PTSD and Alcohol Use After the World Trade Center Attacks: A Longitudinal Study
PTSD and Alcohol Use After the World Trade Center Attacks: A Longitudinal Study
复制标题
DOI：
10.1002/jts.20673
复制
发表时间：
2011-10-01
影响因子：
3.3
通讯作者：
Adams, Richard E.
中科院分区：
文献类型：
--
作者：
Boscarino, Joseph A.;Kirchner, H. Lester;Adams, Richard E.
研究表明，创伤后应激障碍（PTSD）与饮酒增加有关，但研究结果并不一致。我们对1,681名纽约市成年人（代表2000年人口普查，即世贸中心袭击事件发生2年后）的饮酒、酗酒和精神药物使用情况进行了纵向评估。我们发现，除了酒精的改良CAGE问卷指数外，酒精的使用随着时间的推移显示出适度的增加，并且与PTSD症状有关，PTSD患者每月增加约1杯，尽管总体水平似乎在国家酒精滥用和酒精中毒研究所的安全范围内。精神药物的使用也有类似的趋势;在过去的一年里，患有PTSD的人比没有PTSD的人多使用精神药物20天。由于该研究分析调整了关键的心理社会变量和混杂因素，因此尚不清楚创伤暴露后酒精使用的增加是否与PTSD症状的自我治疗有关，暴露前酒精使用的增加是否是延迟发作PTSD的风险，或者是否涉及第三个不可测量的变量。进一步的研究是必要的。
Research suggests that posttraumatic stress disorder (PTSD) is associated with increased alcohol use, but the findings have not been consistent. We assessed alcohol use, binge drinking, and psychotropic medication use longitudinally in 1,681 New York City adults, representative of the 2000 census, 2 years after the World Trade Center attacks. We found that, with the exception of a modified CAGE Questionnaire index for alcohol, alcohol use showed a modest increase over time and was related to PTSD symptoms, with an increase of about 1 more drink per month for those with PTSD, even though overall levels appeared to be within the National Institute on Alcohol Abuse and Alcoholism's safe range. Psychotropic medication use followed a similar trend; those with PTSD used psychotropics about 20 more days over the past year than those without. Because the study analyses adjusted for key psychosocial variables and confounders, it is not clear if the increased alcohol use following trauma exposure is associated with self-medication of PTSD symptoms, whether increased alcohol use prior to exposure is a risk for delayed-onset PTSD, or whether a third unmeasured variable is involved. Further research is warranted.