Skip to main content
Top
Gepubliceerd in:

01-03-2024

Do Coping Self-Efficacy, Coping Flexibility, and Substance Use Coping Mediate the Connection from PTSD Symptoms to Problematic Alcohol Use Behaviors?

Auteurs: Kelly E. Dixon, Alan Owens, Andrew Lac, Kristi W. Samuelson, Colin T. Mahoney

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Posttraumatic stress disorder (PTSD) and alcohol misuse frequently co-occur following trauma exposure, with individuals often experiencing detrimental outcomes. The self-medication hypothesis postulates that those with posttraumatic stress symptoms are more likely to develop problematic drinking behaviors due to reliance on alcohol use to cope with trauma symptoms. This study aimed to identify if coping meta-skills – trauma coping self-efficacy and coping flexibility – as well as substance use (SU) coping mediated the pathways from PTSD symptoms to alcohol use using structural equation modeling. The sample of 336 trauma-exposed respondents was drawn from the general population and university undergraduates (70% women, 80% White). Participants completed online survey measures during the COVID-19 pandemic. A confirmatory factor analysis and structural equation model each produced satisfactory fit indices. Tests of indirect effects for the structural equation model demonstrated that PTSD symptoms had a significant indirect effect on problematic alcohol use behaviors via trauma coping self-efficacy and substance use coping (β = 0.15, 95% CI [0.10, 0.23], p < .001). These novel findings help to identify critical factors within the comorbid PTSD-alcohol use connection that may serve as intervention targets.
Literatuur
go back to reference Back, S. E., Foa, E. B., Killeen, T. K., &amp;amp; Mills, K. L. (2014). Concurrent treatment of PTSD and substance use disorders using prolonged exposure (COPE): Therapist guide. Treatments that Work, Oxford University Press. Back, S. E., Foa, E. B., Killeen, T. K., &amp;amp; Mills, K. L. (2014). Concurrent treatment of PTSD and substance use disorders using prolonged exposure (COPE): Therapist guide. Treatments that Work, Oxford University Press.
go back to reference Benight, C. C., Shoji, K., James, L. E., Waldrep, E. E., Delahanty, D. L., &amp;amp; Cieslak, R. (2015). Trauma coping Self-Efficacy: A context-specific self-efficacy measure for traumatic stress. Psychological Trauma: Theory Research Practice and Policy, 7(6), 591–599. https://doi.org/10.1037/tra0000045.CrossRefPubMed Benight, C. C., Shoji, K., James, L. E., Waldrep, E. E., Delahanty, D. L., &amp;amp; Cieslak, R. (2015). Trauma coping Self-Efficacy: A context-specific self-efficacy measure for traumatic stress. Psychological Trauma: Theory Research Practice and Policy, 7(6), 591–599. https://​doi.​org/​10.​1037/​tra0000045.CrossRefPubMed
go back to reference Benight, C. C., Shoji, K., Yeager, C. M., Weisman, P., &amp;amp; Boult, T. E. (2018). Predicting Change in Posttraumatic Distress through Change in Coping Self-Efficacy after using the my trauma recovery eHealth intervention: Laboratory Investigation. JMIR Mental Health, 5(4), e10309. https://doi.org/10.2196/10309.CrossRefPubMed Benight, C. C., Shoji, K., Yeager, C. M., Weisman, P., &amp;amp; Boult, T. E. (2018). Predicting Change in Posttraumatic Distress through Change in Coping Self-Efficacy after using the my trauma recovery eHealth intervention: Laboratory Investigation. JMIR Mental Health, 5(4), e10309. https://​doi.​org/​10.​2196/​10309.CrossRefPubMed
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., &amp;amp; Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254.CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., &amp;amp; Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://​doi.​org/​10.​1037/​pas0000254.CrossRefPubMed
go back to reference Boyraz, G., Cherry, M. L., Cherry, M. A., Aarstad-Martin, S., Cloud, C., & Shamp, L. M. (2018). Posttraumatic stress, coping flexibility, and risky drinking among trauma-exposed male and female college students: The mediating effect of delay of gratification. Substance Use &amp;amp; Misuse, 53(3), 508–520. https://doi.org/10.1080/10826084.2017.1342658.CrossRef Boyraz, G., Cherry, M. L., Cherry, M. A., Aarstad-Martin, S., Cloud, C., & Shamp, L. M. (2018). Posttraumatic stress, coping flexibility, and risky drinking among trauma-exposed male and female college students: The mediating effect of delay of gratification. Substance Use &amp;amp; Misuse, 53(3), 508–520. https://​doi.​org/​10.​1080/​10826084.​2017.​1342658.CrossRef
go back to reference Comrey, A. L., &amp;amp; Lee, H. B. (1992). A first course in factor analysis (2nd ed.). Lawrence Erlbaum Associates. Comrey, A. L., &amp;amp; Lee, H. B. (1992). A first course in factor analysis (2nd ed.). Lawrence Erlbaum Associates.
go back to reference Goldstein, R. B., Smith, S. M., Chou, S. P., Saha, T. D., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Huang, B., &amp;amp; Grant, B. F. (2016). The epidemiology of DSM-5 posttraumatic stress disorder in the United States: Results from the national epidemiologic survey on Alcohol and related Conditions-III. Social Psychiatry and Psychiatric Epidemiology, 51(8), 1137–1148. https://doi.org/10.1007/s00127-016-1208-5.CrossRefPubMed Goldstein, R. B., Smith, S. M., Chou, S. P., Saha, T. D., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Huang, B., &amp;amp; Grant, B. F. (2016). The epidemiology of DSM-5 posttraumatic stress disorder in the United States: Results from the national epidemiologic survey on Alcohol and related Conditions-III. Social Psychiatry and Psychiatric Epidemiology, 51(8), 1137–1148. https://​doi.​org/​10.​1007/​s00127-016-1208-5.CrossRefPubMed
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.
go back to reference Lehavot, K., Stappenbeck, C. A., Luterek, J. A., Kaysen, D., &amp;amp; Simpson, T. L. (2014). Gender differences in relationships among PTSD severity, drinking motives, and alcohol use in a comorbid alcohol dependence and PTSD sample. Psychology of Addictive Behaviors, 28(1), 42–52. https://doi.org/10.1037/a0032266.CrossRefPubMed Lehavot, K., Stappenbeck, C. A., Luterek, J. A., Kaysen, D., &amp;amp; Simpson, T. L. (2014). Gender differences in relationships among PTSD severity, drinking motives, and alcohol use in a comorbid alcohol dependence and PTSD sample. Psychology of Addictive Behaviors, 28(1), 42–52. https://​doi.​org/​10.​1037/​a0032266.CrossRefPubMed
go back to reference Mahoney, C. T., Cestodio, V., Porter, K. J., &amp;amp; Marchant, K. M. (2023). The moderating roles of emotion regulation and coping self-efficacy on the association between PTSD symptom severity and drug use among female sexual assault survivors. Psychological Trauma: Theory Research Practice and Policy, 15, 1027–1031. https://doi.org/10.1037/tra0001194.CrossRefPubMed Mahoney, C. T., Cestodio, V., Porter, K. J., &amp;amp; Marchant, K. M. (2023). The moderating roles of emotion regulation and coping self-efficacy on the association between PTSD symptom severity and drug use among female sexual assault survivors. Psychological Trauma: Theory Research Practice and Policy, 15, 1027–1031. https://​doi.​org/​10.​1037/​tra0001194.CrossRefPubMed
go back to reference Maisto, S. A., Carey, K. B., &amp;amp; Bradizza, C. M. (1999). Social learning theory. In K. E. Leonard, &amp;amp; H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 106–163). Guilford Press. Maisto, S. A., Carey, K. B., &amp;amp; Bradizza, C. M. (1999). Social learning theory. In K. E. Leonard, &amp;amp; H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 106–163). Guilford Press.
go back to reference Muthén, L. K., &amp;amp; Muthén, B. O. (1998–2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén &amp;amp; Muthén. Muthén, L. K., &amp;amp; Muthén, B. O. (1998–2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén &amp;amp; Muthén.
go back to reference Ralevski, E., Southwick, S., & Petrakis, I. (2020). Trauma-and stress-induced craving for alcohol in individuals without PTSD. Alcohol and Alcoholism, 55(1), 37–43. Ralevski, E., Southwick, S., & Petrakis, I. (2020). Trauma-and stress-induced craving for alcohol in individuals without PTSD. Alcohol and Alcoholism, 55(1), 37–43.
go back to reference Smith, N. D. L., &amp;amp; Cottler, L. B. (2018). The epidemiology of post-traumatic stress disorder and alcohol use disorder. Alcohol Research, 39(2), 113–120.PubMedPubMedCentral Smith, N. D. L., &amp;amp; Cottler, L. B. (2018). The epidemiology of post-traumatic stress disorder and alcohol use disorder. Alcohol Research, 39(2), 113–120.PubMedPubMedCentral
go back to reference Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.CrossRefPubMed Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.CrossRefPubMed
go back to reference Straus, E., Haller, M., Lyons, R. C., &amp;amp; Norman, S. B. (2018). Functional and psychiatric correlates of comorbid post-traumatic stress disorder and alcohol use disorder. Alcohol Research, 39(2), 121–129.PubMedPubMedCentral Straus, E., Haller, M., Lyons, R. C., &amp;amp; Norman, S. B. (2018). Functional and psychiatric correlates of comorbid post-traumatic stress disorder and alcohol use disorder. Alcohol Research, 39(2), 121–129.PubMedPubMedCentral
go back to reference Tripp, J. C., Worley, M. J., Straus, E., Angkaw, A. C., Trim, R. S., &amp;amp; Norman, S. B. (2020). Bidirectional relationship of posttraumatic stress disorder (PTSD) symptom severity and alcohol use over the course of integrated treatment. Psychology of Addictive Behaviors, 34(4), 506. https://doi.org/10.1037/adb0000564.CrossRefPubMed Tripp, J. C., Worley, M. J., Straus, E., Angkaw, A. C., Trim, R. S., &amp;amp; Norman, S. B. (2020). Bidirectional relationship of posttraumatic stress disorder (PTSD) symptom severity and alcohol use over the course of integrated treatment. Psychology of Addictive Behaviors, 34(4), 506. https://​doi.​org/​10.​1037/​adb0000564.CrossRefPubMed
go back to reference Tucker, L. R., &amp;amp; Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38(1), 1.CrossRef Tucker, L. R., &amp;amp; Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38(1), 1.CrossRef
go back to reference Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., &amp;amp; Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. Available from http://www.ptsd.va.gov. Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., &amp;amp; Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. Available from http://​www.​ptsd.​va.​gov.
Metagegevens
Titel
Do Coping Self-Efficacy, Coping Flexibility, and Substance Use Coping Mediate the Connection from PTSD Symptoms to Problematic Alcohol Use Behaviors?
Auteurs
Kelly E. Dixon
Alan Owens
Andrew Lac
Kristi W. Samuelson
Colin T. Mahoney
Publicatiedatum
01-03-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2024
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-024-10128-1

Andere artikelen Uitgave 2/2024

Journal of Psychopathology and Behavioral Assessment 2/2024 Naar de uitgave