Characteristics and drinking patterns of veterans with alcohol dependence with and without post-traumatic stress disorder

Fuehrlein, Brian; Ralevski, Elizabeth; O’Brien, Erin M.; Jane, J. Serrita; Arias, Albert J.; Petrakis, Ismene L.

doi:10.1016/j.addbeh.2013.08.026

Cited by 21 publications

(25 citation statements)

References 25 publications

(25 reference statements)

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“…Because participants in the intervention condition reported significantly greater decreases in alcohol use outcomes than those in the control condition (Pedersen, Parast, et al, 2017), intervention condition was included as a covariate in all analyses. Analyses also controlled for gender, age, combat severity, PTSD, and depression, all of which have been associated with alcohol use in military and veteran samples (Bray, 2013; Fuehrlein et al, 2014; Scott et al, 2013; Williams et al, 2015). Primary outcome analyses were conducted using hierarchical regression.…”

Section: Methodsmentioning

confidence: 99%

“…Consistent with research among college students (Kenney et al, 2012; Miller, DiBello, et al, 2016), we hypothesized that insomnia would moderate the association between alcohol use and consequences, such that drinking quantity would be associated with more alcohol-related consequences in the context of insomnia. To isolate the contribution of insomnia to alcohol use outcomes, we controlled for symptoms of depression and PTSD, which have been associated with alcohol use in this population (Fuehrlein et al, 2014; Williams et al, 2015). Results of this study are expected to inform intervention efforts for young adult veterans by identifying behavioral patterns that increase risk of alcohol problems.…”

Section: Introductionmentioning

confidence: 99%

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Insomnia moderates the association between alcohol use and consequences among young adult veterans

Miller

DiBello

Carey

et al. 2017

Addictive Behaviors

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Objective Symptoms of insomnia and heavy alcohol use tend to co-occur among military and veteran samples. The current study examined insomnia as a moderator of the association between alcohol use and related consequences among young adult veterans in an effort to extend and replicate findings observed in samples of civilian young adults. Method Young adult veterans (N = 622; 83% male; age M = 29.0, SD = 3.4) reporting alcohol use in the past year completed measures of insomnia severity, alcohol use, and alcohol-related consequences as part of a larger intervention trial. Participants were classified as screening ‘positive’ (n = 383, 62%) or ‘negative’ (n = 239, 38%) for insomnia using the Insomnia Severity Index. Hierarchical regression was used to examine the interaction between drinking quantity and insomnia on alcohol-related consequences. Predictor and outcome variables were measured concurrently. Results Both a greater number of drinks per week and a positive insomnia screen were associated with more alcohol-related consequences. Drinks per week and insomnia screen interacted to predict alcohol-related consequences, such that the effect of drinking on alcohol-related consequences was stronger in the context of a positive versus negative insomnia screen. Conclusion Drinking is associated with more alcohol-related consequences in the presence of clinically significant insomnia symptoms. These findings replicate those documented in civilian young adults and indicate that insomnia may be an appropriate target for alcohol prevention and intervention efforts among young adult veterans.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Insomnia moderates the association between alcohol use and consequences among young adult veterans

Miller

DiBello

Carey

et al. 2017

Addictive Behaviors

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“…A particular area of concern is how they will perform in the setting of mental health disorders, such as posttraumatic stress disorder (PTSD), that are common among patients with problematic alcohol use and can lead to particularly poor clinical outcomes 23–26 . Problematic alcohol use, defined as consuming 5 or more drinks for men (or 4 or more drinks for women) on any occasion in the past year 27, 28 , is a significant area of concern for veterans.…”

Section: Introductionmentioning

confidence: 99%

Association of Alcohol Use Biomarkers and Cognitive Performance in Veterans With Problematic Alcohol Use and Posttraumatic Stress Disorder: Data From the Mind Your Heart Study

Kalapatapu

Neylan

Regan

et al. 2014

Journal of Addictive Diseases

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We conducted a study of alcohol use biomarkers and cognitive performance among 85 veterans with problematic alcohol use and posttraumatic stress disorder (PTSD). All analyses were adjusted for demographics, depression, anxiety, and PTSD symptoms. Elevated levels of aspartate aminotransferase (AST) were associated with worse performance on the Trail Making Test Part A and Hopkins Verbal Learning Test. Two other biomarkers were not associated with any neurocognitive measures. Indirect alcohol use biomarkers (e.g., AST) may have a specific role in identifying those veterans with problematic alcohol use and PTSD who show a change in psychomotor speed and immediate verbal memory performance.

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“…These results may help to shed light on the prior research indicating that treatment-seeking individuals with comorbid PTSD and AUD, compared to those with AUD only, report greater alcohol dependence severity despite comparable or lower levels of consumption (Fuehrlein et al, 2014; Petrakis et al, 2006). In the present study, the weaker association between consumption and alcohol-related problems among those with higher levels of PTSD may be due in part to the bidirectional relationship between PTSD and negative coping strategies (Read, Griffin, Wardell, & Ouimette, 2014), suggesting that those with higher levels of PTSD may engage in negative coping strategies that lead to negative alcohol-related experiences regardless of quantity of alcohol consumed.…”

Section: Discussionmentioning

confidence: 71%

Daily associations between PTSD, drinking, and self-appraised alcohol-related problems.

Wilson¹,

Krenek²,

Dennis³

et al. 2017

Psychology of Addictive Behaviors

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Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are highly comorbid, yet limited research has focused on PTSD and daily drinking as they relate to self-appraised alcohol-related problems. In treatment contexts, patients’ appraisals of alcohol-related problems have implications for assessment, intervention strategies, and prognosis. This study investigated the moderating effect of within-person (daily symptoms) and between-person (overall severity) differences in PTSD on the association between daily drinking and same-day alcohol-related problems. Participants with comorbid AD and PTSD (N = 86) completed one week of Interactive Voice Recognition data collection, and logistic and gamma-adjusted multilevel models were used to estimate odds and magnitude of self-appraised alcohol-related problems. Results revealed that both within-person and between-person PTSD moderated the association between number of drinks and severity of self-appraised problems. As within-person and between-person PTSD symptoms increased, there was a weaker association between number of drinks consumed and perceived alcohol-related problems. Contrasts further revealed that on non-drinking and light-drinking days, PTSD (both daily symptoms and overall severity) was positively associated with ratings of alcohol-related problems. However, PTSD was not associated with alcohol-related problems on heavier drinking days. In conclusion, more severe PTSD is associated with a less directly contingent relationship between drinking quantity and perceived alcohol-related problems. These findings suggest the importance of further investigations of this moderating effect as well as clinical treatment of comorbid AD and severe PTSD with functional analysis of drinking.

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Characteristics and drinking patterns of veterans with alcohol dependence with and without post-traumatic stress disorder

Cited by 21 publications

References 25 publications

Insomnia moderates the association between alcohol use and consequences among young adult veterans

Insomnia moderates the association between alcohol use and consequences among young adult veterans

Association of Alcohol Use Biomarkers and Cognitive Performance in Veterans With Problematic Alcohol Use and Posttraumatic Stress Disorder: Data From the Mind Your Heart Study

Daily associations between PTSD, drinking, and self-appraised alcohol-related problems.

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