ALCOHOL USE AND ABUSE FOLLOWING TRAUMATIC INJURY

描述（由申请人提供）：这项前瞻性研究将探讨创伤后酒精滥用和心理发病率之间的动态关系的关键未决问题。将从三个大型I级城市创伤中心招募900名创伤相关身体伤害的成年幸存者，这些中心为美国人口最多、种族最多样化的县提供服务。受试者将从三个不同的种族群体中抽取：拉丁美洲人（N = 300）、非洲裔美国人（N = 300）和非拉丁美洲白人（N = 300），并将在性别方面以大致相等的数量分布。拟议的研究将利用NIMH资助的赠款，实现重大的实质性和基础设施协同作用。 所有参与者将完成三个非专业管理的面对面评估面试， 在12个月的时间里进行。第一次评估将在住院后不久进行。 其余两次面试将在初次面试后3个月和12个月进行。 拟议的关于严重创伤相关身体伤害幸存者的酒精滥用和心理发病率的研究的四个主要目标是： 1)确定创伤后饮酒和滥用的预测因素。 2)探讨严重创伤暴露后饮酒与心理发病率之间的关系。 3)探讨创伤后酒精滥用、医疗服务利用与知觉障碍之间的关系。 4)确定酒精滥用和心理困扰的前因和后果以及两种结构之间的关系模式是否因种族和性别而异。

DESCRIPTION (provided by applicant): This prospective study will examine key unresolved issues concerning the dynamic relationship between posttraumatic alcohol abuse and psychological morbidity. Nine hundred adult survivors of trauma-related physical injuries will be recruited for participation from three large Level I urban trauma centers serving the most populous, and ethnically diverse, county in the United States. Participants will be drawn from three different ethnic groups: Latino-Americans (N = 300), African-Americans (N = 300), and non-Latino Caucasians (N = 300), and will be distributed in approximately equal numbers with respect to gender. The proposed research would leverage a funded NIMH grant, enabling significant substantive and infrastructure synergies. All participants will complete three lay-administered face-to-face assessment interviews, conducted over a 12-month period. The first assessment will take place shortly after hospitalization. The remaining two interviews will be conducted at 3-months and 12-months after the initial interview. The four broad aims of the proposed study of alcohol abuse and psychological morbidity in survivors of significant trauma-related physical injury are: 1) To identify the predictors of alcohol consumption and abuse following traumatic injury. 2) To examine the relationship between alcohol consumption and psychological morbidity following severe trauma exposure. 3) To investigate the relationships among posttraumatic alcohol abuse, health services utilization, and perceived barriers to treatment. 4) To determine whether the antecedents and consequences of alcohol misuse and psychological distress--as well as the pattern of relations between the two constructs-differ as a function of ethnicity and gender.