Posttraumatic stress disorder symptoms, relationship quality, and risky alcohol use among trauma-exposed students

Paltell, Katherine C.; Smith, Rebecca L.; Kansky, Jessica; Cox, Chelsea; Amstadter, Ananda B.; Dick, Danielle M.; Salvatore, Jessica E.; Berenz, Erin C.

doi:10.1016/j.addbeh.2019.106216

Cited by 13 publications

(6 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study results are consistent with previous research showing significant associations between PTSD symptom severity and posttraumatic cognitions (Banerjee et al., 2018; Blayney et al., 2016) as well as between PTSD symptom severity and alcohol outcomes (Gong et al., 2019; Paltell et al., 2020). We did not observe a significant association between alcohol quantity and posttraumatic cognitions with respect to total posttraumatic cognitions (i.e., PTCI total score) or any of the three specific cognition types (i.e., PTCI Self, PTCI World, or PTCI Self‐Blame subscale scores).…”

Section: Discussionsupporting

confidence: 92%

Posttraumatic cognitions and sexual assault: Understanding the role of cognition type in posttraumatic stress symptoms and problematic alcohol use

Lehinger

Bedard‐Gilligan

Holloway

et al. 2022

Journal of Traumatic Stress

View full text Add to dashboard Cite

Identifying potential mechanisms underlying the association between posttraumatic stress symptoms (PTSS) and problematic alcohol use is an important target among college women who have experienced sexual assault. This study examined the role of posttraumatic cognitions in this association among college women (N = 530) who experienced either an alcohol‐involved assault or non–alcohol‐involved assault, using baseline assessment data from a larger study examining cognitive and emotional risk factors for problem drinking. Conditional path analysis was used to examine the indirect effects of posttraumatic cognitions on the association between PTSS and alcohol use consequences, with assault type as a moderator. The findings revealed a significant indirect path from PTSS to alcohol use consequences through posttraumatic cognitions, B = 0.21, SE = 0.04, p < .001, 95% CI [0.13, 0.29], β = .16, R2 = .32. Exploratory analyses revealed a significant conditional indirect effect through self‐blame cognitions, R2 = .31, whereby the indirect effect of self‐blame on the association between posttraumatic stress and alcohol consequences was present among participants who experienced alcohol‐involved assault, B = 0.10, SE = 0.03, p < .001, 95% CI [0.06, 0.16], β = .07, but not among those who experienced a non–alcohol‐involved assault, B = 0.03, SE = 0.03, p = 0.32, 95% CI [−0.02, 0.08], β = .02. Posttraumatic cognitions are a potential mechanism underlying the link between posttraumatic stress and alcohol consequences. Addressing posttraumatic cognitions, particularly those related to self‐blame, may be an important target for interventions promoting healthy recovery following alcohol‐involved assault.

show abstract

Section: Discussionsupporting

confidence: 92%

Posttraumatic cognitions and sexual assault: Understanding the role of cognition type in posttraumatic stress symptoms and problematic alcohol use

Lehinger

Bedard‐Gilligan

Holloway

et al. 2022

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…Chronic stress, which is likely to occur with prolonged disruption related to the COVID-19 pandemic, can lead to the development of anxiety disorders ( Baum and Posluszny, 1999 ). Individuals with anxiety disorders, including post-traumatic stress disorder (PTSD), are at increased risk for heavy alcohol use ( Overstreet et al, 2017 ) and developing alcohol use disorder (AUD; Kessler et al, 1995 ; Paltell et al, 2020 ). Importantly, high levels of stress, even in the absence of the development of an anxiety disorder, are also associated with increased alcohol use and the development of AUD ( Keyes et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Increased mood disorder symptoms, perceived stress, and alcohol use among college students during the COVID-19 pandemic

Charles

Strong

Burns

et al. 2021

Psychiatry Research

334

244

View full text Add to dashboard Cite

“…Indeed, children demonstrated symptoms of post-traumatic stress disorder (PTSD) in the wake of previous epidemics (Sprang & Silman, 2013 ), and initial evidence suggests that the COVID-19 pandemic has been a traumatic experience for some young people (Conti et al, 2020 ; Ruff & Linville, 2021 ). Anxiety disorders and high levels of stress are associated with increased alcohol use among adults (Keyes et al, 2012 ; Paltell et al, 2020 ), and this risk may be exacerbated among youth due to limited mechanisms of resilience and coping that develop with adulthood, thereby potentiating avoidant coping strategies such as substance use (Bartel et al, 2020 ; Dumas et al, 2020 ; Jones et al, 2021 ). These psychological challenges are particularly worrisome as youth mental health and substance use problems predict lifelong mental and physical health outcomes (Caspi et al, 2006 ; Hemmingsson et al, 2008 ; Merline et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Changes in Youth Mental Health, Psychological Wellbeing, and Substance Use During the COVID-19 Pandemic: A Rapid Review

et al. 2022

View full text Add to dashboard Cite

Since the onset of the COVID-19 pandemic, researchers around the world have made efforts to assess its impact on youth mental health; however, the breadth of this topic has impeded a clear assessment of pandemic outcomes. This study aimed to address this gap by reviewing changes in youth (age ≤ 25) mental health, psychological wellbeing, substance use, and the use or delivery of relevant services during the pandemic. PubMed and Embase were searched in May 2021 to conduct a rapid review of the literature. The results encompass 156 primary publications and are reported using a narrative synthesis. Studies of mental health (n = 122) and psychological wellbeing (n = 28) generally indicated poor outcomes in many settings. Publications regarding substance use (n = 41) noted overall declines or unchanged patterns. Studies of service delivery (n = 12) indicated a generally positive reception for helplines and telehealth, although some youth experienced difficulties accessing services. The findings indicate negative impacts of the pandemic on youth mental health, with mixed results for substance use. Services must support marginalized youth who lack access to telehealth. Supplementary Information The online version contains supplementary material available at 10.1007/s40894-022-00185-6.

show abstract

Posttraumatic stress disorder symptoms, relationship quality, and risky alcohol use among trauma-exposed students

Cited by 13 publications

References 67 publications

Posttraumatic cognitions and sexual assault: Understanding the role of cognition type in posttraumatic stress symptoms and problematic alcohol use

Posttraumatic cognitions and sexual assault: Understanding the role of cognition type in posttraumatic stress symptoms and problematic alcohol use

Increased mood disorder symptoms, perceived stress, and alcohol use among college students during the COVID-19 pandemic

Changes in Youth Mental Health, Psychological Wellbeing, and Substance Use During the COVID-19 Pandemic: A Rapid Review

Contact Info

Product

Resources

About