Danielson Carla Kmett, Hahn Austin M, Bountress Kaitlin E, Gilmore Amanda K, Roos Lydia, Adams Zachary W, Kirby Charli M, Amstadter Ananda B
Department of Psychiatry & Behavioral Science, Medical University of South Carolina, Charleston, SC 29425, USA.
Virginia Institute for Psychiatry and Behavioral Genetics, Richmond, VA, USA.
Curr Psychol. 2024 Aug;43(29):24518-24526. doi: 10.1007/s12144-024-06150-x. Epub 2024 Jun 1.
Trauma exposure and alcohol use often co-occur. Unveiling predictors of drinking behavior, including among those with varying levels of trauma exposure, can inform behavioral health prevention and treatment efforts in at-risk populations. The current study examined associations between depressive symptoms, avoidant coping, gender, and alcohol use among emerging adults with and without trauma exposure and posttraumatic stress disorder (PTSD). Participants were 238 emerging adults between the ages of 21 and 30 years ( = 24.75; = 2.61) in one of three groups: trauma-exposed with PTSD ( = 70); trauma-exposed with no PTSD ( = 83); or a no trauma (control) group ( = 85). Demographics, parental alcohol problems, depressive symptoms, and avoidant coping were examined as predictors of drinks per drinking day. Chi-square, t-test, bivariate, and group path analysis were conducted. Among participants, men consumed greater amounts of alcohol than women across all three groups. Group assignment based on trauma history and PTSD significantly moderated the association between avoidant coping and alcohol use such that avoidant coping had a significant effect on alcohol use among participants in the trauma-exposed and PTSD groups. There was also a significant group × gender × avoidant coping interaction such that, among participants in the control group, men had attenuated alcohol use at low levels of avoidant coping and increased at high levels of avoidant coping. No effects of race were observed. Results highlight the importance of avoidant coping as a risk factor for problematic drinking, unveiling a specific intervention target for reducing co-occurring PTSD and problematic alcohol use.
创伤暴露和饮酒行为常常同时出现。揭示饮酒行为的预测因素，包括在不同创伤暴露水平的人群中，可为高危人群的行为健康预防和治疗工作提供信息。本研究调查了有或无创伤暴露及创伤后应激障碍（PTSD）的新兴成年人中，抑郁症状、回避型应对方式、性别与饮酒行为之间的关联。参与者为238名年龄在21至30岁之间的新兴成年人（平均年龄 = 24.75岁；标准差 = 2.61岁），分为三组：患有PTSD的创伤暴露组（n = 70）；无PTSD的创伤暴露组（n = 83）；或无创伤（对照组）组（n = 85）。研究将人口统计学特征、父母的酒精问题、抑郁症状和回避型应对方式作为每日饮酒量的预测因素进行了考察。进行了卡方检验、t检验、双变量分析和组路径分析。在所有三组参与者中，男性饮酒量均多于女性。基于创伤史和PTSD的分组显著调节了回避型应对方式与饮酒行为之间的关联，使得回避型应对方式对创伤暴露和PTSD组参与者的饮酒行为有显著影响。此外，还存在显著的组×性别×回避型应对方式的交互作用，即在对照组参与者中，男性在低水平回避型应对时饮酒量减少，在高水平回避型应对时饮酒量增加。未观察到种族的影响。研究结果凸显了回避型应对方式作为问题饮酒风险因素的重要性，揭示了一个减少PTSD与问题饮酒共现的具体干预靶点。
