Posttraumatic Stress and Problem Drinking at the Transition Out of College.
Posttraumatic Stress and Problem Drinking at the Transition Out of College.
复制标题
DOI：
10.1007/s11121-017-0778-0
复制
发表时间：
2017-05
期刊：
影响因子：
--
通讯作者：
Wardell JD
中科院分区：
文献类型：
--
作者：
Read JP;Radomski S;Wardell JD
本研究的目的是研究创伤后应激障碍(PTSD)的症状如何在有创伤史的学生完成大学学业并迈向独立成年期时增加饮酒风险。学生(N=283)在大学四年后的四个时间点完成了创伤、创伤后应激和酒精使用及其后果的评估。一些学生已经从大学环境中过渡出来，而另一些学生则没有。我们研究了过渡状态如何缓和随着时间的推移创伤后应激障碍的变化和酒精结果的相应变化之间的人内联系。使用多水平模型，我们检验了个人内创伤后应激障碍与酒精的联系的差异，比较了以下学生：(1)继续读5年级，(2)毕业并继续研究生教育，(3)毕业并离开大学环境。从大学入学后的第4年到第5年，酒精的使用和后果平均呈下降趋势。然而，在第五年中，创伤后应激症状的人内增加与更大的酒精后果有关，但仅限于那些离开大学环境的学生。这些数据表明，走出大学的过渡可能是一个重要的发展背景，与与压力相关的饮酒带来的负面后果的易感性增加有关。这一发现可能对以校园为基础的预防努力具有重要意义，这些努力旨在促进成功过渡到独立的成年期。
The objective of the present study was to examine how symptoms of posttraumatic stress disorder (PTSD) may confer drinking risk as students with trauma histories complete college and move toward independent adulthood. Students (N = 283) completed assessments of trauma, posttraumatic stress, and alcohol use and consequences at four time points during the year following their 4th year of college. Some students had transitioned out of the college environment whereas others had not. We examined how transition status moderated within-person associations between changes in PTSD and corresponding changes in alcohol outcomes over time. Using multilevel modeling, we examined differences in within-person PTSD-alcohol associations comparing students who were: (1) continuing as 5th year seniors, (2) graduated and pursuing graduate education, and (3) graduated and left the university setting. Alcohol use and consequences tended to decline on average from the 4th to 5th year post matriculation. Yet, within-person increases in posttraumatic stress symptomatology across the 5th year were associated with greater alcohol consequences, but only for those students who had left the university setting. These data suggest that the transition out of college may be an important developmental context that is associated with increased vulnerability for negative consequences from stress-related drinking. Findings may have important implications for campus-based prevention efforts geared toward the facilitation of a successful transition into independent adulthood.
登录
查看更多内容
影响因子：
3.4
作者：
Colder, CR
通讯作者：
Colder, CR
影响因子：
1.7
作者：
Arnett, JJ
通讯作者：
Arnett, JJ
影响因子：
10.3
作者：
Blanchard, EB;Buckley, TC;Taylor, AE
通讯作者：
Taylor, AE
影响因子：
6.6
作者：
Beiter, R.;Nash, R.;Sammut, S.
通讯作者：
Sammut, S.
影响因子：
4.8
作者：
Armour, Cherie;Tsai, Jack;Pietrzak, Robert H.
通讯作者：
Pietrzak, Robert H.