Daily and dynamic fluctuations in PTSD symptoms, physical pain, and cannabis use among veterans
退伍军人创伤后应激障碍症状、身体疼痛和大麻使用的每日和动态波动
基本信息
- 批准号:10664875
- 负责人:
- 金额:$ 4.39万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-01 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:AfghanistanAmericanAnxietyCannabisComplexConceptionsDataDevelopmentEquationEtiologyEvidence based interventionFrequenciesFrightInterviewIraqKnowledgeLinkMaintenanceMeasuresMethodologyMethodsModelingPainParticipantPathway interactionsPersonsPost-Traumatic Stress DisordersPreventionPsychological FactorsReportingResearchRiskRoleSelf MedicationSeveritiesSymptomsTestingTheoretical modelTreatment outcomeVeteransWorkanxiety sensitivityanxiety symptomsdiariesexperienceimprovedlife historymarijuana usemarijuana use disordermilitary veteranneglectnovelpain sensitivitypost 9/11psychologicservice member
项目摘要
PROJECT SUMMARY
Posttraumatic stress disorder (PTSD) and physical pain are highly co-occurring among veterans. Nearly one-
half of post-9/11 American veterans report physical pain, and nearly one-quarter report PTSD. Rates of PTSD
are even higher among those with physical pain and vice versa. Veterans with co-occurring PTSD and physical
pain may be at particular risk of problematic cannabis use, as both conditions are associated with self-
medication and cannabis use disorder. Research is mixed on whether cannabis use improves PTSD
symptoms and physical pain or makes them worse. Thus, understanding dynamic associations between co-
occurring PTSD symptoms, physical pain, and cannabis use is vital. Several theoretical models have been
developed to explain links between PTSD and physical pain and may carry implications for understanding
problematic cannabis use. The mutual maintenance model posits a bidirectional relationship where PTSD
symptoms make physical pain worse and vice versa. Thus, as PTSD symptoms and physical pain escalate,
problematic cannabis use may increase as well. The shared vulnerability model implicates predisposing
psychological factors such as anxiety sensitivity (i.e., a tendency to fear anxiety symptoms) in the development
and maintenance of both PTSD and physical pain, and anxiety sensitivity may also increase risk of self-
medication and cannabis problems. However, results of prior research on these associations are mixed and
marred by methodological issues. Namely, most relevant studies have assessed symptoms measured at
quarterly (i.e., 3-month) intervals, however PTSD symptoms, physical pain, and cannabis use are all known to
fluctuate daily. Therefore, prior work may be subject to retrospective recall bias and may not accurately capture
changes in co-occurring symptomology. Studies in which participants report symptoms daily (daily diary
studies) may allow for a more precise assessment of the strength and direction of associations as well as the
extent to which theoretical models, including mutual maintenance, shared vulnerability, and self-medication,
describe these associations. The proposed dissertation study will leverage an existing daily diary study
(1R21DA051802-01A1) of PTSD symptoms and problematic cannabis use among post-9/11 veterans (N=75).
Analyses will utilize intensive longitudinal methods (i.e., dynamic structural equation models) to test the
bidirectional associations between PTSD symptoms and physical pain, their dynamic associations with
cannabis use, and the moderating role of anxiety sensitivity. Qualitative interviews will be used with a
subsample of veterans (N=20) who screen for PTSD, report heightened physical pain, and have varying levels
of problematic cannabis use. Interviews will explore veterans’ lived experience of co-occurring symptomology
and problematic cannabis use and will employ narrative life history methods to understand how one’s key
experiences as a service member and veteran relate to their symptomology and use.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Shaddy Saba其他文献
Shaddy Saba的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Shaddy Saba', 18)}}的其他基金
Daily and dynamic fluctuations in PTSD symptoms, physical pain, and cannabis use among veterans
退伍军人创伤后应激障碍症状、身体疼痛和大麻使用的每日和动态波动
- 批准号:
10537256 - 财政年份:2022
- 资助金额:
$ 4.39万 - 项目类别:
相似海外基金
Collaborative Research: REU Site: Earth and Planetary Science and Astrophysics REU at the American Museum of Natural History in Collaboration with the City University of New York
合作研究:REU 地点:地球与行星科学和天体物理学 REU 与纽约市立大学合作,位于美国自然历史博物馆
- 批准号:
2348998 - 财政年份:2025
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Collaborative Research: REU Site: Earth and Planetary Science and Astrophysics REU at the American Museum of Natural History in Collaboration with the City University of New York
合作研究:REU 地点:地球与行星科学和天体物理学 REU 与纽约市立大学合作,位于美国自然历史博物馆
- 批准号:
2348999 - 财政年份:2025
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Understanding Latin American Challenges in the 21st Century (LAC-EU)
了解拉丁美洲在 21 世纪面临的挑战 (LAC-EU)
- 批准号:
EP/Y034694/1 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Research Grant
Conference: North American High Order Methods Con (NAHOMCon)
会议:北美高阶方法大会 (NAHOMCon)
- 批准号:
2333724 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Collaborative Research: RUI: Continental-Scale Study of Jura-Cretaceous Basins and Melanges along the Backbone of the North American Cordillera-A Test of Mesozoic Subduction Models
合作研究:RUI:北美科迪勒拉山脊沿线汝拉-白垩纪盆地和混杂岩的大陆尺度研究——中生代俯冲模型的检验
- 批准号:
2346565 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
REU Site: Research Experiences for American Leadership of Industry with Zero Emissions by 2050 (REALIZE-2050)
REU 网站:2050 年美国零排放工业领先地位的研究经验 (REALIZE-2050)
- 批准号:
2349580 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Collaborative Research: RUI: Continental-Scale Study of Jura-Cretaceous Basins and Melanges along the Backbone of the North American Cordillera-A Test of Mesozoic Subduction Models
合作研究:RUI:北美科迪勒拉山脊沿线汝拉-白垩纪盆地和混杂岩的大陆尺度研究——中生代俯冲模型的检验
- 批准号:
2346564 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Conference: Latin American School of Algebraic Geometry
会议:拉丁美洲代数几何学院
- 批准号:
2401164 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Collaborative Research: Ionospheric Density Response to American Solar Eclipses Using Coordinated Radio Observations with Modeling Support
合作研究:利用协调射电观测和建模支持对美国日食的电离层密度响应
- 批准号:
2412294 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant
Conference: Doctoral Consortium at Student Research Workshop at the Annual Conference of the North American Chapter of the Association for Computational Linguistics (NAACL)
会议:计算语言学协会 (NAACL) 北美分会年会学生研究研讨会上的博士联盟
- 批准号:
2415059 - 财政年份:2024
- 资助金额:
$ 4.39万 - 项目类别:
Standard Grant