TY - JOUR
T1 - Investigating Relationships Among Distress Tolerance, PTSD Symptom Severity, and Alcohol Use
AU - Spit for Science Working group
AU - Ranney, Rachel
AU - Zakeri, Shiva Edalatian
AU - Kevorkian, Salpi
AU - Rappaport, Lance
AU - Chowdhury, Nadia
AU - Amstadter, Ananda
AU - Dick, Danielle
AU - Berenz, Erin C.
AU - Pedersen, Kimberly
AU - Neale, Zoe
AU - Thomas, Nathaniel
AU - Adkins, Amy E.
AU - Bannard, Thomas
AU - Cho, Seung B.
AU - Barr, Peter
AU - Byers, Holly
AU - Caraway, Erin
AU - Clifford, James S.
AU - Cooke, Megan
AU - Do, Elizabeth
AU - Edwards, Alexis C.
AU - Goyal, Neeru
AU - Hack, Laura M.
AU - Halberstadt, Lisa J.
AU - Hawn, Sage
AU - Kuo, Sally
AU - Lasko, Emily
AU - Lend, Jennifer
AU - Lind, Mackenzie
AU - Long, Elizabeth
AU - Martelli, Alexandra
AU - Meyers, Jacquelyn L.
AU - Mitchell, Kerry
AU - Moore, Ashlee
AU - Moscati, Arden
AU - Nasim, Aashir
AU - Opalesky, Jill
AU - Overstreet, Cassie
AU - Pais, A. Christian
AU - Raldiris, Tarah
AU - Salvatore, Jessica
AU - Savage, Jeanne
AU - Smith, Rebecca
AU - Sosnowski, David
AU - Su, Jinni
AU - Walker, Chloe
AU - Walsh, Marcie
AU - Willoughby, Teresa
AU - Woodroof, Madison
AU - Yan, Jia
N1 - Publisher Copyright:
© 2021, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/6
Y1 - 2021/6
N2 - Exposure to trauma (particularly interpersonal trauma), post-traumatic stress disorder (PTSD) symptoms, and low distress tolerance (DT; the ability to tolerate negative internal states), are all related to risk for alcohol use disorders (AUD). The aim of this study was to examine the main and interactive effects of PTSD symptom severity and DT in relation to current (past 30-day) alcohol consumption and binge drinking among emerging adult men and women with a history of sexual/physical assault. Participants were 572 undergraduate students (66% women) with a history of physical/sexual assault endorsing past month alcohol use. Participants completed the Distress Tolerance Scale (DTS), the PTSD Checklist for DSM-V (PCL-5), and an abbreviated Timeline Followback Questionnaire (TLFB), which assessed past 30-day total alcohol consumption (i.e., total number of drinks) and binge drinking frequency (i.e., 5+ drinks [4+ for women]). Negative binomial regression analyses revealed that male sex, higher trauma load (i.e., total number of trauma categories endorsed), and higher PTSD symptom severity were associated with both higher number of total drinks and higher frequency of binge drinking episodes. However, DT was not associated with either alcohol outcome when PTSD symptom severity was entered in the models. The interaction of PTSD symptom severity and DT was not significantly associated with total alcohol consumption or binge drinking. These results highlight the importance of investigating the unique contributions of PTSD symptoms and DT (as well as other transdiagnostic cognitive-affective constructs) in the onset and maintenance of AUD.
AB - Exposure to trauma (particularly interpersonal trauma), post-traumatic stress disorder (PTSD) symptoms, and low distress tolerance (DT; the ability to tolerate negative internal states), are all related to risk for alcohol use disorders (AUD). The aim of this study was to examine the main and interactive effects of PTSD symptom severity and DT in relation to current (past 30-day) alcohol consumption and binge drinking among emerging adult men and women with a history of sexual/physical assault. Participants were 572 undergraduate students (66% women) with a history of physical/sexual assault endorsing past month alcohol use. Participants completed the Distress Tolerance Scale (DTS), the PTSD Checklist for DSM-V (PCL-5), and an abbreviated Timeline Followback Questionnaire (TLFB), which assessed past 30-day total alcohol consumption (i.e., total number of drinks) and binge drinking frequency (i.e., 5+ drinks [4+ for women]). Negative binomial regression analyses revealed that male sex, higher trauma load (i.e., total number of trauma categories endorsed), and higher PTSD symptom severity were associated with both higher number of total drinks and higher frequency of binge drinking episodes. However, DT was not associated with either alcohol outcome when PTSD symptom severity was entered in the models. The interaction of PTSD symptom severity and DT was not significantly associated with total alcohol consumption or binge drinking. These results highlight the importance of investigating the unique contributions of PTSD symptoms and DT (as well as other transdiagnostic cognitive-affective constructs) in the onset and maintenance of AUD.
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U2 - 10.1007/s10862-020-09842-3
DO - 10.1007/s10862-020-09842-3
M3 - Article
AN - SCOPUS:85102369476
SN - 0882-2689
VL - 43
SP - 259
EP - 270
JO - Journal of Psychopathology and Behavioral Assessment
JF - Journal of Psychopathology and Behavioral Assessment
IS - 2
ER -