Does negative affect mediate the relationship between daily PTSD symptoms and daily alcohol involvement in female rape victims? Evidence from 14 days of interactive voice response assessment.
Does negative affect mediate the relationship between daily PTSD symptoms and daily alcohol involvement in female rape victims? Evidence from 14 days of interactive voice response assessment.
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DOI：
10.1037/a0035725
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Ehlke S
中科院分区：
文献类型：
--
作者：
Cohn A;Hagman BT;Moore K;Mitchell J;Ehlke S
成瘾的负强化模型假设个体可以使用酒精来减少负情感（NA）困扰。目前的研究调查了每日NA对每日PTSD症状与同一天和第二天酒精参与（消费和饮酒欲望）之间关系的中介作用，该样本为54名非寻求治疗的女性强奸受害者，他们完成了14天的交互式语音反应评估。还研究了终生酒精使用障碍诊断（AUD）对日常关系的调节作用。多水平模型表明，NA介导的PTSD和同一天，但不是第二天的酒精参与之间的关系。NA在以更严重的PTSD症状为特征的日子里更大，并且在以更高NA为特征的日子里酒精消耗和饮酒欲望更大。此外，每日PTSD症状和NA与同一天（但不是第二天）的饮酒量和有AUD的女性饮酒欲望的相关性更强。结果表明，NA在女性强奸受害者的日常饮酒中起着重要的作用。有和没有AUD的妇女之间的差异表明，需要与女性强奸受害者的亚型相匹配的治疗。
The negative reinforcement model of addiction posits that individuals may use alcohol to reduce with negative affective (NA) distress. The current study investigated the mediating effect of daily NA on the relationship between daily PTSD symptoms and same-day and next-day alcohol involvement (consumption and desire to drink) in a sample of 54 non-treatment-seeking female rape victims who completed 14 days of interactive voice response assessment. The moderating effect of lifetime alcohol use disorder diagnosis (AUD) on daily relationships was also examined. Multilevel models suggested that NA mediated the relationship between PTSD and same-day, but not next-day alcohol involvement. NA was greater on days characterized by more severe PTSD symptoms, and alcohol consumption and desire to drink were greater on days characterized by higher NA. Further, daily PTSD symptoms and NA were more strongly associated with same-day (but not next-day) alcohol consumption and desire to drink for women with an AUD than without. Results suggest that NA plays an important role in female rape victims’ daily alcohol use. Differences between women with and without an AUD indicate the need for treatment matching to sub-types of female rape victims.
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影响因子：
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