Daily relationships between posttraumatic stress symptoms, drinking motives, and alcohol consumption in trauma-exposed sexual minority women.

Daily relationships between posttraumatic stress symptoms, drinking motives, and alcohol consumption in trauma-exposed sexual minority women.
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DOI:
10.1037/adb0000680
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发表时间:
2021-03
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Kaysen D
Kaysen D
中科院分区:
其他
文献类型:
--
作者:
Dworkin ER;Jaffe AE;Fitzpatrick S;Rhew IC;Kaysen D

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性少数女性(SMW)的证据表明创伤暴露率,创伤后应激(PTS)和饮酒率升高。饮酒的自我药疗模式表明,个人可能会饮酒以科普PTS的症状,但这种可能性在SMW中尚未得到验证。目前的研究使用了通过每日日记评估从81名创伤暴露SMW收集的饮酒日数据。参与者大多为白色(72.8%),年龄范围为18至25岁(M = 23.8)。参与者被跟踪超过两个14个传唤日的测量爆发(720人-天报告)。进行分析,以检查是否应对饮酒动机(相对于社会,增强,和符合饮酒动机),由适应饮酒动机问卷评估,介导的日常水平的PTS症状(由PTSD检查表评估)和每天饮酒的标准饮料的数量之间的关系。多层次结构方程模型的结果表明,日常的PTS症状的波动,以及平均水平的PTS症状,与增加应对饮酒的动机。应对饮酒动机,而不是其他饮酒动机,调解PTS和饮酒之间的人内关联,这样PTS症状的每日波动与比正常更强的应对饮酒动机相关,这反过来又预测了每天饮酒更多的饮料。结果强调应对饮酒动机的重要性,并建议替代应对策略可能有助于创伤暴露的SMW管理PTS症状升高,而不增加他们的酒精消费。
Sexual minority women (SMW) evidence elevated rates of trauma exposure, posttraumatic stress (PTS), and alcohol consumption. Self-medication models of drinking suggest that individuals may drink to cope with symptoms of PTS, but this possibility remains untested among SMW. The current study used data from drinking days collected via daily diary assessments from 81 trauma-exposed SMW. Participants were mostly White (72.8%) and ranged in age from 18 to 25 (M = 23.8). Participants were followed over two 14-consecutive-day measurement bursts (720 person-days reported). Analyses were conducted to examine whether coping drinking motives (versus social, enhancement, and conformity drinking motives), as assessed by an adapted Drinking Motives Questionnaire, mediated the daily-level relationship between PTS symptoms (assessed by the PTSD Checklist) and the number of standard drinks per drinking day. Results from multilevel structural equation models indicated that day-to-day fluctuations in PTS symptoms, as well as average levels of PTS symptoms, were associated with increased coping drinking motives. Coping drinking motives, but not other drinking motives, mediated within-person associations between PTS and drinking, such that daily fluctuations in PTS symptoms were associated with stronger-than-normal coping drinking motives, which in turn predicted more drinks per drinking day. Results highlight the importance of coping drinking motives and suggest that alternative coping strategies may help trauma-exposed SMW to manage heightened PTS symptoms without increasing their alcohol consumption.
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