Symptoms of Posttraumatic Stress Disorder and Depression in Relation to Alcohol-Use and Alcohol-Related Problems among Canadian Forces Veterans

Fetzner, Mathew G.; Abrams, Murray P.; Asmundson, Gordon J.G.

doi:10.1177/070674371305800707

Cited by 23 publications

(19 citation statements)

References 46 publications

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“…That study also revealed that depressive symptoms accounted for unique variance in reported alcohol-related problems and quantity or frequency of alcohol use among male veterans. In contrast, among female veterans, neither PTSD nor depressive symptoms were found to account for significant variance in measures of alcohol-related problems or quantity or frequency of alcohol use (40). In our study, we found that avoidance symptoms of PTSD were associated with alcohol-related problems.…”

Section: Discussioncontrasting

confidence: 98%

“…In our study, we found that avoidance symptoms of PTSD were associated with alcohol-related problems. The difference between our study and the previously mentioned study (40) in terms of symptoms of a cluster of PTSD might have resulted from trauma types and severity. As the study mentioned earlier was conducted with veterans exposed to severe trauma from combat compared to other types of trauma, hyperarousal symptoms of PTSD might come into prominence in contrast to avoidance symptoms of PTSD observed here.…”

Section: Discussioncontrasting

confidence: 94%

“…Studies related to PTSD were generally conducted in veterans because combat-injured soldiers have been exposed to severe trauma including the witnessing of traumatic events. In a study performed with Canadian military veterans, PTSD hyperarousal symptoms accounted for unique variance in reported alcohol-related problems among male participants (40). That study also revealed that depressive symptoms accounted for unique variance in reported alcohol-related problems and quantity or frequency of alcohol use among male veterans.…”

Section: Discussionmentioning

confidence: 82%

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Severity of PTSD symptoms and its relationship with severity of alcohol-related problems in a sample of inpatients with alcohol use disorder

Evren¹,

Umut²,

Evren³

2017

Dusunen Adam

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Severity of PTSD symptoms and its relationship with severity of alcohol-related problems in a sample of inpatients with alcohol use disorderObjective: The aim of the present study was to evaluate the effect of post-traumatic stress disorder (PTSD) symptoms measured with the PTSD Checklist Civilian (PCL-C) version on the severity of alcohol-related problems while controlling for the effects of anxiety and depression in a sample of inpatients with alcohol use disorder (AUD). Results: Although severity of the state of anxiety predicted the severity of alcohol-related problems in the first and depression in the second step of a linear regression model, when severity of PTSD symptoms was included in the analysis, it was the only independent variable that predicted the severity of alcohol-related problems while the state of anxiety and depression were no longer predictors.Conclusion: These findings suggest that the severity of PTSD symptoms is related to the severity of alcohol-related problems, independent from severity of state anxiety and depression among inpatients with AUD. Anahtar kelimeler: Alkolle ilişkili sorunlar, alkol kullanım bozukluğu , anksiyete, depresyon, TSSB

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Section: Discussioncontrasting

confidence: 98%

Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 82%

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Severity of PTSD symptoms and its relationship with severity of alcohol-related problems in a sample of inpatients with alcohol use disorder

Evren¹,

Umut²,

Evren³

2017

Dusunen Adam

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“…Additionally, participants in the gulf war were also overrepresented in the sample; countries not involved in wars do not have such high prevalences of PTSD [32]. However, a recent publication by Fetzner et al [33] showed that, among Canadian armed forces involved in different combat missions, alcohol misuse and depression were more frequent than among Canadian military personnel not involved in combat operations, suggesting that any war-related activity may cause psychological problems and burdens. …”

Section: Discussionmentioning

confidence: 99%

Comparing the Effect of Prazosin and Hydroxyzine on Sleep Quality in Patients Suffering from Posttraumatic Stress Disorder

Ahmadpanah¹,

Sabzeiee²,

Hosseini³

et al. 2014

Neuropsychobiology

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Objectives: In light of the high prevalence of sleep disorders in patients suffering from posttraumatic stress disorder (PTSD), this study sought to compare the effect of prazosin and hydroxyzine on sleep quality in this patient group. Methods: A total of 100 patients suffering from PTSD were assessed (mean age = 35.51 years, SD = 6.41; 28% females). Next, they were randomly assigned to one of three treatment groups: prazosin (33 patients), hydroxyzine (34 patients) or placebo (33 patients). The trial lasted for 8 weeks. The patients' sleep quality was assessed using the Pittsburgh Sleep Quality Index. Items taken from the Mini International Neuropsychiatric Interview were used to operationalize PTSD. Results: Compared to controls, patients treated with prazosin and hydroxyzine reported improved sleep and less nightmares. Improvement was greatest in patients treated with prazosin compared to hydroxyzine and placebo. Improvement in sleep was associated with an amelioration of their PTSD symptoms. Conclusion: Both prazosin and hydroxyzine can be used to treat psychopharmacological sleep disorders and nightmares in patients suffering from PTSD, also leading to reductions in PTSD symptoms.

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“…Emerging evidence suggests that posttraumatic stress symptoms and alcohol misuse are significant problems among military personnel (Fetzner et al, 2013; Goodwin et al, 2012; Sundin et al, 2011). This appears to be a notable issue for Veterans exposed to combat, particularly for those deployed to Afghanistan (Operation Enduring Freedom: OEF) and Iraq (Operations Iraqi Freedom: OIF).…”

mentioning

confidence: 99%

Examination of the dynamic interplay between posttraumatic stress symptoms and alcohol misuse among combat-exposed Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans

Langdon

Fox

King

et al. 2016

Journal of Affective Disorders

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Background Although alcohol misuse co-occurs with PTSD symptoms at a strikingly high rate (i.e., nearly 52% of men and 28% of women with PTSD also meet diagnostic criteria for an Alcohol Use Disorder; Kessler et al., 1995), the functional associations between these symptom types remain unclear. Methods The current study sought to clarify the nature of posttraumatic stress-alcohol misuse relations by employing a prospective longitudinal methodology - the latent difference score approach - to examine dynamic change in posttraumatic stress symptoms and alcohol misuse among 478 combat-exposed Veterans completing a longitudinal survey of post-deployment mental and physical health. This study builds on the existing literature, as most prior research has been limited to cross-sectional studies and has not explored prospective relations between specific PTSD symptom clusters and alcohol misuse. Results Consistent with the self-medication model, results indicated that PTSD symptoms demonstrate a prospective and proximal association with alcohol misuse during the assessment period; however, alcohol misuse did not appear to be a unique contributor to overall PTSD symptom exacerbation over time. Examination of individual PTSD symptom clusters revealed that more severe symptoms of intrusion and numbing, but not avoidance and hyperarousal, predicted greater alcohol misuse at subsequent time intervals. Limitations The constructs examined within this investigation relied on self-report data; diagnostic criteria for PTSD and/or Alcohol Use Disorders were not assessed. Future work may benefit from replicating these findings in clinical populations formally diagnosed with PTSD via clinician-administered structured interviews. Conclusions Findings underscore the importance of addressing PTSD symptoms in the context of alcohol treatment to facilitate improved drinking outcomes.

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Symptoms of Posttraumatic Stress Disorder and Depression in Relation to Alcohol-Use and Alcohol-Related Problems among Canadian Forces Veterans

Cited by 23 publications

References 46 publications

Severity of PTSD symptoms and its relationship with severity of alcohol-related problems in a sample of inpatients with alcohol use disorder

Severity of PTSD symptoms and its relationship with severity of alcohol-related problems in a sample of inpatients with alcohol use disorder

Comparing the Effect of Prazosin and Hydroxyzine on Sleep Quality in Patients Suffering from Posttraumatic Stress Disorder

Examination of the dynamic interplay between posttraumatic stress symptoms and alcohol misuse among combat-exposed Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans

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