Predicting Reasons for Drinking in a Dually-Diagnosed Sample with PTSD and Substance Use Disorders
Bibliographic Data
| ID | 21645035 |
|---|---|
| Authors | Jordan A Gette (0000-0002-3374-2313, Center of Alcohol and Substance Use Studies, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA, corresponding author), Elizabeth Nosen (G.V. (Sonny) Montgomery VA Medical Center), J A Schumacher (Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi, USA) |
| Year | 2023 |
| Volume | 58 |
| Issue | 11 |
| Pages | 1438-1446 |
| Publication date | 2023-09-19 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2023.2223300 |
| PMID | 37331791 |
| OpenAlex | W4381123608 |
| Language | EN |
| References cited | 55 |
Objective: Using the negative reinforcement and common factors frameworks, this work assessed whether and how anxiety sensitivity, distress tolerance, and impulsivity relate to reasons for drinking (RFD) in a residential treatment sample with co-occurring alcohol use disorder and posttraumatic stress disorder (AUD-PTSD). Demographic differences were also examined. Method: Participants were 75 (52.0% male, 78.7% white) adults at a residential substance use treatment facility who met criteria for AUD-PTSD with 98.67% meeting criteria for one or more substance use disorders in addition to AUD. Participants completed measures of anxiety sensitivity, distress tolerance, impulsivity, RFD, and AUD-PTSD symptoms. Univariate and multivariate linear regression was used with and without controlling for demographic variables (i.e., age, race, and sex). Results: The positive and negative urgency facets of impulsivity were positively related to both negative affect and cue/craving response RFD with relations maintained after controlling for demographic variables and including PTSD symptom severity (βs .30−.51). There were no significant relations between impulsivity and social RFD. No facets of anxiety sensitivity or distress tolerance were significantly related to RFD domains. Conclusions: Findings suggest that the urgency facets of impulsivity are crucial in understanding negative affect and cue/craving RFD. However, anxiety sensitivity and distress tolerance are not related to RFD in this dually diagnosed AUD-PTSD sample. Treatment considerations and future directions are discussed
Addiction · Alcohol · Alcohol use disorder · Anxiety · Anxiety sensitivity · Craving · Distress · Impulsivity · Psychiatry · Substance abuse · Clinical Psychology · Homelessness and Social Issues · Prenatal Substance Exposure Effects · Psychology · Substance Abuse Treatment and Outcomes
Diagnostic and Statistical Manual of Mental Disorders
Integration of impulsivity and positive mood to predict risky behavior
Multiple Comparisons among Means
Expectancy model of fear, anxiety, and panic
The Five Factor Model and impulsivity
Multidimensionality in Impulsivity and Alcohol Use
Epidemiology of DSM-5 Alcohol Use Disorder
Robust dimensions of anxiety sensitivity
The Distress Tolerance Scale
The “Why” of Drinking Matters
The Clinician-Administered PTSD Scale for DSM–5 (Caps-5)
On the Use, the Misuse, and the Very Limited Usefulness of Cronbach’s Alpha
Impulsivity as a mediating factor in the association between posttraumatic stress disorder symptoms and substance use
Drinking motives among heavy-drinking veterans with and without posttraumatic stress disorder
Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations
Rethinking Internal Consistency in Cronbach's Alpha
| Citation velocity | historical |
|---|---|
| Highly cited | No |