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Daily associations between PTSD, drinking, and self-appraised alcohol-related problems.

Publication ,  Journal Article
Wilson, SM; Krenek, M; Dennis, PA; Yard, SS; Browne, KC; Simpson, TL
Published in: Psychol Addict Behav
February 2017

Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are highly comorbid, yet limited research has focused on PTSD and daily drinking as they relate to self-appraised alcohol-related problems. In treatment contexts, patients' appraisals of alcohol-related problems have implications for assessment, intervention strategies, and prognosis. This study investigated the moderating effect of within-person (daily symptoms) and between-person (overall severity) differences in PTSD on the association between daily drinking and same-day alcohol-related problems. Participants with comorbid AD and PTSD (N = 86) completed 1 week of Interactive Voice Recognition data collection, and logistic and γ-adjusted multilevel models were used to estimate odds and magnitude of self-appraised alcohol-related problems. Results revealed that both within-person and between-person PTSD moderated the association between number of drinks and severity of self-appraised problems. As within-person and between-person PTSD symptoms increased, there was a weaker association between number of drinks consumed and perceived alcohol-related problems. Contrasts further revealed that on nondrinking and light-drinking days, PTSD (both daily symptoms and overall severity) was positively associated with ratings of alcohol-related problems. However, PTSD was not associated with alcohol-related problems on heavier drinking days. In conclusion, more severe PTSD is associated with a less directly contingent relationship between drinking quantity and perceived alcohol-related problems. These findings suggest the importance of further investigations of this moderating effect as well as clinical treatment of comorbid AD and severe PTSD with functional analysis of drinking. (PsycINFO Database Record

Duke Scholars

Published In

Psychol Addict Behav

DOI

EISSN

1939-1501

Publication Date

February 2017

Volume

31

Issue

1

Start / End Page

27 / 35

Location

United States

Related Subject Headings

  • Young Adult
  • Substance Abuse
  • Stress Disorders, Post-Traumatic
  • Middle Aged
  • Male
  • Humans
  • Female
  • Diagnostic Self Evaluation
  • Comorbidity
  • Alcohol-Related Disorders
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wilson, S. M., Krenek, M., Dennis, P. A., Yard, S. S., Browne, K. C., & Simpson, T. L. (2017). Daily associations between PTSD, drinking, and self-appraised alcohol-related problems. Psychol Addict Behav, 31(1), 27–35. https://doi.org/10.1037/adb0000238
Wilson, Sarah M., Marketa Krenek, Paul A. Dennis, Samantha S. Yard, Kendall C. Browne, and Tracy L. Simpson. “Daily associations between PTSD, drinking, and self-appraised alcohol-related problems.Psychol Addict Behav 31, no. 1 (February 2017): 27–35. https://doi.org/10.1037/adb0000238.
Wilson SM, Krenek M, Dennis PA, Yard SS, Browne KC, Simpson TL. Daily associations between PTSD, drinking, and self-appraised alcohol-related problems. Psychol Addict Behav. 2017 Feb;31(1):27–35.
Wilson, Sarah M., et al. “Daily associations between PTSD, drinking, and self-appraised alcohol-related problems.Psychol Addict Behav, vol. 31, no. 1, Feb. 2017, pp. 27–35. Pubmed, doi:10.1037/adb0000238.
Wilson SM, Krenek M, Dennis PA, Yard SS, Browne KC, Simpson TL. Daily associations between PTSD, drinking, and self-appraised alcohol-related problems. Psychol Addict Behav. 2017 Feb;31(1):27–35.

Published In

Psychol Addict Behav

DOI

EISSN

1939-1501

Publication Date

February 2017

Volume

31

Issue

1

Start / End Page

27 / 35

Location

United States

Related Subject Headings

  • Young Adult
  • Substance Abuse
  • Stress Disorders, Post-Traumatic
  • Middle Aged
  • Male
  • Humans
  • Female
  • Diagnostic Self Evaluation
  • Comorbidity
  • Alcohol-Related Disorders