Trauma, Trauma Sequelae, and Substance Use in College

大学中的创伤、创伤后遗症和药物使用

• 批准号: 7766276
• 负责人: JENNIFER P. READ
• 金额: $ 30.09万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7766276
• 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; Epidemiology; Etiology; Event; Female; Gender; Growth; Illicit Drugs; Individual; Internet; Intervention; Investigation; Learning; Link; Literature; Mails; Measures; Mediating; Mediation; Mediator of activation protein; Modeling; Nature; Online Systems; Population; Preventive Intervention; Procedures; 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; high risk; longitudinal course; men; programs; prospective; psychological distress; sex; social; social cognitive theory; university student; young adult

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，相当多的年轻人报告称遭受过创伤和相关的创伤经历。 当他们进入大学时，他们就会遭受创伤性应激后遗症。其他学生将遭受创伤和 在大学期间经历由此产生的后遗症。流行病学和临床文献 将创伤的病因和病程、创伤应激后遗症（TSS）和物质使用（SUB）联系起来。这 链接可以从社会学习（SLT）框架来理解，该框架将物质使用视为一种努力 应对与持续的创伤性后遗症相关的心理困扰。此外，SLT 认为这些 现象是相互关联的，并受到个人和环境因素的影响。尽管高 大学人群中创伤、TSS 和 SUB 的发生率，在理论指导下，对这些因素进行前瞻性检查 奇怪的是，影响大学生课程的关联和因素在研究中却缺失了。 实证文献。 本研究旨在为创伤性动态过程的研究提供理论指导。 大学生的压力后遗症以及酗酒、违禁药物和烟草的使用。网上调查数据将 第一年分 6 波收集，随后几年每年收集 4 波。将收集数据 在两所公立大学。纽约州立大学布法罗分校和北卡罗来纳大学格林斯博罗分校的学生将通过电子邮件联系 入学前的夏季，将通过基于网络的调查进行筛查，了解创伤暴露和创伤 压力后遗症。根据此次筛选，将针对 1,004 名学生（TSS 和非 TSS）进行抽样调查 以便后续跟进。利用网络技术，学生将在每年秋季学期首先接受调查 大学，并且每年将在学习期间进行多次评估。创伤之间的前瞻性关联， TSS 和物质使用轨迹将使用潜在增长曲线模型进行检查。调解员（自 功效）和调节因素（性别、应对方式、社会影响）将根据社交学习进行测试 理论和其他相关理论框架。创伤和 TSS 对大学辍学的影响 费率也将受到审查。这项研究将有助于加深对 TSS-SUB 协会的理解，并且 为大学生制定有针对性的药物使用干预措施提供信息。研究结果还将 为大学管理人员提供有关学生流失和保留的宝贵信息。