Trauma, Trauma Sequelae, and Substance Use in College

大学中的创伤、创伤后遗症和药物使用

基本信息

批准号：
7356454
负责人：
JENNIFER P. READ
金额：
$ 30.45万
依托单位：
STATE UNIVERSITY OF NEW YORK AT BUFFALO
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-05-01 至 2011-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7356454
关键词：
Address Administrator Affect Alcohol or Other Drugs use Alcohols Buffaloes Clinical Cognitive Coping Skills Data Data Set Development Drops Drug usage Environmental Risk Factor Etiology Event Female Gender Growth Illicit Drugs Individual Internet Intervention Investigation Learning Link Literature Mails Measures Mediating Mediation Mediator of activation protein Modeling Nature Numbers Online Systems Population Preventive Intervention Procedures Rate Reading Recording of previous events Reporting Research Research Personnel Risk Risk Factors Sampling Screening procedure Self Efficacy Shapes Site Stress Students Surveys Symptoms Techniques Technology Testing Time Tobacco Tobacco use Trauma Universities Woman alcohol and other drug base college coping design experience falls follow-up men programs prospective psychological distress sex social social cognitive theory university student young adult

项目摘要

The literature shows that a significant number of young adults report trauma exposure and associated traumatic stress sequelae by the time they enter into college. Other students will be exposed to trauma and experience resulting sequelae during their college experience. Epidemiological and clinical literature has linked the etiology and course of trauma, traumatic stress sequelae (TSS), and substance use (SUB). This link may be understood from a Social Learning (SLT) framework which views substance use as an effort to cope with psychological distress associated with ongoing traumatic sequelae. Further, SLT posits that these phenomena are reciprocally related, and are affected by individual and environmental factors. Despite high rates of trauma, TSS,and SUB in college populations, theoretically guided, prospective examination of these associations and factors affecting their course in college students have been curiously absent in the empirical literature. This research seeks to provide a theoretically guided investigation of the dynamic course of traumatic stress sequelae and alcohol, illicit drugs, and tobacco use in college students. On-line survey data will be collected in 6 waves in the first year and 4 waves each year for the subsequent years. Data will be collected at two public universities. Students at SUNY Buffalo and UNC Greensboro will be contacted by e-mail in the summer prior to matriculation and will be screened via web-based survey for trauma exposure and traumatic stress sequelae. Based on this screening, a sample of 1,004 (TSS and non-TSS) students will be targeted for follow-up. Using web technology, students will be surveyed first in the Fall semester of each year in college, and will be assessed multiple times each year of the study. Prospective associations among trauma, TSS, and substance use trajectories will be examined using latent growth curve modeling. Mediators (self- efficacy) and moderators (gender, coping, social influences) will be tested consistent with Social Learning Theory, and other relevant theoretical frameworks. The impact of trauma and TSS on university drop-out rates also will be examined. This research will help to shape understanding of the TSS-SUB association, and to inform the development of targeted substance use interventions for college students. Findings also will offer valuable information for university administrators regarding student attrition and retention.

文献表明，大量年轻人报告了创伤和相关的创伤创伤性压力后遗症到他们上大学时。其他学生将受到创伤和在大学经历中产生后遗症的经验。流行病学和临床文献具有联系了创伤，创伤性后遗症（TSS）和药物使用（sub）的病因和过程。这可以从社会学习（SLT）框架中理解链接，该框架将物质用作用作努力应对与正在进行的创伤后遗症有关的心理困扰。此外，SLT认为这些现象是相互关联的，受个人和环境因素的影响。尽管很高大学人口中的创伤，TSS和子的率，理论上的指导，前瞻性检查奇怪的是，影响其大学生课程的协会和因素在经验文学。这项研究旨在对创伤性动态过程进行理论上的指导调查强调后遗症和酒精，非法药物以及在大学生中使用烟草。在线调查数据将是在第一年内收集了6次波浪，随后几年每年有4波。数据将被收集在两所公立大学。 SUNY BUFFALO和UNC GREENSBORO的学生将通过电子邮件联系入学前的夏天，将通过基于Web的调查进行筛查，以造成创伤和创伤应力后遗症。根据此筛查，将针对1,004（TSS和非TSS）的样本。进行后续。使用Web技术，将在每年的秋季学期首先对学生进行调查大学，每年研究都会多次评估。创伤之间的潜在联系 TSS和物质使用轨迹将使用潜在生长曲线建模进行检查。调解人（自我功效）和主持人（性别，应对，社会影响）将经过与社会学习一致的测试理论和其他相关的理论框架。创伤和TSS对大学辍学的影响还将检查费率。这项研究将有助于塑造对TSS-SUB协会的理解，以及告知针对大学生的有针对性药物使用干预措施的开发。调查结果也会为大学管理人员提供有关学生流失和保留的宝贵信息。