Alcohol Use, Problems, and the Course of Posttraumatic Stress Disorder: A Prospective Study of Female Crime Victims.
Alcohol Use, Problems, and the Course of Posttraumatic Stress Disorder: A Prospective Study of Female Crime Victims.
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DOI：
10.1080/15504263.2011.620449
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发表时间：
2011-10-01
影响因子：
2.2
通讯作者：
Simpson T
中科院分区：
文献类型：
--
作者：
Kaysen D;Atkins DC;Moore SA;Lindgren KP;Dillworth T;Simpson T
本研究以人际暴力女性受害者为样本，探讨了在遭受创伤后的前 6 个月内，酒精使用障碍状况和饮酒后果是否可以缓解 PTSD 的进程。女性性侵犯和人身攻击受害者 (n = 64) 是通过警察、医院和受害者服务机构招募的。女性在创伤后前五周、三个月和六个月内完成了结构化临床访谈和自我报告测量，在所有三个时间点的保留率为 73% (n = 47)。使用分层线性模型进行分析，使用酒精滥用/依赖、酒精使用峰值以及攻击前 30 天内的后果作为 PTSD 随时间推移的过程的调节因素。与没有酒精使用障碍的女性相比，基线时患有酒精使用障碍的女性初始 PTSD 症状较低，但随着时间的推移，症状恢复也较少。对于那些在袭击发生前一个月内饮酒造成严重负面后果的人来说，也发现了这种结果模式。未发现基线饮酒可显着缓解 6 个月内的 PTSD 进程。研究结果表明，与饮酒相关的负面后果可能是创伤后应激障碍的危险因素。对创伤后早期女性的饮酒问题进行评估可能有助于识别 PTSD 风险。
This study examines whether alcohol use disorder status and consequences of drinking moderate the course of PTSD over the first 6 months following trauma exposure in a sample of female victims of interpersonal violence. Female sexual and physical assault victims (n = 64) were recruited through police, hospital, and victim service agencies. Women completed structured clinical interviews and self-report measures within the first five weeks, three months, and six months post-trauma with 73% retention across all three time points (n = 47). Analyses were conducted using Hierarchical Linear Modeling using alcohol abuse/dependence, peak alcohol use, and consequences during the 30 days prior to assault as moderators of the course of PTSD over time. Women with alcohol use disorder at baseline had lower initial PTSD symptoms but also less symptom recovery over time than women without alcohol use disorder. This pattern of results was also found for those with high negative drinking consequences during the month prior to the assault. Baseline alcohol use was not found to significantly moderate PTSD course over the 6 months. Findings suggest that negative consequences associated with alcohol use may be a risk factor for PTSD. Incorporating assessment of drinking problems for women presenting early post-trauma may be useful for identifying PTSD risk.
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影响因子：
4.4
作者：
Kaysen, Debra;Dillworth, Tiara M.;Resick, Patricia A.
通讯作者：
Resick, Patricia A.
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
4.4
作者：
McCauley, Jenna L.;Amstadter, Ananda B.;Danielson, Carla Kmett;Ruggiero, Kenneth J.;Kilpatrick, Dean G.;Resnick, Heidi S.
通讯作者：
Resnick, Heidi S.
影响因子：
3.3
作者：
Kaysen, D;Simpson, T;Resick, PA
通讯作者：
Resick, PA
影响因子：
3.6
作者：
Kubany, ES;Haynes, SN;Burns, K
通讯作者：
Burns, K