American Veterans in the Era of COVID-19: Reactions to the Pandemic, Posttraumatic Stress Disorder, and Substance Use Behaviors.

American Veterans in the Era of COVID-19: Reactions to the Pandemic, Posttraumatic Stress Disorder, and Substance Use Behaviors.
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DOI:
10.1007/s11469-021-00620-0
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发表时间:
2023
影响因子:
8
通讯作者:
Saba S
Saba S
中科院分区:
医学4区
文献类型:
--
作者:
Pedersen ER;Davis JP;Fitzke RE;Lee DS;Saba S

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COVID-19大流行可能对患有创伤后应激障碍(PTSD)的美国退伍军人的物质使用产生复合影响。这项研究调查了创伤后应激障碍与当前对COVID-19酒精和大麻使用的反应之间的关系,这些退伍军人在美国大流行前1个月完成了一项调查,并进行了6个月的随访调查。我们假设患有PTSD的退伍军人对COVID-19的负面反应会比没有PTSD的人更多,酒精和大麻使用行为也会增加。在大流行之前患有创伤后应激障碍的退伍军人,相对于那些没有的人,在大流行期间支持更差的反应,更频繁的饮酒,以及更多的大麻开始和使用。患有PTSD的退伍军人可能会使用物质来管理COVID相关的压力。临床医生可能会发现在大流行期间和之后,这一群体的物质使用增加,可能需要实施特定的行为干预措施,以减轻COVID-19的负面影响。
The COVID-19 pandemic may have a compounding effect on the substance use of American veterans with posttraumatic stress disorder (PTSD). This study investigated the relationship between PTSD and current reactions to COVID-19 on alcohol and cannabis use among veterans who completed a survey 1 month prior to the pandemic in the USA and a 6-month follow-up survey. We hypothesized that veterans with PTSD would experience more negative reactions to COVID-19 and increased alcohol and cannabis use behaviors over those without PTSD. Veterans with PTSD prior to the pandemic, relative to those without, endorsed poorer reactions, greater frequency of alcohol use, and greater cannabis initiation and use during the pandemic. Veterans with PTSD may use substances to manage COVID-related stress. Clinicians may see an increase in substance use among this group during and after the pandemic and may need to implement specific behavioral interventions to mitigate the negative effects of COVID-19.
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