Gender Differences in Relationships Among PTSD Severity, Drinking Motives, and Alcohol Use in a Comorbid Alcohol Dependence and PTSD Sample
Gender Differences in Relationships Among PTSD Severity, Drinking Motives, and Alcohol Use in a Comorbid Alcohol Dependence and PTSD Sample
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DOI：
10.1037/a0032266
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发表时间：
2014-03-01
影响因子：
3.4
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
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作者：
Lehavot, Keren;Stappenbeck, Cynthia A.;Simpson, Tracy L.
酒精依赖（AD）和创伤后应激障碍（PTSD）非常普遍，并伴有显著程度的损伤。很少有系统的研究关注AD和PTSD患者的性别差异。目前的研究在患有AD和PTSD合并症的男性（n = 46）和女性（n = 46）的临床样本中，研究了PTSD症状严重程度、饮酒以应对（即减少负面影响）、饮酒以增强（即增加积极影响）和平均酒精使用量之间的性别特异性关联。结果表明，PTSD症状与男性和女性的饮酒应对动机高度相关，但只有男性的饮酒增强动机更大。对于男性和女性而言，增强动机与平均饮酒量呈正相关，但应对动机仅与女性的平均饮酒量显著相关。这些发现表明，对于患有AD和PTSD合并症的个体，专注于减少PTSD症状的干预措施可能会降低男女的应对动机，针对应对动机可能会导致女性饮酒减少，而男性则不会，而针对增强动机可能会导致男女饮酒减少。
Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are highly prevalent and comorbid conditions associated with a significant level of impairment. Little systematic study has focused on gender differences specific to individuals with both AD and PTSD. The current study examined gender-specific associations between PTSD symptom severity, drinking to cope (i.e., reduce negative affect), drinking for enhancement (i.e., increase positive affect), and average alcohol use in a clinical sample of men (n = 46) and women (n = 46) with comorbid AD and PTSD. Results indicated that PTSD symptoms were highly associated with drinking-to-cope motives for both men and women, but with greater drinking for enhancement motives for men only. Enhancement motives were positively associated with average alcohol quantity for both men and women, but coping motives were significantly associated with average alcohol quantity for women only. These findings suggest that for individuals with comorbid AD and PTSD, interventions that focus on reducing PTSD symptoms are likely to lower coping motives for both genders, and targeting coping motives is likely to result in decreased drinking for women but not for men, whereas targeting enhancement motives is likely to lead to reduced drinking for both genders.