A cluster-analytic approach to determining drinking motives and personality typologies: Trauma group differences and respective relations to PTSD and problematic alcohol use.

Hawn, Sage E.; Kurtz, Erin D.; Brown, Emily; Brown, Ruth C.; Berenz, Erin C.; McDonald, Scott D.; Pickett, Treven C.; Danielson, Carla Kmett; Amstadter, Ananda B.

doi:10.1037/adb0000382

Cited by 6 publications

(6 citation statements)

References 64 publications

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“… 58 , 59 Drinking motives can also affect the likelihood of alcohol-related consequences. Drinking as a coping mechanism is a key factor in differentiating high-risk and low-risk drinkers 60 , 61 and increases the risk of solitary drinking, which is associated with subsequent substance use disorder symptoms. 62 Drinking as a self-medicating or coping mechanism predicts alcohol misuse in individuals with mental illnesses such as post-traumatic stress disorder and bipolar disorder.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…62 Drinking as a self-medicating or coping mechanism predicts alcohol misuse in individuals with mental illnesses such as post-traumatic stress disorder and bipolar disorder. 60,63 Other motivations for drinking that can increase the risk of consequences include the desire to improve social interactions, to enhance mood, or to conform. 64,65 Although DSM-5 AUD criteria have evolved to better reflect multiple dimensions of a person's relationship with alcohol, those with subthreshold problems are still overlooked.…”

Section: Toward a Framework For Identifying People With Unhealthy Alc...mentioning

confidence: 99%

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Rethinking Unhealthy Alcohol Use in the United States: A Structured Review

Volpicelli¹,

Menzies

2022

Subst�Abuse

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Greater than moderate alcohol use spans a continuum that includes high levels of total alcohol consumed per period (heavy drinking) as well as episodes of intense drinking (binges) and can give rise to alcohol use disorder (AUD) when associated with an inability to control alcohol use despite negative consequences. Although moderate drinking and AUD have standard, operable definitions in the United States (US), a significant “gray area” remains in which an individual may exceed recommended drinking guidelines but does not meet the criteria for AUD (hereafter referred to as unhealthy alcohol use). To address this need, we conducted a structured literature search to evaluate how this gray area is defined and assess its burden within the US. For purposes of this review, we will refer to this gray area as “unhealthy alcohol use.” Although numerous terms are used to describe various unsafe drinking practices, our review did not find any studies in which the specific prevalence and/or burden of unhealthy alcohol use was evaluated. That is, we found no studies that focus exclusively on individuals who exceed moderate drinking guidelines but do not meet AUD criteria. Furthermore, we did not discover an established framework for identifying individuals with unhealthy alcohol use. The lack of a consistent framework for identifying unhealthy alcohol users has significant implications for patient management and disease burden assessment. Therefore, we propose the following framework in which unhealthy alcohol use comprises 2 distinct subpopulations: those at risk of experiencing alcohol-related consequences and those who have subthreshold problems associated with use. The former, termed “risky drinkers,” are defined by exceeding recommended guidelines for moderate drinking (⩽1 or 2 drinks per day for women and men, respectively). People with subthreshold problems associated with use, defined as exhibiting exactly 1 AUD symptom, would be classified as “problematic drinkers” within this proposed framework. These definitions would help bring the core elements of unhealthy alcohol use into focus, which in turn would help identify and provide management strategies sooner to those affected and reduce the overall burden of unhealthy alcohol use.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Toward a Framework For Identifying People With Unhealthy Alc...mentioning

confidence: 99%

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Rethinking Unhealthy Alcohol Use in the United States: A Structured Review

Volpicelli¹,

Menzies

2022

Subst�Abuse

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“…Both studies utilized a clinical laboratory study paradigm of stress exposure to examine stress-induced drinking and assessed constructs relevant to understanding stress-induced drinking. Further details regarding methods in the overarching studies can be found elsewhere (Danielson et al, 2021; Hawn et al, 2018). Briefly, following a verbal informed consent, all participants completed a phone screen to determine initial eligibility for study inclusion.…”

Section: Methodsmentioning

confidence: 99%

“…To date, only one study has examined drinking motives from a person-centered approach within the context of trauma. Hawn et al (2018) used a cluster-analytic approach in a sample of combat veterans and identified four unique typologies, all of which differed significantly according to PTSD symptom severity and alcohol use. These findings suggest the examination of classes of drinking motives from a person-centered analytic approach is important for understanding the relation between patterns of motives and alcohol-related consequences in different populations, particularly within the context of trauma.…”

mentioning

confidence: 99%

Latent profiles of drinking motives among trauma-exposed combat veterans and civilians: A comparative investigation.

Jackson,

Bountress,

Hahn

et al. 2024

Traumatology

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Trauma exposure and drinking motives (e.g., social, enhancement, coping) are both associated with increased alcohol use and related problems. Studies have frequently investigated this relationship by examining drinking motives, such as drinking to cope with negative affect, in isolation, yet few studies have examined motives simultaneously in trauma-exposed populations. It is also unclear whether the relationship between drinking motives and alcohol use outcomes differs as a function of population characteristics (e.g., gender, trauma type). Using latent profile analysis, we aimed to (a) identify latent profiles characterized by drinking motives, assessed with the Drinking Motives Questionnaire (DMQ), in two samples: primarily male veterans with combat trauma (N = 174) and civilians with interpersonal trauma (N = 152), and (b) determine whether associations with alcohol use outcomes of consumption and binge drinking (BD) would differ by sample. A three-class solution was replicated across both samples: profiles characterized by moderate Social scores and low Enhancement and Coping scores (low ENH/COP), moderate scores across all domains (medium DMQ), and elevated scores across all domains (high DMQ). In both samples, profile membership was differentially associated with consumption and BD. Findings suggest patterns of drinking motives may be similar across different trauma-exposed populations, but associations with alcohol outcomes likely differ in meaningful ways. Results can help inform targeted interventions at different treatment settings, such as community health centers or VA hospitals.

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