Zaur Angela J, Bacanu Silviu A, Amstadter Ananda B, Sheerin Christina M
Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA.
Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Mil Psychol. 2025;37(5):410-420. doi: 10.1080/08995605.2024.2387914. Epub 2024 Aug 29.
PTSD and AUD are frequently comorbid post-trauma outcomes. Much remains unknown about shared risk factors as PTSD and AUD work tends to be conducted in isolation. We examined how self-report measures of distress tolerance (DT), experiential avoidance (EA), and drinking motives (DM) differed across diagnostic groups in white, male combat-exposed veterans ( = 77). A MANOVA indicated a significant difference in constructs by group, F (5, 210) = 4.7, = <.001. Follow-up ANOVAs indicated DM subscales (Coping: F (3,82) = 21.3; Social: F (3,82) = 13.1; Enhancement: F (3,82) = 10.4; ps = <.001) and EA (F (3,73) = 7.8, < .001) differed by groups but not DT. Post hoc comparisons indicated that mean scores of the comorbid and AUD-only groups were significantly higher than controls for all DM subscales (all ps < .01). EA scores were significantly higher for the comorbid as compared to control ( < .001) and PTS-only ( = .007) groups. Findings support shared psychological factors in a comorbid PTSD-AUD population.
创伤后应激障碍(PTSD)和酒精使用障碍(AUD)是创伤后常见的共病结局。由于PTSD和AUD的研究往往是独立进行的,关于共同风险因素仍有许多未知之处。我们研究了在77名有战斗经历的白人男性退伍军人中,痛苦耐受性(DT)、经验性回避(EA)和饮酒动机(DM)的自我报告测量在不同诊断组之间的差异。一项多变量方差分析表明,各诊断组在这些构念上存在显著差异,F(5, 210) = 4.7,p <.001。后续的方差分析表明,DM分量表(应对:F(3,82) = 21.3;社交:F(3,82) = 13.1;增强:F(3,82) = 10.4;p值均 <.001)和EA(F(3,73) = 7.8,p <.001)在不同组间存在差异,但DT不存在差异。事后比较表明,共病组和仅患AUD组的所有DM分量表平均得分均显著高于对照组(所有p值 <.01)。与对照组(p <.001)和仅患PTSD组(p =.007)相比,共病组的EA得分显著更高。研究结果支持了PTSD-AUD共病群体中存在共同心理因素。