTSS-related discomfort, which can negatively impact individual and interpersonal functioning. Processes including emotion regulation and dyadic coping may influence the effects of PTSS and drinking patterns on relationship functioning. The present study examined how PTSS and risky drinking may function through the associations between maladaptive individual and interpersonal coping strategies and relationship distress among trauma-exposed individuals. Participants were 237 adults in a romantic relationship who endorsed lifetime trauma exposure and alcohol consumption within the past year and completed an online battery of self-report measures. Path analyses showed mixed support for the hypothesized theoretical causal model. PTSS was associated with maladaptive emotion regulation, β = .537, p = .010, and negative dyadic coping, β = .264, p = .009, whereas risky drinking was only related to negative dyadic coping, β = .193, p = .024. Negative dyadic coping was significant in the pathways between PTSS and relationship distress, β = .021, p = .009, and risky drinking and relationship distress, β = .030, p = .014. Exploratory analyses based on trauma type did not significantly change the overall model; however, a direct path suggested PTSS may have a stronger negative impact on relationship distress among individuals who experienced assault trauma (e.g., physical or sexual assault), β = .340, p = .012. Findings highlight the interrelations among intra- and interpersonal regulation and provide clinical targets of maladaptive emotion regulation and dyadic coping strategies for individuals with PTSS and harmful drinking.
患有创伤后应激症状（PTSS）的个体常常通过饮酒来缓解与PTSS相关的不适，这可能会对个体及人际关系功能产生负面影响。包括情绪调节和二元应对等过程，可能会影响PTSS及饮酒模式对关系功能的作用。本研究探讨了PTSS和危险饮酒如何通过适应不良的个体及人际应对策略与受创伤个体的关系困扰之间的关联发挥作用。研究参与者为237名处于恋爱关系中的成年人，他们认可自己有过终生创伤经历且在过去一年中饮酒，并完成了一系列在线自我报告测量。路径分析对假设的理论因果模型提供了部分支持。PTSS与适应不良的情绪调节相关，β = 0.537，p = 0.010，以及消极二元应对相关，β = 0.264，p = 0.009，而危险饮酒仅与消极二元应对相关，β = 0.193，p = 0.024。消极二元应对在PTSS与关系困扰之间的路径中具有显著影响，β = 0.021，p = 0.009，以及在危险饮酒与关系困扰之间的路径中也具有显著影响，β = 0.030，p = 0.014。基于创伤类型的探索性分析并未显著改变整体模型；然而，一条直接路径表明，PTSS可能对经历过攻击创伤（如身体或性侵犯）的个体的关系困扰有更强的负面影响，β = 0.340，p = 0.012。研究结果突出了个体内和人际调节之间的相互关系，并为患有PTSS和有害饮酒的个体提供了适应不良情绪调节和二元应对策略的临床干预靶点。
